International Higher Degree Research Application Form 0

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OFFICE USE ONLY

Application Number
UTS Course code

Receipt number

CRICOS PROVIDER CODE 00099F

Print

in the appropriate boxes.
S 

INTERNATIONAL STUDENT APPLICATION FOR HIGHER DEGREE BY RESEARCH
UNIVERSITY OF TECHNOLOGY, SYDNEY

1. COURSE PREFERENCE
UTS course code

UTS course name

UTS course code

UTS course name

When do you wish to begin your studies?

£ Between 1 January – 31 March £ Between 1 July – 31 August

Year

2. PERSONAL DETAILS (as shown on your passport)
Family name
Given name
Date of Birth

££ 
/££ 
/££££

Sex

£ 
Male
£ 
Female
£ 
X (Indeterminate/Intersex/Unspecified

Your address in your home country
Postcode/Zip
Tel

Country code

Area code

Number

Mobile

Country code

Area code

Number

Fax

Country code

Area code

Number

Area code

Number

Email You must provide your email address
Your address for correspondence (or UTS representative company stamp)
Postcode/Zip
Tel

Country code

Area code

Number

Mobile

Country code

Area code

Number

Fax

Country code

Email You must provide your email address (or UTS representative email address)

3. VISA DETAILS
Nationality

Country of Birth

Country of Permanent Residency

Passport Number

Do you hold citizenship or permanent
residency in a country/countries other
than what you have listed in your
application form?

If YES, which country/countries?

Are you already in Australia?

£ 
No

£ 
Yes Æ

£ 
No

£ 
Yes Æ

Visa category

Visa expiry date (Date/Month/Year)

Year of entry into Australia

££ 
/££ 
/££££ ££££
If you hold a visa with a category other than 'student', you must include a certified copy of your visa with your application.

3. VISA DETAILS (CONTINUED)
Name of institution

Are you currently enrolled in an Australian
institution?

£ 
No £ 
Yes Æ
Are you currently studying at UTS?
£ 
No £ 
Yes Æ
Do you have Overseas Student Health Cover? (OSHC) £ 
No £ 
Yes Æ
Are you in the process of applying for permanent residency in Australia? £ 
No £ 
Yes
Student number

Provider

Membership number

4. ENGLISH LANGUAGE PROFICIENCY
Is English your first language?
Have you already studied in English?
Note: Please provide a certified copy
letter from your institution.
Have you taken an English Test?
Note: Please provide a certified copy of
your English proficiency test.

£ 
No £ 
Yes
£ 
No £ 
Yes Æ

If no, what is your first language?
At what level?
Name of test

Date of test

££ 
/££ 
/££

£ 
No £ 
Yes Æ

Place

Test score

5. EDUCATION DETAILS
Tertiary studies – list all the courses you have enrolled in. If you have not completed your degree yet please write the intended year of completion.
Course

Institution and Country/State

Duration (number of years)

Date awarded / completed

Course

Institution and Country/State

Duration (number of years)

Date awarded / completed

Course

Institution and Country/State

Duration (number of years)

Date awarded / completed

Have you ever been excluded (or are you
facing exclusion) from a course on academic
or other grounds?
Are you currently enrolled in an
Australian institution?

£ 
No £ 
Yes Æ
£ 
No £ 
Yes Æ

££ 
/££ 
/££
££ 
/££ 
/££
££ 
/££ 
/££

Attach details on a separate sheet.
Please attach the details of your exclusion to this application form.
If yes, provide name of Institution

Note: If you are currently studying a master’s (research) or a PhD at another Australian institution and would like to transfer your studies to UTS,
you MUST provide an enrolment letter from your current institution which indicates the EFTSL (duration of study) completed to date.

6. RESEARCH SUPERVISOR
Research applicants MUST have made contact
with a potential supervisor. Has a potential
supervisor agreed to supervise you?

If yes, name of UTS Supervisor

£ 
No £ 
Yes Æ

If NO, refer to: Find a supervisor http://www.uts.edu.au/research-and-teaching/future-researchers and email the appropriate faculty research
staff member BEFORE submitting this application. Please copy [email protected] in your email.
Note: A potential supervisors’ agreement to supervise you does NOT constitute acceptance into a UTS research degree. You must submit an
application and meet the academic and English language entry requirements.

7. RESEARCH PROPOSAL AND THESIS TITLE
Provide a detailed research proposal as a separate document.
Refer to the information on how to develop your proposal:
http://www.uts.edu.au/research-and-teaching/future-researchers/
research-degrees-uts/develop-your-research-proposal

Thesis title

8. CV/RESUME
Provide a detailed CV/resume which outlines your tertiary qualifications, professional experience and research experience as a separate
document. Please provide evidence of any claims you make in your CV. Give details of your professional experience, how it relates to research,
level of responsibility and dates of employment.

9. PUBLICATIONS
Provide details and evidence of your scholarly publications which you have authored using a standard referencing system. If your publication is not
in English please provide a certified English translation of the title. Guidance on how to format publication references is provided in the web link
below: http://www.lib.uts.edu.au/help/referencing/harvard-uts-referencing-guide

10. PRIZES
Provide details of any prizes which you have been awarded on a separate document. Please provide the details in the required standard format as
indicated in the How to apply section. If your prize is not in English please provide a certified English translation.

11. ACADEMIC REFEREES
You must provide details of two academic referees who are familiar with your studies and are qualified to comment on your previous academic
achievements and your capacity to undertake a research program.
Referee 1

Mr

£ 



Mrs £ 




Ms £ Other

Referee 2

Mr

Full name

Full name

Position

Position

Institution/company

Institution/company

Email address

Email address

Contact telephone

Country code

Area code

Number

£ 



Mrs £ 




Ms £ Other

Contact telephone

Country code

Area code

Number

12. SCHOLARSHIP/SPONSORSHIP INFORMATION
Do you already have a sponsor/scholarship from an organisation or government?

£ 
No
£ 
Yes

If no, you will be required to cover the tuition fee and living expenses for the duration of your degree.
If yes, please attach a copy of the letter of guarantee documents from your sponsor if available and complete the following:
Sponsor/scholarship name
Sponsor mailing address

Sponsor contact person

Sponsor telephone

Sponsor email

Sponsor fax

Do you wish to be considered for an International Postgraduate Research Scholarship (IPRS)?

£ 
No
£ 
Yes

IPRS applicants will also be considered for the Australian Postgraduate Award (APA) which covers living allowance and the UTS International
Research Scholarships (IRS) which covers tuition fees.
Closing dates for IPRS
If you wish to be considered for an IPRS, APA or IRS you must submit this application by 19 August (for commencement in the following year)
For more information about IPRS, including eligibility criteria and conditions for award, please visit: http://www.uts.edu.au/research-andteaching/future-researchers/research-degrees-uts/applying-research-degree-and-scholarship

13. DISABILITY DETAILS
Do you have a disability or ongoing medical
condition that will require you to seek special
assistance from the university?

Description of disability

£ 
No
£ 
Yes Æ

If yes, please attach a medical statement from a registered doctor.

14. CHECKLIST – HAVE YOU

£ 
Completed all sections of this application
£ 
Enclosed certified copies of all your academic qualifications

£ 
Enclosed CV/resume

£ 
Provided professional experience reference letters (if applicable)
£ 
Provided research proposal
Provided name and contact details of two academic referees
£ 

(if applicable)

£ 
Provided details of your publications (if applicable)
£ 
Provided details of your prizes/awards (if applicable)

£ 
Provided sponsorship documents (if applicable)
£ 
Provided a certified copy of your English proficiency test (if available)

Note: An incomplete application where documents are missing will delay processing.

15. DECLARATION AND SIGNATURE
Please sign and return the following declaration. This application form MUST be signed by the applicant.
I understand
1. That UTS may obtain official records from any institution I have previously attended;
2. That all documents submitted with this application become the property of UTS;
3. That in order to be admitted to the University I must meet the academic and English language requirements set
by UTS and the Genuine Temporary Entrant (GTE) and Genuine Student (GS) criteria set by the Department of
I declare
Immigration & Border Protection (DIBP). For information about the GTE and GS criteria please visit
1. All the information and
www.immi.gov.au/students/gte-requirement.htm
supporting documents
4. UTS reserves the right to cancel my offer and acceptance if it is not satisfied that I meet the GTE and GS
provided with this application
requirements set by DIBP;
are true and correct and I
5. 
The expenses (tuition fees, living expenses and other expenses) related to the study of this course/s at UTS.
will inform UTS immediately
6. Tuition Fees and the Student Services and Amenities Fee (SSAF) increase from year to year, and I accept that it is
of any changes to the
my responsibility to pay the increased fees as required;
information I have given;
7. I am fully responsible for payment of my educational and living expenses and any other associated expenses while
2. I have accessed sufficient
I am enrolled at UTS;
information to understand
the structure and content of 8. UTS will not be responsible for any Tuition Fee payments, living expenses or other related expenses incurred by
this course;
me during my enrolment at UTS;
3. I have access to sufficient
9. In the event that false, inaccurate and/or misleading information is provided to UTS, UTS reserves the right to
funds to cover Tuition Fee
cancel my application and/or enrolment at any time;
payments, living expenses
10. If I fail to pay my Tuition Fees, UTS will cancel my enrolment;
and other related expenses
11. If I intend to bring school-aged dependants to Australia, I will be required to pay full fees if they are enrolled in
incurred by me and my
either a government school or non-government school;
dependants during my
12. The personal information collected on this form and during my enrolment at UTS may be disclosed to the
enrolment at UTS;
Australian Government and designated authorities where required for compliance with the Education Services for
4. I have not previously had an
Overseas Students Act 2000 (Cth) and associated legislation with which UTS must comply;
Australian visa cancelled or
13. While on a student visa I am required to inform UTS of any change to my residential address, mobile telephone
an Australian visa application
number, or email address within 7 days; and
rejected; and
14. If I am or become personally prohibited under any Federal legislation or regulation from commencing or
5. That I have personally signed
continuing my enrolment in the above course at UTS or any part of that course, UTS reserves the right to withdraw
this form.
this offer and/or cancel my enrolment in the course or relevant part of that course.
I agree
1. To abide by the rules of
admission, enrolment and
progression of UTS.

Your signature

Date (day/month/year)

££ 
/££ 
/££££

We advise that you keep a copy of your application and all attachments for your records.

16. SEND APPLICATIONS TO
Manager, International Recruitment
UTS International
University of Technology, Sydney
PO Box 123
Broadway NSW 2007
AUSTRALIA
Tel: 61 2 9514 1531
Fax: 61 2 9514 1530
Application enquiries: [email protected]
Other enquiries: [email protected]
Web: www.uts.edu.au/international
UTS will acknowledge receipt of your application by email.

Note
> Admission to courses at UTS is competitive
> This application is not an enrolment form, and does not
guarantee admission
> There is no charge for this form

CLOSING DATES FOR APPLICATIONS

AN INCOMPLETE APPLICATION WILL DELAY PROCESSING.
LATE APPLICATIONS MAY NOT BE ACCEPTED.

30 September (January – March commencement)
31 March (July – August commencement)
UTS:MCU / JOB 18964 / OCTOBER 2014

Certified Copies of Supporting Documentation
UTS will only accept copies certified by employees from specific
organisations. Go to Step 5 of the ‘Applying at UTS” webpage for more
information:
http://www.uts.edu.au/future-students/international/essentialinformation/applying-study-uts/applying-research-degree-uts

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