Документ взят из кэша поисковой машины. Адрес оригинального документа : http://www.atnf.csiro.au/people/Tasso.Tzioumis/aterb/osappl96.ps Дата изменения: Wed Aug 23 11:02:42 1995 Дата индексирования: Fri Feb 28 10:34:42 2014 Кодировка: Поисковые слова: arp 220

AUSTRALIAN TELECOMMUNICATIONS AND ELECTRONICS RESEARCH BOARD
1996 POSTGRADUATE SCHOLARSHIP
IN TELECOMMUNICATIONS
APPLICATION FORM
Applicant's Surname: Other name(s):
rivate Address: Professional Address:
elephone: telephone:
ontact address: Private / Professional
Resident Status : Australian Citizen / Permanent Resident Date of Birth: / /
Permanent Resident, Nationality :
Degree for which scholarship sought : PhD / Masters Enrollment : full­time / part­time
Are you currently studying for this degree : Yes / No If Yes, on what date did you start: / /
Health: Do you have any medical condition which has potential to interfere with progress
towards the degree sought? Yes / No If Yes, please attach details.
Availability: State the date on which you will be available to take up the award if successful: / /
uture: Without commitment, please state your intentions regarding residence in Australia
after completing the degree.
ignature: Date:
ETURN APPLICATION TO: The Secretary
ATERB
PO Box 93 Telephone (02) 887 8221
NORTH RYDE NSW 2113 Facsimile (02) 887 2736
CLOSING DATE: 1 NOVEMBER 1995

hd / Masters Surname: ATERB Scholarship Page 2
Name of Host Institution:
upervisor(s): Position/title: Department:
Agreement obtained? Yes / No Date:
Applicant's Current Academic status:
Applicant's Previous Research Experience :
Applicant's Proposed Research :
o which ATERB Area of Interest is your research relevant? 1 2 3* 4* 5 6 7*
other:
Research Title:
Details:
NB: Student + Topic + Supervisor will be considered together for the purpose of the scholarship*

hD / Masters Surname : ATERB Scholarship Page 4
LIST OF ATTACHMENTS REQUIRED FOR THE APPLICATION
Official Academic Record or Equivalent
Institution:
Degree: Year:
Reference from your current supervisor(s). (if applicable)
Two references, in addition to any reference from your supervisor.
(References may be sent independently of the application but must arrive by the closing date).
Referee 1: Referee 2:
address: address:
Publication list for the last three years of your proposed supervisor(s).
Applicant's Curriculum Vitae etc.
Applicant's Publication list (if applicable)
If you are enrolled part time for your PhD degree, please give details of the university
requirements for your enrolment and list any sources of income.
Relevant health details if you answered YES to the health question: 'Do you have any
medical condition which has potential to interfere with progress towards the degree sought?'
Did you obtain the application form from the WWW: Yes / No
Yes, which format did you use?
What type of document processing would you prefer?
CLOSING DATE: 1 NOVEMBER 1995