2012 ADS Application Form_20110203101351

8/7/2019 2012 ADS Application Form_20110203101351

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Australian Development Scholarships (ADS)2012 Intake

Application Form InstructionsPlease use BLOCK LETTERS and BLACK INK

> Applicants must complete all sections.

> This application must be completed in English.

> For Yes or No questions, indicate your response with an X in the

appropriate box.> Three (3) original hardcopies (Not photocopies) of this application form along

with all attached documentation must be sent by courier to the followingaddress :

Australian Development Scholarships Office

Level 4, Serena Business Complex,Khayaban e Suharwardy, G-5/1, Islamabad.

> Please write the profile number, under which you are applying, on the top

right corner of your envelope.

> DO NOT send this application to Universities or TAFEs in Australia.

> ADS are offered to Pakistani Candidates whose proposed course of

study will contribute to the long term development needs of the

country. It is important to choose a course that is a priority sector as

declared by ADS. A list of the priority sectors of study is available from the

ADS Pakistan office in Islamabad or from the website (

http://www.adspakistan.com.pk).

> ADS website includes a full list of Australian Institutions that accept ADS

students. Course information is available directly from the Institutions

websites or the Commonwealth Register of Institutions and Courses for

Overseas Students (CRICOS) website (see details below).

> You should choose two preferences of Master level courses offered by

Australian Institutions. The courses may be either at the same Institution or

at different Institutions but should come under the same priority sector. IELTS

requirement for a course varies with different universities and may be greater

than the scholarships requirement given below.

> Candidates are encouraged to apply through their current organization;

however they can also apply directly.> Ensure that each set of 3 applications is presented neatly and professionally

on A4 paper, vertically secured together in the following order:a. feedback form;b. self-assessment form;c. three passport sized photos;d. application form;

Attested copy of IELTS score sheet(mandatory for profile 4 Candidates, IELTSscore of 7 with no band less than 6 . Profile 1,2 & 3 candidates may provide (if available) an

IELTS score of 6.5 with no band less than 6);

THIS DOCUMENT IS NOT FOR SALE

Photo1.5 X 1.5
http://www.adspakistan.com.pk/http://www.adspakistan.com.pk/


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e. attested copies of academic qualifications (all degrees and alltranscripts);

f. attested copies of Employment letters specifying years of service andjob description (for all years of employment);

g. attested copy of passport or National Identity Card.

>

If your ADS application is successful, you will be required to sign a Contractwith the Commonwealth of Australia and be bound by conditions of the ADS

scholarship. A full list of the ADS conditions is contained in the ADS

Handbook, available for download on the ADS website. Please note that ADS

reserves the right to change these conditions at any time without prior notice.

> Submitting this application does not guarantee that you will receive a

scholarship.

General Eligibility Criteria

Applicants must meet all of the ADSs general eligibility criteria. These include: be Pakistani citizens (dual nationals are not eligible); be currently residing in Pakistan; not have applied for or hold permanent residency in Australia or New Zealand; not be married or engaged to a person who is eligible to hold Australian or New

Zealand citizenship or permanent residence; satisfy Australian Government requirements for international student visas for

entry to Australia (heath, character etc.); be able to clear a Police Security Clearance conducted by a third party on

behalf of AusAID; not hold another scholarship; not have held a foreign scholarship in the 24 months preceding the application

(24 months are calculated from the date of arrival back in Pakistan to theclosing date for applications);

be applying to commence a new course of study and not be seeking support fora course already commenced in Australia (on-going study programs will not besupported);

be able to take up the scholarship in the year for which it is offered; have outlined a case that is clear about their objectives and motivation to make

a contribution to development in Pakistan; be not more than 45 years of age at the time of application. have completed 16 years of education; be able to meet the profile specific eligibility criteria under which they are

applying (see the four profiles on the ADS website given below); be applying for a Masters level course; be applying for courses that fall within the priority sectors identified on the ADS

website given below; satisfy the admission requirements of the Australian tertiary institution and the

course to be undertaken; have a relevant academic background to proposed study in Australia; be able to demonstrate the ability to meet the English Language Proficiency

requirements for the Scholarship; at the time of application candidates applying under Profile 4 must have a

current IELTS score of 7 with no band less than 6; candidates applying under Profile 1, 2 & 3 do not need to provide a current

IELTS score at the time of application; however, candidates successful inTHIS DOCUMENT IS NOT FOR SALE


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preliminary screening with no current IELTS score, will be required to take anIELTS test on short notice (an IELTS score of 6.5 with no band less than 6 isrequired for eligibility);

have at least 2 years work experience in the field in which they are applying (5years experience is required for applicants falling under profile 2); and

must return to his/her home country to take up a position that utilises his/herstudy for a minimum period of two years.

Useful Australian Websites

For information about Visas Department of Immigration and Citizenship:

http://www.immi.gov.au

For information about other Australian Government Scholarships (Australia

Awards):http://www.australiaawards.gov.au

For advice on studying in Australia:http://www.studyinaustralia.gov.au

To search for information about Australian Educational Institutions and courses- CRICOS: http://cricos.dest.gov.au

For information on Australian Development Scholarships in Pakistan http://www.adspakistan.com.pk

For information on the ADS Handbook http://www.ausaid.gov.au/scholar/studyin.cfm

Application Form

1.Personal Details

TitleMr Mrs Ms Dr

Other Please specify

Family Name (as shown on Passport /

Given Names (as shown on Passport /

Country of

Gender Male Female

Date of Birth / /

Passport No.**If you are waiting for a Passport to be issued, Copy ofyour Passport should be made available to the ADS officein the countr ou are submittin this a lication to, as

Are you living with a disability or working with people whoare livin with a disabilit ?

Yes No

website www.adspakistan.com.pk)

Profile 1 Profile 2 Profile 3 Profile 4

For Office Use Only (To be complete d by ADS Office

ADS No.. Satisfies Country SpecificSelection Criteria

Yes

http://www.immi.gov.au/http://www.australiaawards.gov.au/http://www.studyinaustralia.gov.au/http://cricos.dest.gov.au/http://www.adspakistan.com.pk/http://www.ausaid.gov.au/scholar/studyin.cfmhttp://www.ausaid.gov.au/scholar/studyin.cfmhttp://www.adspakistan.com.pk/http://www.immi.gov.au/http://www.australiaawards.gov.au/http://www.studyinaustralia.gov.au/http://cricos.dest.gov.au/http://www.adspakistan.com.pk/http://www.ausaid.gov.au/scholar/studyin.cfmhttp://www.adspakistan.com.pk/


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NoOASIS ID.

First Preference

Course Name

Course CRICOS Code

Institution/University

Course Type Coursework Research

Second Preference

Course Name

Course CRICOS Code


Course Type Coursework Research

IELTS ScoresOverall Listening Reading WritingSpeaking

2.Eligibility for an Australian Scholarship

What is your country of citizenship?

Are you currently residing in your

country of citizenship?

Yes (for how long)

Years

Mo

If not, in which country are you

residingCountry Name

(for how long) Years

Have you studied overseas in the

past?Yes No

If Yes, provide detailsCourse title:

Degree obtained:

Duration:

Year completed:

Country:

Have you applied for permanent

residence in Australia or New Zealand?Yes No

Are you entitled to Australian or New

Zealand permanent residence orYes No

Excluding holidays or other short

visits, have you been granted

temporary residence status in

Australia?

Yes

NoVisa no.



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Have you held any Australian

Government scholarships in the past?Yes No

If Yes, provide

details Name of Scholarship:

Granted by which Australian Agency :

Start date:End date:

Course Completed:

Country where study Completed:

Do you currently hold or previously

held any other scholarship from your

own or another government or

Yes No

If Yes, provide

details Name of Scholarship:

Granted by:

Start date:

End date:

Course Completed:

Country where study Completed:

3.Contact Details

Once submitted, this scholarship application takes several months to be finalised. Pleaserovide an address where ou can be contacted when a decision is reached.

Current residential address

Address line 1

Address line 2

Town/City Postal code

State/Province Country

Home phone no. Work phone

Mobile no. Fax no. (if any)

Email 1

Email 2 (if any)

Mailing address Provide details only if different from your current residential

Address line 1

Address line 2

Address line 3





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Emergency Contact Details (person to

Name

Relationship to

Address line 1Address line 2



Home phone no. Work phone

Mobile no. Fax no. (if any)

Email

4.Spouse details

If you have dependants (spouse and/or children under 18 years of age),provide their details even if they will not accompany you to Australia.Please note that the scholarship does not provide financial support foraccompanying dependants.

Family nameProvide family name and othernames as shown in yourspouses passport or otherofficial identification document

Given names

Gender Male Female Date of / /

Country of

Passport no.Provide if spouse has apassport.

Will your spouse accompany you to Australia(Reunion airfare is included or excluded from the scholarships offer

based on this clause. See ADS Handbook for Reunion airfare policy)

Yes No

5.Children Details (attach a

Child 1

Family name

Given names


Country of

Passport no. Provide if child has a passport.

Child 2

Family name

Given names



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Country of


Child 3Family name

Given names


Country of


6.English Language Proficiency

Is English your first language? Yes No

If No, please answer the following:

Have you taken an IELTS test? Yes No

IELTS Scores

(For profile 4 Candidates, IELTS

score of 7 with no band less than 6

is a mandatory requirement for ADS

application. For Profile 1,2 & 3

candidates, may provide details, if

available*

Date testtaken

/ /

Overall Score

Listening Reading Writing

Speaking

Give details of any Englishlanguage trainingundertaken / currentlybeing undertaken.

*Note: After the preliminary screening, ADS will arrange IELTS test for those

successful applicants under profile 1,2 & 3 who have no current IELTS score.



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7.Qualifications

Past and Current StudiesList by level of study, startingwith hi hest level

-Please include any studies you are currently undertaking and studies you havecompleted.-Certified copies of Degrees, transcripts (DMCs) and certificates must be included witheach application form.-Any documents not in English must be translated and certified copies of English

1. Qualification

Level of study

Secondary SchoolCertificate

Higher Secondary SchoolCertificate

Vocational, technicaldiploma/CertificatePostgraduate Diploma

Name of

Country

Language of

Status Start / / Completion / /

2. Qualification

Level of study

Secondary SchoolCertificate


Vocational, technicaldiploma/Certificate

Postgraduate Diploma

Name of

Country

Language of


3. Qualification



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Level of study

Secondary SchoolCertificateHigher Secondary SchoolCertificate

Vocational, technicaldiploma/Certificate

Postgraduate Diploma

Name of

Country

Language of


4. Qualification

Level of study

Secondary School Certificate


Vocational, technical

diploma/CertificatePostgraduate Diploma

Name of

Country

Language of

Status(complete/inco

Start / / Completion / /

If you have included incomplete studies, attach a copy of the results for all completed subjects to

8.Proposed Study Program

ADS are offered to Pakistani Candidates whose proposed course of study willcontribute to the long term development needs of the country. It is important to choose acourse that falls under a priority sector as declared by ADS. A list of priority sectors is availablefrom the ADS websitewww.adspakistan.com.pk or in the advertisement published in Newspapersof 6th February 2011

ADS website includes a full list of Australian Institutions that accept ADS students. You need todecide which Institution you would like to attend and choose an appropriate course. To find outabout the content of specific courses, you should refer to the individual Institution websites.

You should choose two courses of study offered by ADS Institutions. The courses may be either atthe same Institution, or at different Institutions. If your application for the first preference ofstudy is unsuccessful, ADS office will forward your application to your second choice. If the

Provide details of your proposed course of study, in order of preference.

Preference 1

Course Name

Course CRICOS Code (CRICOS code is a 7digit number


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Course Type

Coursework Research

If you have chosen research, please attach two referee statements

and a research ro osal

Preference 2

Course Name

Course CRICOS Code (CRICOS code is a 7digit number


Course Type

Coursework Research

If you have chosen research, please attach two referee statements

and a research ro osal

9.Research Applicants

If you do not intend to undertake 50 per cent or more of your course by

All Master level applicants whose study program will include at least 50 percent research MUST attach an outline of the proposed research project (up to1000 words) to each application form. The outline should address thefollowing:

> Proposed Title

> Objectives

> Relationship of this research to previous work in this field by yourself or others

> Significance and possible application of your proposed research to your country

>

Where possible, proposed research method and plan including estimatedschedule for completion and each step in research and thesis writing.

You MUST also attach 2 references in support of your application for aresearch ADS.

If you have already applied to an eligible ADS Institution or hadDo you intend to undertake fieldwork as part of your Yes No

If Yes, please give details (only one fieldwork trip within Australia or to your country of

1.Special Requirements



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Are there any special requirements which you mayneed to complete your study program in Australia(eg wheelchair access)?

Yes No

If Yes, please give details:(Note: the details will not adversely affect your application)

2.Applicants Supporting StatementPlease limit your answers to 100 words per question. Attach a page if there is notenough room.

The answers must be in the applicants own words. It is unethical to plagiarise, paraphrase, copy or

quote without citing the source. All such applications will be immediately ruled out.

a. Why do you want to study in Australia?

b. How will the proposed training be of benefit to your country of citizenship?

c. What skills and knowledge do you hope to gain from your training inAustralia? How do you propose to use them on return to your country ofcitizenship? (If possible, list specific actions.)



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d. Is there anything else you would like to add in support of your applicationfor this scholarship?

3.Employment History (in

Current employment Provide details if currently

Position title

Starting date / /

Employing

Brief description ofyour duties andresponsibilities(maximum 200words)

Will you be returning to this position after your Yes No

If No, what type ofemployment doyou hope to gainafter your studies?(maximum 100

words)

Previous position 1 Provide details if previously

Position title

Starting date / / Finishing date / /

Employing

Brief description ofyour duties andresponsibilities



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(maximum 100words)

Previous position 2 Provide details if previously

Position titleStarting date / / Finishing date / /

Employing

Brief description ofyour duties andresponsibilities(maximum 100words)

13 a. Employer and Nominating Authority Statement

Are you applying Under profile1 or 2 ?

Yes (Please provide following details)

No (Go to 13 b)

Support of the nominating/coordinating authorityTo be completed by all public sector applicants only in English by an authorised officer from the

nominatin /coordinatin authorit .

How will the applicants selection assist your countrys development goals?



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Please indicate the specific skills and capacities (not the qualification) youwould expect the applicant to gain from the proposed study program:

Name Position

Contactdetails

Signature OfficialStamp

Date / /

14. Documentary EvidencePlease note:> Applications with incomplete supporting documentation will be rejected.> Three HARDCOPIES of the application form are required.> EACH copy of the application form should have certified* copies attached of the

relevant documents listed below (where applicable).> Where original documents are not in English, applicants must provide certified*

copies of English translations.

Required documentation: please tick if you have attached the following documents insupport of your application.



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A. All Applicants:

Copy of passport personal information pages and/or ID Card Yes No

IELTS English language test results. Yes No

Statement from last attended university or school that English is

the language of instruction Yes No

Curriculum Vitae or details about relevant employment Yes No

One copy of the self-assessment form for eligibility to beattached on top of the three application forms

Yes No

Recent passport size photographs affixed to the three copies ofthe application form

Yes No

Employment letters specifying years of service and jobdescription (for all jobs/ years of employment)

Yes No

B. Academic Documents:

Certified copies of official transcript for Matriculation or O Levels(Secondary School Certificate)

Yes No

Certified copies of official transcript for Intermediate or A Levels(Higher Secondary School Certificate)

Yes No

Certified copies of official transcript and degree for Bachelorslevel study (Undergraduate)

Yes No

Certified copies of official transcript and degree for Masters levelstudy (Postgraduate) (If applicable)

Yes No

Certified copies of official transcript and certificate / diploma fortechnical / vocational study (If applicable)

Yes No

Official English translations of all academic transcripts anddegrees (if applicable)

Yes No

C. Research Applicants Only:

Outline of proposed research project (for details see Section 9) Yes NAReferences from two academic referees (if not available, pleaseexplain why)

Yes NA

List of relevant publications and unpublished thesis Yes NA

D. Other

Any other relevant documentation in support of your ADSapplication

Yes NA

Please list:

* Certified: a statement that the document is a true copy, signed by an Oaths Commissioner, Notary

Public, first class gazette Public Servant or other formally recognized authority. If you are unsure about

who is the appropriate person to certify your documents, you should contact the Scholarships Manager at

ADS Pakistan Scholarships, Level 4, Serena Business Complex, Khayaban-e- Suharwardy, Islamabad. Tel:

+92 51 2600186-9 Fax: :+92 51 2600191 email :[email protected].

15. Personal Computer Skills

Please answer the following questions to the best of your ability. This will assist ADS institutions todetermine if you might require additional tuition at the commencement of you studies.

1. Have you used a personal Yes No

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computer (PC)? Details:

2. Have you undertaken any formalPC training?

Yes No

Details:

3. Do you use a PC regularly at

work? Yes NoDetails:

4. How regularly do you use a PC?

Daily Weekly Monthly Yearly

5. Are you an experienced user of:

a. Word processing software (egWord)?

Yes No

Details:

b. Spreadsheet software (eg

Excel)?

Yes No

Details:

c. Database software (eg Access)?Yes No

Details:

d. Operating systems (eg Windows2000)?

Yes No

Details:

e. Presentation software (egPowerPoint)?

Yes No

Details:

f. Email software (eg Outlook)?

Yes No

Details:

g. Internet browsers (eg. InternetExplorer)?

Yes No

Details:

h. Statistical packages for researchstudents (eg

SPSS)?

Yes No

Details:

6. Are there any comments you wish to make about your use of PersonalComputers?

1.Applicants Authorisation, Agreement, Declaration And Signature



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ADS is authorised to collect all items of information in this form underthe Australia Awards which includes Australian Leadership AwardsScholarships/Fellowships and Australian Development Scholarships, andis bound by the requirements of the Privacy Act 1988 of theCommonwealth of Australia.

AuthorisationI authorise AusAID, and/or its appointed managing contractor, hereafter theADS, to obtain copies of any of my relevant academic records/reports from theeducational institution(s) that I have attended for purposes relating to myapplication for an Australian scholarship including:

> For use in the selection process;> To monitor my academic performance at my host education institution if I am

awarded the scholarship;> To brief relevant Australian officials, Ministers and members of Parliament.

Should I receive an Australian Development Scholarship, I consent to theAustralian Government using and disclosing extracts of my application (relating tomy academic background and achievements, leadership skills and my proposed

study programme in Australia) in promotional material in hardcopy and on theInternet. Promotional material may include, but is not limited to, media releasesand information circulated to ADSs offshore counsellors and Australian educationinstitutions, concerning the Australia Awards.

I authorise any Australian educational institution that makes me an offer ofplacement to provide to ADS details of that offer if requested to do so by the ADS.

I authorise ADS to advise other Australian Government departments participatingin the Australia Awards programme of my scholarship application.UnderstandingI understand and confirm that:> I have read and complied with the instructions to applicants and the contents

of my application are true and correct;> ADS has the right to vary or reverse any decision regarding an Australian

scholarship made on the basis of incorrect or incomplete information; and> Decisions of the selection panel are final and confidential and no

correspondence regarding outcomes of the selection process will be enteredinto.

AgreementIf successful in gaining an Australian scholarship, I agree that I will:> Immediately provide ADS with details of any incident that may reflect badly on

the prestige of Australian Development Scholarship;> Authorise a third party to conduct my Police Security Clearance on behalf of

AusAID;> Act in a manner befitting a recipient of an Australian Scholarship;> Use the funds for the purposes granted; and> Acknowledge the assistance given by the Australian Government in any

written reports, publications or publicity associated with the award.Declaration and acknowledgementI declare in submitting this application form that the information contained in itand provided in connection with this application is true and correct.I acknowledge that giving false or misleading information is a seriousoffence under the Criminal Code Act 1995 of the Commonwealth ofAustralia.

Name (title, given names,family name)

Signature Date



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