Australia Awards

Independent Opportunities Application Form

Please complete and submit this form to your Student Contact Officer.

Once received, DFAT will assess your application and advise the Student Contact Officer of the outcome.

To view a sample of a completed application form, please see page two of the Application Process document.

Name Date of application:

Activity title:

Description of activity

What are the funds being requested for? Please include specific details Cost of item

TOTAL OF FUNDS REQUESTED:

SCHOLARSHIPS AND ALUMNI BRANCH USE

Approved; or
Resubmit with the following additional information:

Name:
Signature: Date:

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