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Application Form

To be considered for this scholarship, please complete the form below.

Please note: To be eligible to apply for this scholarship, you must first apply for a degree program at The University of Queensland (UQ) and meet all entry requirements.

Email*

Given Name (First Name)*

Family Name (Surname)*

Home Country*

Date of Birth*

UQ Student Number (e.g. 41234567)*

Please note: A UQ Student Number will be supplied to you when you apply for a degree program at The University of Queensland (UQ) and meet all entry requirements.

Which program have you applied for?*

Start semester*

Personal Statement: Please provide a statement below addressing your capacity to create change and contribute to science (max. 300 words).

Personal statement (word limit: 300 words)*

How did you find out about the scholarship?*

By submitting this scholarship application you acknowledge that you have read and understand and agree to the scholarship Terms & Conditions.

Terms & Conditions*

I agree

We value your privacy as much as you do. We will not give your personal details out to any other parties.