Preview Form Australia Awards Scholarships Application Form PHD and Master Intake 2025

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The Application Form
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Australia Awards Scholarship 2025 Intake
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Instruction
Please read the following instruction before you complete this online application.
1. Carefully read the Australia Awards Scholarships Policy Handbook and Country profile. Both
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documents are available on the DFAT website and at the Australia Awards in Indonesia website.
2. Carefully read all information about Australia Awards Scholarship on the Australia Awards in
Indonesia website.
3. Complete all fields marked with an Asterix (*) including all the relevant sections.
4. Complete this online form in English.
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5. We encourage applicants to download the "preview application form" from this link to assist in
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preparing your application.

6. If you need to exit the application before completing it, please click ‘save’ at the bottom right of the
page. You will be provided with a link you can use to come back to your application. We strongly
recommend you use the option to have the link sent to you by email.
7. If you have any questions, please email us at longtermawards@australiaawardsindonesia.org
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This form and all required documents listed on page 16 (Documentary Evidence) must be submitted by
30 April 2024 at 20:59 WIB.
Do not send this form to universities or other parties outside Australia Awards in Indonesia.
Australia Awards Scholarships will be offered only to those whose course of study will contribute to the
long-term development needs of Indonesia. A list of the priorities is available under “Choosing a Course of
Study” on page 3 of this application form.
The list of Australian Universities participating in the Australia Awards Scholarship is available on DFAT’s
website and Australia Awards in Indonesia’s website. Information about study programs offered by
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Australian universities is available on the participating universities’ websites
or the Commonwealth Register of Institutions and Courses for Overseas Students (CRICOS) websit
e.
If you do not receive an invitation for an interview from the Australia Awards in Indonesia office by mid-
August 2024, you should assume that your application has been unsuccessful.
In cases where information supplied by candidates is found to be inaccurate or incorrect, an award

offer may be revoked.
The closing date is 30 April 2024 at 20:59 WIB. To avoid congestion in the online system, applicants
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are strongly recommended to submit this form as early as possible. Please be advised that the application
system might experience significant traffic increase closer to the closing time.
Further information
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 How to Apply
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 Type of Awards
 Targeting of Awards
 Priority Fields of Study
 General Requirements
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 Supporting Documents
 Important Dates
 Scholarships Entitlement
 Selection Process
 PhD and Masters Awards Brochure
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 Application FAQs
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Instructions for Completing the Eligibility Check Self-Assessment
1. Please read and fill in carefully according to your latest conditions

2. Please fill in the name as stated on your KTP. If you have only one name, enter it in both fields.
3. Please use an email address that you are actively using
How to select the application category:
1. Government of Indonesia
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 Only select this option if you are a civil servant at any level (ministry and agencies, local
government, teacher, state lecturer, etc.). The applicant must upload a Letter of Appointment (SK
Pengangkatan) and Nominating Agency Declaration form.
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 If you are a civil servant with KTP from ETG Provinces or identified from an equity target group,
then you should choose ETG.
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2. Equity Target Groups (ETG) comprise:
o People with disability

o Women from disadvantaged backgrounds
o People from equity target provinces, *(supported by the KTP issued in these
provinces)*, namely East Nusa Tenggara, West Nusa Tenggara, Maluku, North Maluku,
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Papua, West Papua, Southwest Papua, South Papua, Highland Papua, Central Papua,
West Sulawesi, West Kalimantan, Gorontalo, Central Sulawesi, and Lampung.
Applicants from the Non-Targeted/Open Category include those outside the above categories.
Title First Name Last Name

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Email
If your main email is a work-domained email address, we

strongly encourage you to add an alternate email
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Alternate Email
Applicant Category
 Goverment of Indonesia (GoI)  Equity Target Groups (ETG)  Open Category
Applicant from Goverment of Indonesia

If “GoI”, please indicate if you are from:
 Government department  State university
Applicant from Equity Target Groups (ETG)
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 People with disability (or working with a Disabled People's Organisation)
 People From Equity Target Provinces
 Women from disadvantaged background
If “ETG”, please indicate if you are from:

 Government department  State university  Private university
 State-owned enterprise  Private organisation  Private individual
Employment Status
 Civil Servant (PNS)
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
If you are a civil servant (PNS), you must upload a Letter of Appointment (SK Pengangkatan) and
Nominating Agency Declaration form at Documentary Evidence Section.
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Please Download Nominating Agency Declaration template
Applicant from Open Category
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 Private university  Private individual  Government Officials with
Employment Agreements (PPPK)
 Private organisation  State-owned enterprise
Scholarship Proposed Degree

 Masters  PhD
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Your Latest Education from
 Indonesia  Overseas
If you're applying for a Master's program, it refers to your Bachelor's or DIV education.
If you're applying for a PhD, it refers to your Master's education.

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Detail Bachelor or D IV Education

What is your education level
 Bachelor  D IV
Location of University
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University Name
Due to the large number of universities in Indonesia, some universities are not recorded in the system.
Please choose "Other" then input the university name manually.
Detail Others University
Country
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University Name
Study Status
 Complete  Pending Results  Incomplete
GPA
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Type the score only. e.g. 2,9. Please use a comma
(",") as a decimal separator.
GPA
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If your GPA in Number, please type the score only.
e.g. 2,9. Please use a comma (",") as a decimal
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separator.
If your GPA in "Word" please type as your Academic

Transcript.
Detail Master Education

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Education level
 Master
Location of University
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University Name
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Detail Others University

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Country
University Name
Study Status
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GPA
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Type the score only. e.g. 2,9. Please use a comma
(",") as a decimal separator.
GPA
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If your GPA in Number, please type the score only.
e.g. 2,9. Please use a comma (",") as a decimal
separator.
If your GPA in "Word" please type as your Academic
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Transcript.
Are you an Indonesian citizen and currently residing in Indonesia?
 Yes  No
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Are you married to, engaged to, or a de facto of a person who holds, or is eligible to hold,
Australian or New Zealand citizenship or permanent residency, at any time during the application,
selection and mobilisation phases?
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 Yes  No
Are you applying for a visa to live in Australia (not including tourism visa or student visa)?
 Yes  No
Have you held an Australia Award previously?

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 Yes  No
Since completing your Australia Award, have you lived outside of Australia for at least twice the
length of the total time you were in Australia?
 Yes  No
Are you current-serving military personnel?

 Yes  No
T&CApplyS2 Status Apply S2

0 Eligible
T&CApplyPhD Status Apply PhD

0 Eligible
Term & Condition Apply

0
Score GOI Master Score ETG Master Score ETG Open

0 0 0
Score GOI PhD Score ETG PhD Score Open PhD

0 0 0
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Registration
Details given in these questions must match your passport, birth certificate or other official
identification documents.
Note: If you have only one name, enter it in both fields.
* Denotes mandatory field
Applicant Details:
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Applicant Category:
Applicant Sub Category:
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Employment Status:
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Employment Status:
Gender Place of birth Date of birth

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DD/MM/YYYY
National Identity Number (KTP)
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Region
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Address line as per ID Card/KTP

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Province as per ID Card/KTP District as per ID Card/KTP
Contact Details
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Main Email : Alternate Email
If your main email is a work-domained email

address, we strongly encourage you to add an
alternate email.
Mobile Phone Alternate Mobile Phone
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Current Residential Address
Address line
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Province
FODistrict
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Country Postal code (if any)

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Mailing Address
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(Provide details only if this is different to your current residential address.)

Is your mailing address the same as your current address?
 Yes  No
Address line
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Province
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Are you subject to any criminal or civil proceedings that are currently awaiting legal action?
 Yes  No
Please specify:
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Have you even been convicted of an offence in any country (including any conviction which is now
removed from official records)?
 Yes  No
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Please specify:
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Reminder: To ensure your input is recorded in our system, please click "Save" on every page. Click
"Next" once you successfully save the application.
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Priority Fields of Study
Australia Awards prioritises scholars seeking to undertake studies in Health Security, Stability and
Economic Recovery.
You are required to:
 Identify the priority development area of your proposed studies.

 Identify the priority field of study (PFS) from the list of preferred PFS provided.
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Priority Development Area
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Health Security
 Communicable Disease  Public Health  Development Studies
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Prevention
 Health Management  Education and Training  International Studies
 Health Services  Education Management  Other (please specify)
 Maternal and Child Health  Human Resource Development
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Stability
 Law, legal and judicial systems  Anti-corruption  Women and Gender Studies
 Political Science and  Decentralisation  Disability Services
Government
 Public administration  Monitoring and Evaluation  Disaster Prevention and
Management
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 Public expenditure management  Transnational Crime Prevention  Cyber Security

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 Public Sector Reform  Conflict Resolution  Other (please specify)

 Environmental Law
Economic Recovery
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 Trade  Mining  Forestry

 Small and medium enterprise  Livestock management  Natural Resource Management
development
 Economics  Animal Husbandry  Climate Change
 Infrastructure Planning  Agriculture  Rural Growth
 Transport Safety  Aquaculture/fisheries  Other (please specify)
 Water and Sanitation
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Proposed Study Program
DFAT’s website includes a full list of Australian institutions that are eligible to host Awardees. You need to
decide which institution you want to attend and choose an appropriate course. To find out about the
content of specific courses, you should research the individual institution website.
You should choose two preferences. You are encouraged to choose two different institutions rather than
two different courses at the same institution. If your application for your first preference is unsuccessful,
DFAT will forward your application to your second choice of institution. The CRICOS code and Field of
Study for your course can be found on the Commonwealth Register of Institutions and Courses for
Overseas Students (CRICOS) Website http://cricos.education.gov.au
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Preference 1
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CRICOS Code
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Course Name
e.g. Master of Information Technology

Institution
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Level of Study Type of Study
Duration in weeks Detailed Field of Education Code

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e.g. 080301 - Health Care Data and Informatics

Minimum English language proficiency required for the course (IELTS, TOEFL or PTE Academic)
Type the score only. e.g. 7,5. Please use a comma (",") as a decimal separator.
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Preference 2
CRICOS Code
Course Name
e.g. Master of Information Technology

Institution
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Level of Study Type of Study
Duration in weeks Detailed Field of Education Code
e.g. 080301 - Health Care Data and Informatics

Minimum English language proficiency required for the course (IELTS, TOEFL or PTE Academic)
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Research Details
Please tell us about your proposed research topic:
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Research Title:
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maximum 500 characters
Objectives:
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Significance and possible application of the applicant's proposed research to their country's
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development:
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Research Methodology:
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Research Timeline
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Activity Start Date End Date
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The maximum duration for a PhD is four years.
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Does your proposed Research include fieldwork?
 Yes  No  Not Sure
Fieldwork Details
Please provide a description of the fieldwork you will be undertaking:
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What is the duration of your proposed fieldwork in weeks (if known):
Fieldwork Proposed Supervisor

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Where do you propose to undertake the fieldwork?
Research background
A formal offer of admission will not be required however it is expected serious PhD candidates will have
made preliminary inquiries to preferred Australian universities regarding their study.
Do you hold a Masters degree with > 50% weighting for research?
 Yes  No
Are you enclosing a letter from your Masters supervisor recommending that you should pursue
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Doctorate studies?
 Yes  No
Have you discussed your proposed course with a member of staff from any Australian University?
 Yes  No
Are there any special subjects or skills that you would like to include in your choice?
 Yes  No
If "Yes" please give details.
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Note that Australia Awards Scholarship do not include the practical training period required for professional
registration, e.g. medical internship, legal articles, etc. Applicants are expected to complete such practical
training in their own country.
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Supporting statement
Limit your answers to 2000 characters per question. Anything over this limit will not be considered.
Why did you choose your proposed course and institution?
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Please include information on efforts you have undertaken so far to obtain information in your study option.
What impact do you believe this study will have on your career, life and community?
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How have you contributed to solving a challenge or implementing change or reform in the context
of one of the AAI priority development areas?
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(Be specific and include: what aspect/s of your leadership knowledge, skills and practice you consider
to be well established and effective; which people or organisations you worked with to solve the problem,
and what creative methods were used.)
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Please provide three practical and realistic examples of how you intend to use the knowledge,
skills and connections you will gain from your scholarship on your return to Indonesia. Possible
tasks can be personal and/or professional.
List any possible constraints you think may prevent you from achieving above tasks.
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Education Background
List of qualifications (including in complete degree). If you have not completed your study please list
your anticipated end date. Applicants are required to fill out the final GPA obtained and the maximum GPA
possible for each qualification noted below.
Detail Background Education Bachelor or D IV

Education from :
Education Level :
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Education Status :
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GPA Obtained :
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University Name:
Education from :
Country :
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University Name:
Education Level :
Education Status :
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GPA Obtained :
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Qualification name
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e.g. Bachelor of Economic or Doctor of Philosophy

Maximum possible GPA at this institution:
Language of Instruction
 Indonesian  English
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Study Start Date Study End Date
DD/MM/YYYY DD/MM/YYYY
Did you graduated from D III
 Yes  No
Detail Diploma III Education Background

Level of Study
 Diploma III (DIII)
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Graduate From
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Qualification name
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Study Status
University Location
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University Name
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Detail Other University Name

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Country
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University Name
GPA Obtained Maximum possible GPA at this institution
GPA Obtained Maximum possible GPA at this institution:
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Detail Background Education Master
Education from :
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University Name:
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Education Level : Master
Education Status :
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GPA Obtained :
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Education from :
Country:
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University Name:
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Education Level : Master
Education Status :
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GPA Obtained :
Qualification name

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Bachelor Education
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Level of Study
 Bachelor/ DIV
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Graduate From
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Qualification name

Study Status
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Province
University Name
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Detail Other University Name

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Country
University Name
GPA Obtained Maximum possible GPA at this institution
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Do you have another Education Qualification
 Yes  No
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Other Education Background
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Other Qualification 1
Qualification name
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Graduate from
Level of Study
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 Postgraduate (S3)  Diploma IV (DIV)
 Postgraduate (S2)  Diploma III (DIII)
 Undergraduate (S1)
Study Status
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Indonesia Graduate
Province
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University name
Detail University Name
Other qualification Overseas University

Country
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University Name
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Other Qualification GPA Overseas
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FO
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English Language Proficiency
You are required to have a minimum English language proficiency as per the following guidelines:
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The IELTS, TOEFL or PTE Academic result must be current (obtained in the last 2 years from the
application closing date, or a test result obtained between May 1, 2022 until May 1, 2024 will be
considered current).
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No other English language test (including TOEFL prediction test) results will be accepted
No late submissions will be accepted.
Was English the language of your highest level of study?

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 Yes  No
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Is English your first language?

 Yes  No
Have you taken an English test?

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What kind of test have you taken?
Expected test to be taken

What kind of English test are you planning to take?
Expected Test Date
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Please be advised that the due date for submitting English proficiency test result is 30 April 2024. Your
application will not be considered if you missed this deadline.
Date test taken Test Centre/Location
Detail IELTS Score

Overall Score
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Listening Score Reading Score Writing Score Speaking Score
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Detail Internet Based TOEFL Score

Overall Score
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Type the score only. e.g. 100. Please use a comma (",") as a decimal separator.
Listening Score Reading Score Writing Score
Type the score only. e.g. 100 Please use a comma (",") as a decimal separator.
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Minimum Score 40, maximum Score 120

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Detail Paper Based TOEFL Score

Overall Score
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Minimum Score 350 and maximum score 667
Detail Computer Based TOEFL Score

Overall Score
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Minimum score 113 to Maximum 300
Detail PTE Academic Score
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Overall Score
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Minimum score 23 and maximum score 89.
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Employment History
Are you currently working?
 Yes  No
Organisation/Institution name
Current position title
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Level of the position
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Detail other position name
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Start Date
DD/MM/YYYY
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If you don't remember the exact date, enter 1st of January.
Business Address line
Province District
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Detail if Overseas
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Type name of city and country

Business Phone
Current Duties/Responsibilities:
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Max 1000 characters including punction.
Do you intend to return to this organisation after completing your scholarship in Australia?
 Yes  No
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Previous relevant employment
Only provide previous employment that is relevant to your application.
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Previous Relevant Employment 1
Position title
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e.g Director
Level of the position
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Detail other level of position
Organisation
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e.g Australia Awards in Indonesia

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Organisation Address:
Start Date End Date

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Duties/Responsibilities:
Max 1000 characters including punction.
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Community service
Please detail any voluntary or community service work you have undertaken
Community service 1
Position title
e.g. Director
Organisation
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Organisation Address:
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Start Date End Date
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Duties/Responsibilities:
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Professional memberships
Are you a member of any professional
organisations?
 Yes  No
Professional memberships
The associations and organisations of special interest may include community, cultural, political, scientific,
professional and/or educational
Organisation Name Start Date End Date
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FO
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Networks and Leadership Qualities
One of AAI’s objectives is that our alumni act as change agents who will contribute to inclusive and
sustainable development in Indonesia and to strengthening the Indonesia-Australia relationship. One way
in which this might take place is through government networks and so we would like to understand any
relationships you already have with Government of Indonesia officials, Australian Embassy staff,
employees of companies that work with the Australian Embassy as contractors, the Australian Department
of Foreign Affairs and Trade or the Australian government more broadly.
Do you currently have any connection or relationship to any staff employed at Australian
Embassies, Consulates or High Commissions, or with companies contracted to the Australian
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Department of Foreign Affairs and Trade?
 Yes  No
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Please specify:
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Do you currently have any connection or relationship to Indonesian government stakeholder?
 Yes  No
Please specify:
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Do you fall into any of the following categories of leadership and influence (select all that apply):
 Experience in leading provincial or national organisation.
 Involved as expert in influencing policy making.
 Active contributor of articles or opinion pieces to newspaper or online news.
 Have received honours, prize, award, or grant.
 Have participated in leadership and culture program (such as: AIYEP, AIMEP, IYLEP, CAUSINDY, etc.).
 Active in voluntary activities.
 National or regional athlete that participate on PON, SEA games, ASIAN Games, Olympics or other
international competition.
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 Active social media user (including blogger or vlogger) with >5000 followers or verified account with blue
check.
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Please provide more details about the items you selected above:
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Gender, Disability, and Other Cross-Cutting Issues
AAI seeks to attract eligible applicants from a broad and diverse range of backgrounds. To support
diversity, AAI encourages eligible applications from people with disabilities, people from AAI Equity Target
Provinces, and other disadvantaged groups. AAI’s Gender, Disability, and Social Inclusion Strategy
adopts an approach that considers multiple identities, seeks to address potential discrimination points, and
favours solutions that are aligned with the concept of intersectionality when possible.
DFAT strongly encourages applications from people with disability who are otherwise eligible for a
Scholarship. Under the Disability Discrimination Act, Australian education institutions have to provide
'reasonable adjustments' to students with disability to assist access to study. To assess the likely support
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needs, appropriate assistance, and the capacity of relevant institutions to provide the assistance,
awardees with a disability/special need must provide details of the disability and/or special need when they
accept their offer. This information is bound by Australian privacy laws and will be disclosed only for the
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purpose of facilitating an accessible barrier-free learning environment.
Modifications to physical or learning environments, including additional educational supports such as sign
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interpreters and captioning, may be available depending on the relevant institution's capacity. DFAT will
advise the institution of any special requirements associated with an Awardee so that the institution can
pass these details to the institution’s Disability Liaison Officer prior to the Awardee arriving on-campus.
Where an institution is not able to provide the assistance requested, other institutions may be
recommended.
Do you identify as having a disability?

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 Yes  No
Under Australian law, disability includes physical, intellectual, psychiatric, sensory, neurological, learning
disabilities, physical disfigurement, and the presence in the body of disease-causing organisms. (Australia
Awards Scholarships Policy Handbook)
If yes, please provide details if you require special assistance or equipment to participate in the
scholarship selection processes or to live and undertake studies in Australia?
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You can use the questions below to guide you.
 Hearing and Speaking - to communicate with others do you require or use any specific assistance?
(For example, hearing aids, sign language interpreter, lip reading, other communication assistive
device or additional time.)
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 Writing and Reading - to access information and communicate using written materials do you
require or use any specific assistance? (For example, large print, Braille, computer software (e.g.
Jaws), lap top/computer, someone to transcribe for you, or additional time.)
 If you use an assistive device, please tell us what kind of device it is and/or if you have ever used a
different type of device.
 Do you need specific support for your mobility?
Write your answer below.
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Do you work in a disability-focused organisation?
 Yes  No
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Please specify:
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Do you identify as a woman from a disadvantaged background?
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If you identify as a woman from a disadvantaged background please tick all boxes that may apply
to you.
 Head of women-headed household
 Woman from a disadvantaged socioeconomic background
 A member of a minority group and you faced discrimination as a result of this
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 Identify as an indigenous person (masyarakat adat)
If you feel comfortable doing so, please explain further regarding your selected situation above:
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Previous Scholarships
Have you previously been awarded a scholarship or a fellowship?
 Yes  No
Previous Scholarships
Only include details of post-secondary school scholarships or fellowships.
Scholarship/Fellowship Start date End date Qualification (if University Countr
title applicable) y
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Scholarship applications
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What other scholarships are you going to apply for this year?
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Have you previously applied for Department of Foreign Affairs and Trade (DFAT) funded
scholarship but were unsuccessful?
 Yes  No
Table apply AAI

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If 'Yes' in which year(s) did you apply were you interviewed?

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Communication
Where did you learn about AAS (tick all that applies)?
 Australian alumni
 Australia Awards in Indonesia website
 Australia Global Alumni in Indonesia updates (mailing list)
 Australia Global Alumni in Indonesia LinkedIn Page
 Australia-Indonesia Alumni Forum on LinkedIn
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 Australia Awards in Indonesia alumni WhatsApp group
 Australia Awards in Indonesia staff
 Australian Alumni (OzAlum) Podcast
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 Indonesian students’ association in Australia
 Indonesian students studying in Australia
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 DFAT staff
 DFAT website
 Australian Embassy's social media account (Facebook @australianembassyjakarta and Instagram
@kedubesaustralia)
 Australian Ambassador's Twitter Account (@dubesaustralia)
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 Australian institution or university
 Alumni Association
 Workplace
 Advertisement on Facebook
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 Advertisement on Instagram
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 AAI Information Session (activities conducted by AAI in regional area)
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Checklist of Documentary Evidence
Please note: You are responsible for providing all supporting documents. If you do not provide all
required documents your application will be rejected.
 Only files using “PDF” or “Image” (JPEG, JPG, PNG or BMP) format will be accepted by the
system.
 Maximum file size that can be uploaded is 2MB for each document.
 Use Filename Format as "Your full name_NAME OF THE DOCUMENT". Examples as below
o Full Name_BIRTH CERTIFICATE
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o Full Name_PROOF CITIZENSHIP
o Full Name_CV
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o Full Name_TRANSCRIPTS
o Full Name_ACADEMIC CERTIFICATE
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 Files or documents without “Your full name” in the filename may be successfully uploaded but
will not be able to be read or saved in our system and, as a result, your application will become
ineligible.
 The application form should have certified* copies attached of the relevant documents listed
below.
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 Where original documents are not in English, you must provide certified* copies of official English
translations if you are SELECTED for an interview.
*Certified: a statement by an authorised person that the document has been sighted and the copy has
been sworn to be a true copy of the original. An authorised person is either the official records department
of the institution that originally issued the documents or an Australian overseas diplomatic
mission. Certification by a Notary Public may also be accepted. For further details on document
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certification, please refer to the Scholarships Policy Handbook.

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Required Documents
Birth certificate or equivalent
Use Filename Format as "Your full name_NAME OF DOCUMENT"
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Proof of citizenship (KTP)

Latest curriculum vitae (CV)
Certified postgraduate (S2) Certificate
Certified postgraduate (S2) Transcript
Certified undergraduate (S1) or Diploma IV (D4) Certificate and Diploma III (D3) Certificate if
applicable
Page 40 of 43
Certified undergraduate (S1) or Diploma IV (D4) Transcript and Diploma III (D3) Transcript if
applicable
Current (original) IELTS or TOEFL English language test results
Nominating Agency Declaration - required for Civil Servant (PNS) applicants only
Please Download Nominating Agency Declaration template
SK Pengangkatan PNS - required for Civil Servant (PNS) applicants only
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Reference Letter 1 Type of Reference Letter 1
Use Filename Format as "Your full name_NAME OF
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DOCUMENT"
Reference Letter 2 Type of Reference Letter 2
Use Filename Format as "Your full name_NAME OF
FO
DOCUMENT"
Additional Documents (Optional)

Official (certified*) English translations of birth certificate (if available)
Official (certified) English translations of post-secondary and tertiary certificates/degrees
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Official (certified) English translations of post-secondary and tertiary transcripts of results
References from undergraduate supervisor for Masters candidates (if available)
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List of relevant publications, unpublished theses (for research applicants)

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Relevant correspondence with an Australian university (if available)
Others documents
PR
Page 41 of 43
APPLICANT’S AUTHORISATION, UNDERSTANDING, AND AGREEMENT
Authorisation
DFAT must comply with the Privacy Act 1988 in relation to the personal information you have provided in
this form.
By submitting this form I authorise DFAT, or its appointed managing contractor, to access and/or obtain
information, including copies of any of my relevant academic records/reports from the education
institution(s] that I have attended for the following purposes:
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 for use in the selection process for an Australia Award
 to monitor my academic performance at my host institution while studying under an Australia
Award
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 to brief relevant Australian officials, Ministers and members of Parliament.
FO
I consent for DFAT, or its appointed managing contractor, to share this application form and supporting
documents with the government of my country of citizenship, if the government is involved in the Australia
Awards scholarship selection process.
Should I receive an Australia Award, I consent:
1. to the Australian Government using and disclosing extracts of my application (relating to my

EW
academic background and achievements, leadership skills and my proposed study program in
Australia) in promotional material in hardcopy and on the Internet. I note that promotional material
may include, but is not limited to, media releases and information circulated to DFAT's offshore
Posts and Australian education institutions, concerning the Australia Awards.
2. to my personal information and that of my family members and dependants, including sensitive
information as defined by the Privacy Act 1988, being collected, handled, used and disclosed by
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and exchanged between DFAT, other government agencies including Australian immigration
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authorities, Australian education institutions, partner organisations (including managing contractors

and sub-contractors), medical insurers, medical practitioners, case managers, the home
government (where applicable) and other parties, in the circumstances outlined, and for the
purposes indicated, in the Australia Awards Scholarships Policy Handbook as updated from time to
time.
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I authorise DFAT to disclose the personal information collected in this form to other Australian Government
departments for the purpose of promoting and managing the Australia Awards.
Understanding
I understand and confirm that:
 I have read and complied with the Scholarships Handbook and that the contents of my application
are true and correct
 DFAT has the right to vary or reverse any decision regarding an Australia Award made on the
basis of incorrect or incomplete information
Page 42 of 43
 Decisions of the selection panel are final and confidential and no correspondence regarding
outcomes of the selection process will be entered into.
Agreement
If successful in gaining an Australia Award, I agree that I will:
 undergo a police or character check before my Australia Award is confirmed

 immediately provide DFAT with details of any incident that may reflect badly on the prestige of an
Australia Award
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 act in a manner befitting a recipient of an Australia Award
 use the funds for the purposes granted
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 acknowledge the assistance given by the Australian Government in any written reports,
publications or publicity associated with the Award.
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Declaration and acknowledgement
 I declare, in submitting this application form, that the information contained in it and provided in
connection with it is true and correct. I acknowledge that giving false or misleading information is a serious
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offence under the Criminal Code Act 1995 of the Commonwealth of Australia.
I
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Page 43 of 43

Preview Form Australia Awards Scholarships Application Form PHD and Master Intake 2025

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preparing your application.

In cases where information supplied by candidates is found to be inaccurate or incorrect, an award

1. Please read and fill in carefully according to your latest conditions

How to select the application category:

o People with disability

Title First Name Last Name

If your main email is a work-domained email address, we

Applicant from Goverment of Indonesia

Applicant from Equity Target Groups (ETG)

If “ETG”, please indicate if you are from:

Applicant from Open Category

Scholarship Proposed Degree

If you're applying for a PhD, it refers to your Master's education.

Detail Bachelor or D IV Education

Detail Others University

If your GPA in "Word" please type as your Academic

Detail Master Education

Detail Others University

If your GPA in "Word" please type as your Academic

Have you held an Australia Award previously?

Are you current-serving military personnel?

T&CApplyS2 Status Apply S2

T&CApplyPhD Status Apply PhD

Term & Condition Apply

Score GOI Master Score ETG Master Score ETG Open

Score GOI PhD Score ETG PhD Score Open PhD

Note: If you have only one name, enter it in both fields.

* Denotes mandatory field

Applicant Sub Category:

Applicant Sub Category:

Gender Place of birth Date of birth

Address line as per ID Card/KTP

Province as per ID Card/KTP District as per ID Card/KTP

If your main email is a work-domained email

Mobile Phone Alternate Mobile Phone

Country Postal code (if any)

(Provide details only if this is different to your current residential address.)

Country Postal code (if any)

You are required to:

 Identify the priority development area of your proposed studies.

 Public expenditure management  Transnational Crime Prevention  Cyber Security

 Public Sector Reform  Conflict Resolution  Other (please specify)

 Trade  Mining  Forestry

e.g. Master of Information Technology

Duration in weeks Detailed Field of Education Code

e.g. 080301 - Health Care Data and Informatics

e.g. Master of Information Technology

Duration in weeks Detailed Field of Education Code

e.g. 080301 - Health Care Data and Informatics

maximum 2000 characters

maximum 2000 characters

maximum 2000 characters

What is the duration of your proposed fieldwork in weeks (if known):

Fieldwork Proposed Supervisor

Where do you propose to undertake the fieldwork?

If "Yes" please give details.

Detail Background Education Bachelor or D IV

e.g. Bachelor of Economic or Doctor of Philosophy

Maximum possible GPA at this institution:

Detail Diploma III Education Background

Detail Other University Name

GPA Obtained Maximum possible GPA at this institution