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G20 "Recover Together, Recover Stronger"

Scholarship 2023 Intake Application

Please read the instructions below carefully before you fill out the application form.

 This online form can only be accessed using a PC desktop or laptop or Mac.
 Recommended web browsers are Edge, Mozilla Firefox, Chrome, or Safari.
 This application must be completed in English.
 Fill out all fields marked with an Asterix and all relevant sections.
 Click this link to preview the application form.
 Do not send this application to universities or other institutions in Australia.
 Read the general information notes outlined in this form carefully.
 Read Australia Awards Scholarships Policy Handbook available on the DFAT website.
 Read DFAT’s website and Study in Australia website for a list of Australian Universities that may
receive Australia for G20 “Recover Together, Recover Stronger” Scholarship recipients. The
course of study information is available at the Universities’ websites or the Commonwealth
Register of Institutions and Courses for Overseas Students (CRICOS) website.
 Submit all of the relevant supporting documents listed in the Australia Awards Scholarships Policy
Handbook.This form and all essential documents listed on page 14 of this form must be submitted
before 9 August 2022 at 20:59 Jakarta time. Applications and/or supporting documents received
after the closing date will not be considered.
 Submit your online application well before the closing date to avoid some delays. The online
application facility experiences peak usage in the days leading up to the closing date.
 If you do not receive an invitation to an interview from the Australia Awards office by mid-
November/December you should assume that your application has been unsuccessful.

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  In cases where information supplied by candidates is found to be inaccurate or incorrect, an award
offer may be revoked without notice.
 If you need support to fill out the application, please e-mail us
at [email protected]

General Information Notes

G20 “Recover Together, Recover Stronger” Scholarships are prestigious international awards offered by
the Australian Government to the next generation of global leaders from Indonesia. Through study and
research, recipients develop the skills and knowledge to drive change and help build enduring people-to-
people links with Australia.

The G20 “Recover Together, Recover Stronger” Scholarships were announced by the Australian Prime
Minister on his recent visit to Indonesia. Ten scholarships in total will be offered for Indonesians to
undertake Masters or PhDs in Australia. The Scholarships will be awarded specifically for courses that fit
under Indonesia’s G20 priority areas.

The Scholarships will include an enhanced in-Australia experience that may include visits to Parliament
and meetings with high-level government and industry leaders.

Applicants are assessed on their professional and personal qualities, academic competence and, most
importantly, their potential to impact development challenges in Indonesia.

Applications are strongly encouraged from women, people with disability, people from the geographic
focus areas and other marginalised groups.

Level of study
G20 “Recover Together, Recover Stronger” Scholarships provide citizens of Indonesia with the opportunity
to obtain a masters or PhD/doctorate degree from an Australian tertiary institution.

Eligible fields of study

Areas of study relate directly to Indonesia’s G20 priority, namely:

 Global Health Architecture

 Sustainable Energy Transition
 Digital Transformation

For more detailed areas of study, click www.australiaawardsindonesia.org

Eligibility criteria
G20 “Recover Together, Recover Stronger” Scholarships applicants must meet all eligibility requirements
detailed in the Australia Awards Scholarships Policy Handbook, available at
https://www.dfat.gov.au/about-us/publications/australia-awards-scholarships-policy-handbook

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Additional Eligibility Criteria
In addition to the eligibility requirements, candidates must also meet the following conditions:

 be applying for courses that fall within the areas of study relate directly to Indonesia’s G20 priority
(see “eligible fields of study” above).
 have a Grade Point Average (GPA) of at least 2.9 from undergraduate if applying for masters or
from masters if applying for a doctorate/PhD. For applicants from GFAs and people with
disabilities, have a GPA equal to or higher than 2.75.
 for masters applicants, have an English language proficiency of at least 5.5 in IELTS (or 525 in
paper-based TOEFL or 69 in internet-based TOEFL or 46 in Pearson PTE). For applicants from
GFAs and people with disabilities have IELTS 5.0 (or 500 in paper-based TOEFL or 59 in internet-
based TOEFL or 38 in Pearson PTE).
 for PhD applicants, have an English language proficiency of at least 6.0 in IELTS (or 550 in paper-
based TOEFL or 79 in internet-based TOEFL or 54 in Pearson PTE).
 the IELTS or TOEFL or PTE result must be current (a test result obtained within 2 years at the
closing date of application will be considered current). No other English language test (including
the TOEFL prediction test) results will be accepted.
 provide contact details of the test centre for verification of TOEFL test results.
 already hold an undergraduate degree.
 already have a masters, if applying for a doctorate/PhD. A specialisation/professional certificate is
not considered a masters’ degree.
 answer all relevant questions on the application form.

G20 “Recover Together, Recover Stronger” Scholarships coverage

 Pre Departure Training (PDT) – training prior to commencement of studies in Australia. This will
include Contribution to Living Expenses (CLE) and Accommodation close to PDT location.
 Domestic and Return Airfare from the airport closest to the recipient’s home location to the
airport closest to the Pre-departure Training centre in Indonesia;
 Medical examination and x-ray costs in order to comply with Student Visa requirements;
 DFAT Student Visa and Student Dependent Visa;
 Outward Airfare (economy- one way) from the airport closest to the recipient’s home location to
the international airport closest to the Australian university selected for study by the recipient;
 Overseas Student Health Cover (OSHC) - recipient only (recipients are required to
maintain OSHC for any accompanying family in order to satisfy visa requirements);
 Establishment Allowance payable into the recipient’s bank account after arrival in Australia;
 Contribution to Living Expenses (in Australia Stipend) - payment of a fortnightly contribution to
living expenses (CLE);
 Tuition Fees – including all compulsory fees for the course in which the recipient is accepted into;
 Supplementary Academic Support - provided where it is deemed essential to assist recipients to

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 pass course subjects;
 Fieldwork - holders of a scholarship where research comprises at least 50 percent of the program
may receive a return economy class airfare to Indonesia to undertake essential fieldwork;
 Reunion Airfare - is available to a ‘single’ recipient after the successful completion of the first year
of study; subsequent reunion airfare entitlements will be available on an annual basis for the
duration of the G20 “Recover Together, Recover Stronger” Scholarships, except for the final year
of the Scholarship; and,
 Homeward Airfare (economy- one way) from the international airport closest to the Australian
university selected for study by the recipient to the airport closest to the recipient’s home location.
 Family Entry. Recipients may bring their immediate families to Australia at their own cost if their
families meet DFAT and immigration requirements. Families are normally permitted to join eight (8)
weeks after the recipient's arrival.

G20 “Recover Together, Recover Stronger” Scholarships benefits

G20 “Recover Together, Recover Stronger” Scholarships are offered for the minimum period necessary for
the individual to complete the academic program specified by the Australian education institution, including
any preparatory training.

In addition to the above coverage, scholarship recipients will receive the following benefits:

Prior to studying in Australia

 Pre- Departure Training (PDT). Successful applicants will be required to attend a full-time pre-
departure training in Indonesia from Monday to Friday, 8am-4pm
 course counselling
 pre-departure briefing

In Australia

 university’s Introductory Academic Program.

 other preparatory study on arrival in Australia.
 an enhanced in-Australia experience that may include visits to Parliament and meetings with high-
level government and industry leaders.

After studying in Australia

 Participation in professional development activities for alumni.

 Opportunities to meet and build connections with an expanded and inclusive alumni network,
government representatives and business leaders from Australia and Indonesia.
 Invitations to guest lectures by visiting Australian academics.
 Access to the Alumni Grant Scheme (AGS). The AGS offers funding for professional development
activities including research, workshops, training and presentations at conferences in Australia and
other countries.

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  Receive regular alumni updates containing information on the latest news, events, job and
education-related opportunities.

Requirements for Scholarship Recipients

Prior to travelling to Australia, scholarship recipients must:

 meet the minimum English language requirement of their chosen Australian university (usually
IELTS of 6.5 with no band less than 6.0);
 receive a letter of acceptance from an Australian university;
 meet Australian immigration requirements for a student visa; and,
 be medically fit to commence studies in Australia.

In Australia, scholarship recipients must:

 abide by the conditions of the scholarship and the rules of Australian tertiary institutions;
 abide by the rules and regulations governing a student visa; and,
 act in a way that will not bring disrepute to DFAT, or to any Australian university or to Indonesia.

In addition, scholarship recipients must

 gain support from DFAT if seeking to return to Australia within the two-year exclusion period for
anything other than a short-term visit up to three months. Visa applications for short-term visits do
not require DFAT’s approval;
 return to Indonesia for a period equivalent of twice the length of the study period in Australia,
before re-entering Australia on another Government of Australia funded scholarship; and,
 if during the two years exclusion period the scholarship recipients return to Australia, a debt to the
Commonwealth may be activated OR any time spent in Australia may be added to the two-year
exclusion period.

Useful websites
 G20 Presidency of Indonesia: https://g20.org/
 Australia Awards: http://australiaawards.gov.au/
 DFAT: http://dfat.gov.au/pages/default.aspx
 Visas – Department of Immigration and Border Protection: http://www.border.gov.au
 Studying in Australia: http://www.studyinaustralia.gov.au
 CRICOS: http://cricos.education.gov.au
 IELTS: http://www.ielts.org
 TOEFL: http://www.ets.org/toefl

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  PEARSON: http://www.pearsonpte.com

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Page 2
Personal details
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

Title

First Name

Last Name

Date of birth Place of birth

Gender

Citizenship

Note: You must be a citizen of Indonesia

Do you have dual Citizenship?
No

Which country are you living now?

National Identity Number (KTP)

Have you applied, or are you intending to apply, for permanent residency or citizenship in Australia
or New Zealand
 Yes  No

Passport No. (Provide if you have a passport)

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Issue Date Expired Date

Region
Province as stated in your KTP Town/City as stated in your KTP

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Page 3

Contact Details
Personal Email Mobile Phone

Alternate Email Alternate Mobile Phone

Current Residential Address

Address

Province Town/City

Country Postal code (if any)

Mailing Address
(Provide details only if this is different to your current residential address.)
Current address and Mailing address different
 Yes  No

Address line

Town/City Province/State

Country Postal code (if any)

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Page 4
Spouse and Dependent's Details
Relationship Status

Do you have a dependent?

 Yes  No

Dependents' Details
If you have dependents (spouse and/or children under 18 years of age only), provide their details even if
they will not accompany you to Australia.

Note: Scholarships do not provide financial support for accompanying dependants. You can get
information on your responsibilities for your dependants, should they live with you in Australia during your
scholarship, from the Department of Immigration and Border Protection (DIBP) or by contacting the
institution where you want to study.

* Denotes mandatory field

Spouses' Details
Date of Marriage

First Name Last Name

Provide first name and last name as they appear in your spouse’s birth certificate, passport or other official
identification document

Date of Birth

Gender . Country of Citizenship

Passport No. (if any)

Issue Date Expiry Date

Will your spouse be accompanying you to Australia?

 Yes  No

Childrens' Details

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Child 1
First Name Last Name

Date of Birth

Gender . Country of Citizenship

Passport No. (if any)

Issue Date Expiry Date

Will your child be accompanying you to Australia?

 Yes  No

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Page 5
Emergency contact details
Relationship to you

Title First Name Last Name

Gender

Personal email Mobile Phone

Alternate email (if any) Alternate Mobile Phone (if any)

Address line

Town/District Province/State

Country Postal Code (if any)

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Page 6
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 1
Scholarship/Fellowship title

Start date End date

Country

Qualification (if applicable)

University

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Page 7
Scholarship applications
What other scholarships are you going to apply for this year?

Have you previously applied for a DFAT scholarship but were unsuccessful?
 Yes  No

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

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Page 8
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 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
Preference 1
CRICOS Code

Course Name

e.g Master of Information Technology

Institution

Level of Study Type of Study

Duration in weeks Field of Study

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

Research Details
Research Title:

Objectives:

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Significance and possible application of the applicant's proposed research to their country's
development:

Research Methodology:

Does your proposed Research include fieldwork?

 Yes  No  Not Sure

Fieldwork Details
Please provide a description of the fieldwork you will be undertaking:

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?

G20 "Recover Together, Recover Stronger" Priority

Fields of Study
You are required to:

 Identify the G20 Pilar for your proposed studies. (Please tick one box only)
 Identify the priority field of study (PFS) from the list of preferred PFS provided (Please tick one box
only).

G20 "Recover Together, Recover Stronger" Fields of Study

 Global Health Architecture  Sustainable Energy Transition  Digital Transformation

Global Health Architecture

 Health Management  Healthcare and Services
 Health Policy and Innovation  Epidemiology and Control of Infectious Disease
 Health Science and Technology  Engineering for Biomedicine
 Immunology  Healthcare Data and Informatics
 Healthcare Financing  Healthcare Supply Chain

Sustainable Energy Transition

 Energy and Environmental Policy  Energy Transition and Governance
 Renewable Energy Management  Clean Technology
 Sustainable Energy Solutions and Innovation  Green Energy Economy
 Sustainable Energy Financing  Policy and Regulation to Energy Transition
 Climate Change Adaptation and Mitigation  Climate and Urban Development

Digital Transformation
 Information Technology  Artificial Intelligence and Machine Learning
 Cyber Security  Data Science and Analytics
 Digital Marketing  Digital Communications
 Digital Technology for Learning  Digital Science
 Digital Business and Innovation  Digital Health and Leadership

Proposed study level

 Masters  PhD

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Type of study
 Coursework  Research  Combination

Research background of Doctorate (PhD) candidates only:

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
Doctorate studies?
 Yes  No

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.

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.

Note that G20 "Recover Together, Recover Stronger" 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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Page 9
List of qualifications (including in complete degree). Begin with your highest or most recent
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.

Education Background
Qualification 1
Qualification name

e.g. Bachelor of Economic or Doctor of Philosophy

Level of Study
 Postgraduate (S2)  Undergraduate (S1) or Diploma  Diploma III
IV

Name of University

Country Province/State
Indonesia

Language of Instruction
 Indonesian  English

GPA Obtained GPA Max

Study Start Date Study End Date

Study Status
 Complete  Pending Results  Incomplete

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Page 10
Scholarships Category
Are you applying for G20 "Recover Together, Recover Stronger" Scholarships as a public or open
applicant?
 Public  Open

If “PUBLIC”, please indicate if your application is from:

 Government department  State-owned enterprise  State university

If “OPEN”, please indicate if your application is from:

 Private university  Private organisation  Private individual

English Language Proficiency

It is recommended that you have an English language proficiency of at least 5.5 in IELTS (or 525 in paper-
based TOEFL or 69 in internet based TOEFL or 46 in PTE Academic). 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 August 9, 2020 until August 9,2022 will be considered current). No other English
language test (including TOEFL prediction test) results will be accepted

Since the application closing date is on 9 August 2022, you may continue to submit IELTS results at the
latest a week after closing date (16 August). No late submissions will be accepted.

You can send your IELTS results by email to [email protected]

Was English the language of your highest level

of study?
 Yes  No

Is English your first language?

 Yes  No

What kind of test have you taken?

Date test taken Test Centre/Location

Overall Score

Listening Score Reading Score Writing Score Speaking Score

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Page 11
Computer Literacy
Are you computer literate?
 Yes  No

How often do you use a PC/Computer?

Do you have any experience with the following software

Word processing software (e.g .Word) Spreadsheet software (e.g. Excel)
 Yes  No  Yes  No

Database software (e.g. Access) Operating systems (e.g. Windows X, Mac OS)?
 Yes  No  Yes  No

Presentation software (e.g. PowerPoint) Email software (e.g. Outlook)

 Yes  No  Yes  No

Internet browsers (e.g. Internet Explorer) Statistical packages (e.g. SPSS or Minilab)
 Yes  No  Yes  No

Computer Training Details

Applicable
 Yes  No

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Page 12
Work Experience

Current Working Experience

Are you currently working?
 Yes  No

Organisation/ Institution Categories

Organisation/Institution name

Position

Start Date

If you don't remember the exact date, enter 1st of January

Business Address line

Business District Business Province

Outside Indonesia please choose Overseas Outside Indonesia please choose Overseas
Postal code (if any) Business Country

Detail if Overseas

Type name of city and country

Business Phone

Current Duties/Responsibilities:

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Do you intend to return to this organisation after completing your scholarship in Australia?
 Yes  No

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Page 13
Previous relevant employment
Only provide previous employment that is relevant to your application.

Previous community service and leadership experience

Only provide previous community service and leadership experience that is relevant to your application.

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Page 14
Supporting statement
Limit your answers to approximately 2000 characters per question. Attach a page if not enough room on
this form. Please note word limits. Anything over this limit will not be considered.

Why did you choose your proposed course and institution?

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?

How have you contributed to solving a challenge or implementing change or reform in the context
of G20 key priority sectors?

(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.)
Please

1. give up to three practical and realistic examples of how you intend to use the knowledge,
skills and connections you will gain from your scholarship in addressing one of the issues
prioritized in the G20. Possible tasks can be personal and/or professional; and*
2. list any possible constraints you think may prevent you from achieving these tasks.*

Your answer below

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Do you currently have any connection or relationship to any staff employed at DFAT Posts or with
DFAT’s managing contractors?
 Yes  No

Please specify:

Are you subject to any criminal or civil proceedings that are currently awaiting legal action?
 Yes  No

Please specify:

Have you even been convicted of an offence in any country (including any conviction which is now
removed from official records)?
 Yes  No

Please specify:

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Disability
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
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
purpose of facilitating an accessible barrier-free learning environment.

Modifications to physical or learning environments, including additional educational supports such as sign
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?

 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
Do you work in a disability-focused organisation?
 YES  NO

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?

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.)
 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 require any specific changes or adaptations to move around?

Write your answer below.

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Page 28 of 33
Page 16
Do you have professional membership experience?
 Yes  No

Professional memberships
The associations and organisations of special interest may include community, cultural, political, scientific,
professional and/or educational
Organisation 1
Organisation Name

Start Date

Communication
Where did you first learn of the G20 "Recover Together, Recover Stronger" Scholarships?
 Australian alumni  Australia Awards in Indonesia website
 Australia Global Alumni in Indonesia updates  Australia Global Alumni in Indonesia LinkedIn
(mailling list) Page
 Australia-Indonesia Alumni Forum on LinkedIn  Australia Awards in Indonesia alumni whatsapp
group
 Australia Awards in Indonesia staff  Australian Alumni (OzAlum) Podcast
 Indonesian students’ association in Australia  Indonesian students studying in Australia
 DFAT staff  DFAT website
 Australian Embassy's Facebook Account  Australian Embassy's Instagram Account
(@australianembassyjakarta) (@kedubesaustralia)
 Australian Ambassador's Twitter Account  Australian institution or university
(@dubesaustralia)
 Alumni Association  Workplace
 Advertisement on Facebook  Advertisement on Instagram

Preferred interview location :

 Jakarta  Denpasar
If you're applying for PhD then by default the interview location would be in Jakarta

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Page 17
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 file on "PDF" and"image" ( JPEG or JPG or PNG or BMP) format accepted by the system
 Maximum file size can be uploaded is 2 MB for each document
 Use Filename Format as "Your full name_NAME OF THE DOCUMENT". Examples as below
o Full Name_BIRTH CERTIFICATE
o Full Name_PROOF CITIZENSHIP
o Full Name_CV
o Full Name_TRANSCRIPTS
o Full Name_ACADEMIC CERTIFICATE

 File or Documents without "Your full name" in the filename may be successfully uploaded, but
COULD NOT be read and saved in our system and your application become ineligible.
 The application form should have certified* copies attached of the relevant documents listed
below.
 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
certification, please refer to the Scholarships Policy Handbook.

Required Documents
Birth certificate or equivalent
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Proof of citizenship (KTP)
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Latest Curriculum Vitae (CV)
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Certified Postgraduate (S2) Certificate
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Certified Postgraduate (S2) Transcript
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Certified Postgraduate (S1) or Diploma IV (D4) Certificate and Diploma III (D3) Certificate if
applicable
Use Filename Format as "Your full name_NAME OF DOCUMENT"

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Certified Postgraduate (S1) or Diploma IV (D4) Trancript and Diploma III (D3) Transcript if applicable
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Current (original) IELTS or TOEFL English language test results
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Academic reference from S2 supervisor for Doctorate candidates
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Nominating Agency Declaration - required for Public sector applicants only
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Please Download Nominating Agency Declaration template

SK Pengangkatan PNS - required for Public sector applicants only

Use Filename Format as "Your full name_NAME OF DOCUMENT"

Additional Documents (Optional)

Official (certified*) English translations of birth certificate (if available)
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Other Proof Citizenship (Passport)
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Official (certified) English translations of post-secondary and tertiary certificates/degrees
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Official (certified) English translations of post-secondary and tertiary transcripts of results
Use Filename Format as "Your full name_NAME OF DOCUMENT"
references from undergraduate supervisor for Masters candidates (if available)
Use Filename Format as "Your full name_NAME OF DOCUMENT"
list of relevant publications, unpublished theses (for research applicants)
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Relevant correspondence with an Australian university (if available)
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Others Document's
Use Filename Format as "Your full name_NAME OF DOCUMENT"
Applicant's Authorisation, Agreement, and Declaration

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:

 for use in the selection process for a G20 "Recover Together, Recover Stronger" Scholarship.
 to monitor my academic performance at my host institution while studying under an Australia

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 Award.
 to brief relevant Australian officials, Ministers and members of Parliament.

Should I receive an Australia for G20 "Recover Together, Recover Stronger" Scholarship, I
consent:

1. to the Australian Government using and disclosing extracts of my application (relating to my

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 G20 "Recover Together, Recover
Stronger" Scholarships.
2. to my personal information and that of my family members and dependents, including sensitive
information as defined in the Privacy Act 1988, being collected, handled, used and disclosed by
and exchanged between DFAT, other government agencies including Australian immigration
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.

I authorise DFAT to disclose the personal information collected in this form to other Australian Government
departments and Australian education institutions for the purpose of promoting and managing the G20
"Recover Together, Recover Stronger" Scholarships.

Understanding
I understand and confirm that:

 I have read and complied with the Scholarships Policy Handbook and that the contents of my
application are true and correct
 DFAT has the right to vary or reverse any decision regarding a scholarship made on the basis of
incorrect or incomplete information
 Decisions of the selection panel are final and confidential and no correspondence about outcomes
of the selection process will be entered into.

Agreement

If successful in gaining a G20 "Recover Together, Recover Stronger" Scholarships, I agree that I will:

 undergo a police or character check before my G20 "Recover Together, Recover Stronger"
Scholarship is confirmed
 immediately provide DFAT with details of any incident that may reflect badly on the prestige of
a G20 "Recover Together, Recover Stronger" Scholarship
 act in a manner befitting a recipient of a G20 "Recover Together, Recover Stronger" Scholarship
 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.

Declaration and acknowledgement

Full Name

Declaration
 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
offence under the Criminal Code Act 1995 of the Commonwealth of Australia.

Acknowledge
 I acknowledge that giving false or misleading information is a serious offence under the Criminal Code
Act 1995 of the Commonwealth of Australia.

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