Please complete each field of the Application Form. The information you provide to us will be treated as private and confidential and Australia Scholarship will not release your personal information or contact details to any third parties without your prior consent. This page uses high grade SSL encryption to keep your data safe in transit.

PERSONAL INFORMATION

Given name: Other given name(s):

Family name:

Date of birth: / / (dd/mm/yyyy)

Gender: Male / Female

Nationality: Albania Armenia Azerbaijan Belarus Bosnia and Herzegovina Croatia Georgia Macedonia (former Yugoslav Republic) Moldova Serbia & Montenegro Turkey Ukraine Algeria Angola Benin Botswana Burkina Faso Burundi Cameroon Cape Verde Central African Republic Chad Comoros Congo, Democratic Republic Congo, Republic Cote dIvoire Djibouti Egypt Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Guinea Guinea-Bissau Kenya Lesotho Liberia Libya Madagascar Malawi Mali Mauritania Mauritius Mayotte Morocco Mozambique Namibia Niger Nigeria Rwanda Sao Tome & Principe Senegal Seychelles Sierra Leone Somalia South Africa St. Helena Sudan Swaziland Tanzania Togo Tunisia Uganda Zambia Zimbabwe Anguilla Antigua & Barbuda Barbados Belize Costa Rica Cuba Dominica Dominican Republic El Salvador Grenada Guatemala Haiti Honduras Jamaica Mexico Montserrat Nicaragua Panama St. Kitts and Nevis St. Lucia St. Vincent & Grenadines Trinidad and Tobago Argentina Bolivia Brazil Chile Colombia Ecuador Guyana Paraguay Peru Suriname Uruguay Venezuela Afghanistan Bangladesh Bhutan Burma (Myanmar) Cambodia China, (excluding Hong Kong) India Indonesia Kazakhstan Korea, Democratic Republic Kyrgyz Republic Laos Malaysia Maldives Mongolia Nepal Pakistan Philippines Sri Lanka Tajikistan Thailand Timor Leste (East Timor) Turkmenistan Uzbekistan Vietnam Iran Iraq Jordan Lebanon Oman Territories Administered by the Palestinian Authority Syria Yemen Cook Islands Micronesia, Federated States of Fiji Kiribati Marshall Islands Nauru Niue Palau Papua New Guinea Samoa Solomon Islands Tokelau Tonga Tuvalu Vanuatu Wallis & Futuna

Country of birth:

Country in which you have resided for the past 12 months: Albania Armenia Azerbaijan Belarus Bosnia and Herzegovina Croatia Georgia Macedonia (former Yugoslav Republic) Moldova Serbia & Montenegro Turkey Ukraine Algeria Angola Benin Botswana Burkina Faso Burundi Cameroon Cape Verde Central African Republic Chad Comoros Congo, Democratic Republic Congo, Republic Cote dIvoire Djibouti Egypt Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Guinea Guinea-Bissau Kenya Lesotho Liberia Libya Madagascar Malawi Mali Mauritania Mauritius Mayotte Morocco Mozambique Namibia Niger Nigeria Rwanda Sao Tome & Principe Senegal Seychelles Sierra Leone Somalia South Africa St. Helena Sudan Swaziland Tanzania Togo Tunisia Uganda Zambia Zimbabwe Anguilla Antigua & Barbuda Barbados Belize Costa Rica Cuba Dominica Dominican Republic El Salvador Grenada Guatemala Haiti Honduras Jamaica Mexico Montserrat Nicaragua Panama St. Kitts and Nevis St. Lucia St. Vincent & Grenadines Trinidad and Tobago Argentina Bolivia Brazil Chile Colombia Ecuador Guyana Paraguay Peru Suriname Uruguay Venezuela Afghanistan Bangladesh Bhutan Burma (Myanmar) Cambodia China, (excluding Hong Kong) India Indonesia Kazakhstan Korea, Democratic Republic Kyrgyz Republic Laos Malaysia Maldives Mongolia Nepal Pakistan Philippines Sri Lanka Tajikistan Thailand Timor Leste (East Timor) Turkmenistan Uzbekistan Vietnam Iran Iraq Jordan Lebanon Oman Territories Administered by the Palestinian Authority Syria Yemen Cook Islands Micronesia, Federated States of Fiji Kiribati Marshall Islands Nauru Niue Palau Papua New Guinea Samoa Solomon Islands Tokelau Tonga Tuvalu Vanuatu Wallis & Futuna

Language(s) spoken at home:

Verification of identity (e.g. passport or driver’s licence details)

• Document (e.g. Passport):
• Document number:
• Date of issue: / / (mm/yyyy)
• Country of issue:
• Date of expiry: / / (mm/yyyy)

Medical conditions/special needs that may affect your studies:

Current qualifications/academic achievements:

Current occupation:

CONTACT DETAILS

Postal address:

Residential address (if different from above):

Home phone (including Country/Area codes):

Mobile phone:

Fax:

Email:

ELGIBILITY DETAILS

* Please provide copies of all required evidence (e.g. certificates, transcripts…) along with this application.

English language test completed:

IELTS
Other (please specify):

English language test result/score:

Date of test: / / (dd/mm/yyyy)

High School/University name:

Qualification obtained:

Result/grade:

STUDY PREFERENCES

Should you be offered a scholarship, every effort will be made to accommodate your preference of course and starting date, however, placement may be subject to course availability and other factors.
As part of this application process you must attach a Letter of Offer (conditional letters of offer will be accepted) for the Course of your choosing.

Preferred Course (select ONE):

Preferred Starting Date (select ONE):

TERMS AND CONDITIONS

• I understand that by submitting my Application Form to Australia Scholarship, I am not guaranteed to receive a scholarship. Australia Scholarship is responsible for the allocation of scholarships and the allocation is final and not open to appeal. All the successful applicants will be notified of the outcome of their application.
• I understand that the scholarships do not consist of cash payments or any other form of credit transfer. Candidates granted a scholarship will be offered enrolment in a course at a reduced tuition fee corresponding to the percentage discount described in their category of offer. The remainder of the tuition fees not accounted for by the scholarship must be paid in full before commencement of the course. You are not required to make any payment until you receive a PVA (Pre Visa Assessment) Letter from the Australian Consulate or High Commission. For more information please refer to www.immi.gov.au.
• I understand that if I am granted a scholarship offer it will not be transferrable, it will not be redeemable for cash or other credit, and it will not be deferrable except under exceptional circumstances.
• I have read and understood all the information contained within the Australia Scholarship website (www.australiascholarship.com.au) with particular regard to application opening and closing dates, Scholarship details, eligibility, and Scholarship allocation. I have also read and understood all the information at www.acescentre.com.au.
• I accept that if I am granted a scholarship and I accept the offer, my name and course details may be used for marketing purposes related to Australia Scholarship and/or Aces Centre.
• I understand that the scholarships DO NOT cover:
• Student visa application and processing fees or any other visa related expenses
• Travel expenses to and from your country of origin, and within Australia
• Living expenses in Australia (including accommodation, food, internet, medical, insurance, legal and any other personal expenses)
• Any other expenses
• I declare that all the information provided by me in this Application Form is correct and true.

Signed:

Date: / / (dd/mm/yyyy)

Upload your supporting evidence (Max of 2Mb as ONE zipped file)

CHECKLIST

Please check that you have completed the following before submitting your Application Form:

I have filled in all fields on this Application Form.

I have scanned and attached all necessary supporting documents and evidence (including proof of English proficiency, academic evidence, proof of identity, Letter of Offer).

I have explored the Australia Scholarship website (www.australiascholarship.com.au) and (www.acescentre.com.au) for details on eligibility, important dates, and other information relevant to my application.

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