ApplicationforScholarship2012

Pleaseensurethatallrelevantsectionsarecompletedandtherequesteddocumentationisattached toyourapplication.One(1)copyoftheapplicationdocumentationshouldbesubmittedbythe deadline,26thAugust2011fortheSemester1,2012scholarshipround,or24thFebruary2012forthe Semester2,2012round,or31stAugust2012fortheSemester1,2013scholarshipdeadline. Applicationsreceivedwithoutalltherequireddocumentation,willnotbeeligibleforconsideration. ICEWaRMacceptsnoresponsibilityforincompleteorillegibleapplications. PleasenotethatthescholarshipcoverstuitionfeesONLY.

CANDIDATECHECKLIST
Pleasetickandensurethatyouhaveincludedthefollowingdocumentationasnecessary: ESSENTIAL(REQUIRED): AcompletedICEWaRMApplicationform Certifiedtranscriptsofpreviousstudiesindicatingsubjectsandgrades(aparchmentis insufficient)theAustralianEmbassy/HighCommission,JusticeofthePeaceorlocalPolice Stationcancertifytranscripts. Acertifiedcopyofpassportdetails(yourpassportmustbevalidatleast6monthsbeyondthe expectedstudyperiod)orbirthcertificate. 2writtenreferences(oneacademicrefereeandonerefereefromyourrelevantindustrywork experience)usingtheConfidentialRefereesReport HardcopiesofEnglishlanguageevidenceIELTSorTOEFLresults(anIELTSof6.5or equivalentTOEFLresultisrequired). CurriculumVitaeincludingpublishedjournalarticles,chaptersofbooks,conferencepapers, whereapplicable

CandidatesareresponsibleforensuringthattheConfidentialRefereesReportsarereceived byICEWaRMbytheapplicationdeadline.

NORMALMAIL:Sendapplicationsanddocumentationto:

ICEWaRMInternationalLiaisonProgramme Scholarships GPOBox860 AdelaideSA5001 AUSTRALIA

COURIERING:Sendto:

Formoreinformation,contact: ProjectCoordinator scholarships@icewarm.com.au Ph:+61882365200 Fax:+61882365236

ICEWaRMInternationalScholarshipProgramme Level4,33KingWilliamStreet AdelaideSA5000 AUSTRALIA

Scholarships, Application form

Current as at May 2011

www.icewarm.com.au

Scholarships, Application form

Current as at May 2011

ApplicationforScholarship2012 PersonalDetails
Title: Mr Mrs Miss Ms Dr Other______________ Asappearsonpassport: FamilyName: THILAKRATHNE

GivenName(s):

BANDARA MUDIYANSELAGE MADUSANKA NUWAN MADUSANKA

PreferredName:

Male

Female

Dateofbirth
SRI LANKA

01 1987 18 ____/_____/_____(dd/mm/yyyy)

CountryofBirth: Citizenship:

SRI LANKAN

Addressforcorrespondence StreetAddress: Suburb/City: State: 600/4

AIR PORT ROAD

ANURADHAPURA Country: NCP

SRI LANKA 50000

Post/ZipCode:

Permanenthomeaddress(ifdifferentfromabove) StreetAddress: Suburb/City:

State: OtherContactDetails EmailAddress:

Country: Post/ZipCode:

mlankasanka@gmail.com

Hometelephone 94252236749 number: Worknumber: Facsimile Mobilenumber: 94718227534 number:

Scholarships, Application form Current as at May 2011

AcademicBackground
UniversityStudies Listalluniversityprogrammescompleted(undergraduateandpostgraduate),andany incompleteand/orcurrentstudies.
Programme/award Institution UNIVERSITY OF
PERADENIYA Faculty of Engineering

Yearbegan/ completed
2007/ 2011

Country
SRI LANKA

Languageof instruction ENGLISH

GPA
3,45

B.Sc in Civil Engineering

Academicawardsandacademic/industrymemberships Pleaselistbelowanyadditionalawardsandprofessionalmembershipsthatdonotappearon youracademicrecord/s.

Scholarships, Application form

Current as at May 2011

WorkExperience(pleaseattachanextrapageifspaceprovidedisinsufficient)

Datesof employment
e.g.Sept99Oct 2006

Fullorpart time
FullTime

Descriptionofpositionandduties
WaterQualityManager managingandimplementingprojects qualitycontrol

Organisation
SAWater

Publications(journalarticles,chaptersofbooks,conferencepapers).

**Pleaseattachacopyorpartialcopyofarticles/papersforsupportingevidence** Pleaseattachanextrapageifspaceprovidedisinsufficient

Datepublished
e.g.June2006

Journal/Descriptionofpaper
InternationalJournalofEnvironmentalScience,WaterQualityManagementinurbanfloodwatersystems

ICEWaRMScholarshipApplication
Pleaseindicatewhichscholarshipyouareapplyingfor: Fulltuitionscholarship Parttuitionscholarship Pleaseindicatewhichsemesteryouexpecttocommencestudy: Semester1,2012(March) Semester2,2012(July) Semester1,2013(March) Closingdateforapplications:26thAugust,2011 Closingdateforapplications:24thFebruary,2012 Closingdateforapplications:31stAugust,2012

Scholarships, Application form

Current as at May 2011

Ifyouarenotsuccessfulinyourapplicationforascholarshipforafulltuitionscholarship, wouldyouconsiderapartialpaymentoftuitionscholarship? Yes No Ifyouarenotsuccessfulwithyourapplicationforafullorparttuitionscholarship,willyou continuewithyourapplicationforadmittancetotheMasterofWaterResources Management? Yes No

Pleaseindicateyourpreferredstreamanduniversity(pleaserankinorderofpreference from1(mostpreferred)to8(leastpreferred).Ensureyouaddressreasonsforyour preferenceinyourwrittensubmission.

TheUniversity ofAdelaide Universityof SouthAustralia Flinders University
5

Stream1 EcosystemandCatchmentManagement Stream2 ManagementofWaterInfrastructure Stream3 WaterQualityandTreatment Stream4 GroundwaterHydrology/Hydrogeology Stream5 Irrigation Stream6 WaterPlanning n/a n/a n/a
6 3 4

n/a

n/a n/a

n/a

n/a

n/a

n/a n/a

n/ameansstreamisnotavailable

Scholarships, Application form

Current as at May 2011

FormoreinformationabouttheMasterofWaterResourcesManagementprogramme universities,streamsandcourses,gotohttp://www.icewarm.com.au/page.php?pId=228.

WrittenSubmission
Pleasewriteamaximumof350wordsstatingthereasonsyouwishtoundertakeMasterof WaterResourcesManagementprogrammeinAustraliaincluding: whyyouhavechosenthestreamindicated; whyyouwishtostudyinAustralia; whyyouwishtostudythiscourse; outcomesyouhopetoachievebycompletingthiscourseinAustralia; whyyouhaveselectedtostudyatthechoseninstitution/s; howthequalificationwillassistinachievingyourfuturecareerplans;and yourpersonalqualitiesthatwouldpersuadeICEWaRMtoofferyouascholarship.

Scholarships, Application form

Current as at May 2011

Referees
Pleaseprovidethecontactdetailsforyourtworeferees.Itisthecandidatesresponsibilityto provideeachrefereewithaConfidentialRefereesReportproformaforthemtocomplete andforwardtoICEWaRMbytheapplicationdeadline.Pleaseensureyoucompleteyour detailsontheConfidentialRefereesReport. Referee1 Title: Mr

Mrs

Miss

Ms

Dr

Other______________

Asappearsonpassport FamilyName: GivenName(s): Position: Institution/Organisation: Telephonenumber: Facsimilenumber: Emailaddress: Referee2 Title: Mr

Mrs

Miss

Ms

Dr

Other______________

Asappearsonpassport FamilyName: GivenName(s): Position: Institution/Organisation: Telephonenumber: Facsimilenumber: Emailaddress:

Scholarships, Application form

Current as at May 2011

ApplicantsDeclaration
Icertifythattheinformationprovidedonthisapplicationformandtheattachmentsistrue, completeandcorrectineveryparticular. IagreetoabidebytheInternationalCentreofExcellenceinWaterResourcesManagement conditionsofawardandamendmentstothese.Iamawarethatprovidingfalseormisleading informationmayaffectanyofferofawardthatismadetome. I fully understand the conditions under which the scholarship is offered, and if offered a scholarshipIagreeto: a) carryoutsuchinstructionsandabidebysuchconditionsasmaybestipulatedbyboth the International Centre of Excellence in Water Resources Management and the UniversityinwhichIamenrolledandsignanagreementtothateffect; b) takeupthescholarshipinthesemesterandacademicyearforwhichitisoffered; c) abidebytherulesandregulationsgoverningmystudentvisa; d) maintainafulltimeenrolment,followthecourseofstudyandabidebytherulesof theinstitutioninwhichIundertaketostudy; e) submitaprogressreporttoICEWaRMattheendofeachsemester; f) actinamannerthatwillnotbringdisreputetomyself,ICEWaRM,theuniversityin whichIamenrolledormycountryofcitizenshipduringmyaward;and g) returnhomeatanytimeuponformalrequestoftheAustraliangovernment. Ialsoagree: h) tothetermsandconditionsasoutlinedintheScholarshipGuidelinesdocument; i) to the release of information contained in this application form to relevant authorities to enable placement in a tertiary institution and the ongoing administrationofmyscholarship; j) toparticipateinICEWaRMpromotionalactivitiesasrequired;and k) thattheAustraliangovernmentisnotresponsibleforanyaspectofmyactionswhileI aminAustralia I understand that the law of Australia and various States and Territories will apply to any agreementbetweenmyselfandICEWaRM. I am not aware of any medical condition (disability, illness or pregnancy) which might preventmefromcompletingmystudyprogramwithinthetimeallowedforthescholarship. IfullyunderstandthatifIamgrantedascholarship,itmaybesubsequentlywithdrawnifI failtomakeadequateprogress,orforothersufficientcausedeterminedbyICEWaRMorthe institutionatwhichIamenrolled. Printedname: Signatureofapplicant: Date: B,M,M,N THILAKARATHNE
Scholarships, Application form Current as at May 2011