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1、 CRICOS Provider Code 00026A UNIVERSITY OF SYDNEY CHINA SCHOLARSHIP COUNCIL POSTGRADUATE RESEARCH SCHOLARSHIP APPLICATION FORM SEMESTER 2 2011 悉尼大學(xué) 國家留學(xué)基金管理委員會 博士研究獎學(xué)金 申請表 International students from the Peoples Republic of China who wish to be considered for a University of Sydney China Scholarship

2、 Council Postgraduate Research Scholarship must complete this form. Applicants must read and understand the Guidelines before completing this form. PLEASE COMPLETE THIS FORM IN ENGLISH. A. Personal Details (as shown on passport Title ¨ Mr ¨ Ms ¨ Miss ¨ Mrs Family name Given name(

3、s Sex ¨ Male ¨ Female Date of birth (DD/MM/YYYY Country of birth Country of citizenship B. Permanent Residency / Dual Nationality Are you a citizen or permanent resident of Australia? Have you applied for Australian permanent residency or citizenship? C. Course Details (as per University o

4、f Sydney application Course name Faculty/Department University of Sydney Student ID Number (SID (if known Home university or institution in China D. Contact Details Residential address Town/City Country Correspondence address (if different from above Province Postcode (ZIP code ¨ Other: ¨

5、Yes ¨ Yes ¨ No ¨ No Peoples Republic of China Town/City Province Country Peoples Republic of China Postcode (ZIP code Home telephone Mobile telephone Email E. Declaration Please read this declaration carefully. By signing this form, you declare that you have read, understood and agree

6、 to these terms. I declare that the information submitted in this application is complete and correct. I agree that the University of Sydney may obtain official records from any university or other institution previously attended by me for the purpose of assessing my application for a Scholarship. I

7、 undertake to advise the International Office at the University of Sydney immediately of any change to the information submitted in this application. Signature: Date (DD/MM/YYYY Submit application form to: International Development Officer (Scholarships and Grants Office of the Deputy Vice-Chancellor (International Room 204, Old Teachers College A22 The University of Sydney NSW 2006 Australia Application deadline: 17 December 2010. USYDCSC Postgrad

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