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NOMINATION FORM FOR GOVERNMENT OF NEPAL NOMINEES

FOR AUSTRALIA AWARDS SCHOLARSHIPS INTAKE 2016

IMPORTANT NOTES:

Nominees should pay careful attention to the eligibility checklist annexed to this form.

1. First Name      

2. Middle Name      

3. Surname      

Other
4. Gender Male   Female  
s  
5. Disability Yes   No  

A: Under Australian law, ‘disability’ includes physical, intellectual, psychiatric, sensory, neurological, learning
disabilities, physical disfigurement, and the presence in the body of disease-causing organisms. Eligible persons
with a disability are strongly encouraged to apply and applications from people with disabilities will be
considered for eligibility with an IELTS (Academic) overall score of 6 or above (with no individual band less than
5.0) or an equivalent TOEFL paper-based/internet based or PTE Academic test score

6. Qualification

Bachelor Degree

6.1 Four years


 
6.2 Three years
 
6.3 Two years
 
Master Degree

6.4 One Year


 
6.5 Two years
 
  (as a full-time staff member)
7. Years of Experiences
8. Designation held        
 
9. Office Name        
 
10. Line Ministry        
 
11. Duty Station District      

12. Proposed level of study Master   PhD  

13. Field of study        


 
14. Priority Sectors ( tick relevant priority sector below to your field of study)

14.1 Education
 
14.2 Health
 
14.3 Economics and Livelihoods Development
 
14.4 Governance (for Government of Nepal applicants only)
 
14.5 Gender, Inclusion & Disability
 
14.6 International Relations (for Government of Nepal applicants only)
 
14.7 Water Resource Management (for Master’s level only) - any Water
Resource Management-related fields - particularly related to regional or
river-basin scale water resource management issues  
15. Valid English score ( till 1 January 2016)

Yes   No
15. 1 IELTS  
Yes   No
15.2 TOEFL  
Yes   No
15.3 PTE  
16. Contact Details

16.1 Email
         
16.2 Office Telephone
     
16.3 Mobile Number