application to university of sydney

12 02 2010

Your surname:
Initials:

Vice-Chancellor’s Research Scholarship (VCRS)
Australian Postgraduate Award (APA)
University of Sydney Postgraduate Award (UPA)
2009 Application Form
(This document is available from http://www.usyd.edu.au/ro/training/postgraduate_awards.shtml)
Please read Information for 2009 Applicants before completing this form.
Original + 2 identical copies of this application form, complete with supporting documentation,
(a total of 3 sets) must be submitted to the Research Office
(address details on last page of this form) by Friday, 31 October 2008.
LATE, FAXED and E-MAILED applications will NOT be accepted.

1. Full Name of applicant

Mr. Muhammad Alfan Rumasukun

Surname or Family Name

Given Names

2. Gender Male

3. Date of Birth
e.g. 01/03/84 0 5 Day 0 4 Month 8 4 Year

4. Contact Details (must be valid from November 2008 to March 2009 and
changes must be notified to the Research Office in writing)

Address
Suburb/City
State Postcode 63472

Country (if not Australia) Indonesia

Daytime telephone number/s

E-mail address

5. Resident status (to be completed by all applicants)

a. Are you an Australian citizen or a New Zealand citizen? No
If YES, attach a certified copy of either your birth certificate,
passport or citizenship certificate to each copy of your
application and go straight to Question 6.

If NO, continue with Questions 5(b).

b. Have you been granted permanent resident status in No
Australia by 31 October 2008?
If YES, attach a certified copy of your passport showing
your personal details and the permanent resident visa to
each copy of your application.
If NO, you are ineligible to apply and should not complete this form.

6. Scholarship eligibility – checklist (to be completed by all applicants)

a. Have you held an APA, APA (Industry) or an Australian
Government-funded postgraduate research scholarship Yes √ No
for a period longer than six months?
If YES, you are ineligible to apply except the following (tick the appropriate box):
1. Current APA holders from another university can apply to
transfer their APA if they have at least 12 months remaining
on their maximum scholarship tenure. Please attach a letter
explaining the reasons for seeking the transfer and another
letter from your current university giving details of your APA.

2. University of Sydney students who held a UPA for their
Masters studies can apply but the maximum duration of the two
awards combined is three years for Doctoral candidates or 3.5
years if an extension is approved.

b. In 2009, will you be in receipt of another equivalent
award/scholarship/salary to undertake the proposed Yes √ No
research?
If YES, you may be ineligible to apply.

c. In 2009, do you intend to pursue a degree by
coursework or one with a research component that Yes √ No
is less than 2/3 of the program?
If YES, you are ineligible to apply.

d. Have you already completed a Research Masters
degree and propose to undertake another in 2009? Yes √ No
If YES, you are ineligible to apply.

e. Have you already completed a doctoral degree or equivalent?
If YES, you are ineligible to apply. Yes √ No

7. University of Sydney Student Number (if previously or currently enrolled)

_____________________

8. Current enrolment

a. Are you currently enrolled at a tertiary institution? √ Yes No
If NO, go straight to Question 9.

b. If yes, what is the name of the institution at which you are currently enrolled in?
(e.g. The University of Sydney)

Darussalam Institute of Islamic Studies

c. What is the name of the course you are currently enrolled in? (e.g. BSc (Hons))

Bachelor of Islamic Economic (S.E.I)

d. What is the type of course you are currently enrolled in?

Honours Degree Undergraduate Degree

Masters Preliminary Undergraduate Diploma

PhD Postgraduate Diploma

√ Masters by Research Masters by Coursework
(66% – 100% research)

Masters by Research Professional Doctorate
(51% – 65% research) Degree

e. On what date did you commence the qualification for which you 19 / 09 / 05
are currently enrolled in 2008?

f. In what month and year do you expect to complete this qualification? 07 / 08
9. Tertiary qualifications completed

a. Have you already COMPLETED a tertiary qualification? √ Yes No
If NO, go straight to Question 10.

b. If YES, give details of the completed tertiary qualifications in the box below:

Name of Qualification Type (A…M : see below) Normal F/T Duration (in years)
Institution Level of Honours Year Completed
e.g. BA(Hons)

Bachelor of Islamic Economic (S.E.I)

F

F 4

4 University of Sydney

Darussalam Institute of Islamic Studies Ponorogo Indonesia H1

H1 2007

2008

TYPES OF QUALIFICATIONS – please use letter which corresponds to your qualification type
Postgraduate
A Masters by Research (66% – 100% research component)
B Masters by Research (51% – 65% research component)
C Masters by Coursework (50% – 100% coursework component)
D Masters Preliminary or other qualifying program
E Postgraduate Diploma
Undergraduate
F Bachelor’s degree – Honours I
G Bachelor’s degree – Honours IIi (2A) or equivalent
H Bachelor’s degree – Honours IIii (2B) or equivalent
I Bachelor’s degree – Ungraded or Pass
J Undergraduate Diploma

K Other (please specify – e.g. FRACP – and provide documentary evidence):

________________________________________________________

If the qualifications were not from The University of Sydney, attach certified copies of official transcripts to each copy of your application. The transcripts must provide an explanation of grading (usually found on the reverse side). Actual marks should be provided where these are available.

Please list below any awards, prizes, etc. gained in your academic career that are not recorded in the official transcripts.
None__________________________________________________________________________________________________________________________________________________________________________________________________

10. Proposed enrolment in 2009

a. Have you already enrolled in a postgraduate research degree (including any upgrade or transfer from a Masters by Research to a PhD degree) in an Australian university?
Yes √ No If YES, what was the commencement date of your candidature?
/ /

b. If NO or if your postgraduate research enrolment is not at The University of Sydney, have you lodged an application for admission to a postgraduate research degree with the appropriate faculty office?

Yes √ No (An application for admission in 2009 Semester 1 must be
lodged with the Faculty by 31 October 2008. The Faculty has to determine that your candidature will be accepted before supporting your scholarship application.)

Application form for admission into a research degree is available from –
http://www.usyd.edu.au/studentcentre/admissions/app_forms.shtml

c. What is the name of the postgraduate research degree (e.g. Masters by research, PhD) you propose to enrol in 2009 at The University of Sydney?
__________________ Masters by research, MBA ____________________

Please note: If you intend to commence your postgraduate research degree in 2009 Semester 2, do not complete this application form. Applications for the 2009 Semester 2 VCRS/UPA (Co-funded) will open in mid May 2009.

d. In which Discipline/Department/School (if applicable) and Faculty do you propose to enrol in 2009?
Discipline /
Department Economics Faculty Economics and Business
/ School

(You must notify the Research Office in writing of any changes.)

e. Name of Proposed Supervisor: idp

f. What is your proposed research topic? You must discuss this with your prospective academic Supervisor but there is no need to attach a detailed research proposal with this VCRS/APA/UPA application. Please note, however, such proposal is probably required by your Faculty as part of your application for admission.)
The Concept of Islamic Customer Service In Islamic Bank

g. If you are offered a scholarship you must commence your research program by 31 March 2009. In exceptional circumstances, which arise after lodgement of the application and are beyond the awardee’s control, an awardee may apply to the Research Office to commence at a later date in 2009. Please note that 31 August 2009 is the absolute last date for commencement.

Estimated commencement date: 31 / 09 / 09

If you intend to commence your postgraduate research degree in 2009 Semester 2, do not complete this application form. Applications for the 2009 Semester 2 VCRS/UPA (Co-funded) will open in mid May 2009.

11. Relevant employment and/or professional experience
If applicable, provide a summary and attach credible evidence of relevant professional experience at a responsible level of at least two full-time years since graduation and not in a training situation. Please note that attaching a curriculum vitae only will not be sufficient for this purpose and supporting documents will be required, e.g. letters from your employer/s detailing duration, full or part time, and level of responsibility that are relevant to the research degree you wish to undertake.
_________________________________________________________________________________________________________________________________________________________________________________________________________

12. Research experience and achievements

a. Please attach a summary of your direct research experience such as vacation scholarships, major Honours year research project/thesis with information on the title and length of the project/thesis completed.

b. If applicable, provide a summary and attach evidence of scholarly publications (must be published or accepted for publication by a reputable publisher) and/or output in the art or music areas in the relevant field of research within the last five years. Refer to the criteria detailed in ‘Research Potential Indicator (RPI)’ in section 5.3 of the Information for 2009 Applicants document.

13. Current or previous awards

Are you currently receiving or have you previously Yes No
held a postgraduate research award or scholarship?

Name of award:

Value: Institution:

Start date: End date:

Current APA holders from another university who wish to apply to transfer their APA must attach a letter from their current university giving the start and expected end date of the APA.

14. Academic referees

Please give details of two academic referees who are familiar with your studies. You must forward the attached Academic Referee’s Report form to your referees and request them to send their report directly to the Research Office by Friday, 31 October 2008.

First referee

Title: ___________________ Name: ________________________________________________

Position: _____________________ School/Department: _________________________________

Institution: ________________________________________________________________________

Telephone: ______________________ E-mail: ________________________________________

Second referee

Title: __________________ Name: _________________________________________________

Position: _____________________ School/Department: _________________________________

Institution: _______________________________________________________________________

Telephone: ______________________ E-mail: ________________________________________

15. Declaration

I declare that the information supplied by me on this form and supporting documentation is complete, true and correct.

I authorise The University of Sydney to obtain from other educational institutions I have attended, as listed in Sections 8b (current enrolment) and 9b (tertiary qualifications completed) of the application form, and other relevant authorities at any time details of my enrolment, academic record and examination results, including details of enrolment variations and attendance in connection with my application for a Vice Chancellor’s Research Scholarship, Australian Postgraduate Award and University of Sydney Postgraduate Award.

I also authorise the educational institutions listed in Sections 8b and 9b of the application form to disclose to The University of Sydney details of my enrolment, academic record and examination results, including details of enrolment variations and attendance in connection with my application for a Vice Chancellor’s Research Scholarship, Australian Postgraduate Award and University of Sydney Postgraduate Award.

I agree to abide by the University’s conditions of award as amended from time to time. I note the effect prior scholarship(s) and/or candidature may have on the tenure of the award.

I am aware that there are severe penalties for providing false or misleading information, including exclusion of my application and cancellation of scholarship support. I am also aware that giving false or misleading information is a serious offence under the Criminal Code (Commonwealth).

APPLICANT’S FULL NAME ( Muhammad Alfan Rumasukun )

APPLICANT’S SIGNATURE ( MARS ) DATE 21 Oct. 08

Privacy Statement
In accordance with the University of Sydney Privacy Policy, the information you provide for this application is collected and held by the University in order to assess candidates for the Vice-Chancellor’s Research Scholarships, Australian Postgraduate Awards, University of Sydney Postgraduate Awards and other postgraduate research scholarships, and for administrative and statistical purposes including publicising the names, areas of research and other relevant details of successful applicants. Enquiries regarding access to and correction of the personal information should be directed in the first instance to the Research Office.

This page is for your information only – do not attach it to your application.

2009 VCRS/APA/UPA Application Checklist

You need to submit three (3) sets of the application, i.e. the original form and supporting documents plus two (2) identical copies with complete supporting documentation.

1. Enclose with each copy of your application:
• A certified copy of your birth certificate, citizenship certificate or relevant pages of your passport showing your personal details and the permanent resident visa.
• If applicable, a certified copy of evidence of change of name.
• A certified copy of official transcripts or academic records for all studies undertaken at universities other than The University of Sydney. Actual marks should be provided where these are available. The transcripts must provide an explanation of grading, which are usually found on the reverse side of the transcript. University of Sydney academic transcripts will be provided by the Research Office.
• A summary of your direct research experience.
• If applicable, a summary and attach credible evidence of relevant professional experience at a responsible level of at least two full-time years since graduation and not in a training situation. Please note that attaching a curriculum vitae only will not be sufficient for this purpose and supporting documents will be required, e.g. letters from your employer/s detailing duration, full or part time, and level of responsibility that are relevant to the research degree you wish to undertake.
• If applicable, a summary and evidence of scholarly publications (must be published or accepted for publication by a reputable publisher) and/or output in the art or music areas in the relevant field of research within the last five years. Refer to the criteria detailed in ‘Research Potential Indicator (RPI)’ in section 5.3 of the Information for 2009 Applicants document.

2. Ensure you have:
• Signed your application.
• Had your documents certified: take the original documents and three sets of photocopies to the Research Office, Student Centre, or faculty offices at The University of Sydney or administration offices in other universities for certification. Please note that original documents submitted with your application will not be returned.
• Contacted your academic referees, given them the referee’s report forms and advised them to send the reports by:
a) mail to the Research Office (see address on next page).
OR b) emailing a PDF file of the original scanned report to research.training@usyd.edu.au, with the subject VCRS/APA/UPA referee report.
Unsigned reports will not be accepted.
OR c) fax to 02 9351 4812. A cover sheet is not required.
• If applicable, submitted an application for admission to a postgraduate research degree with the appropriate faculty office at The University of Sydney by 31 October 2008.
• Enclosed a stamped, self-addressed envelope if you wish to receive an acknowledgment of receipt of your application (to be sent in the third week of November 2008).
• Three (3) sets of the application, each with supporting documents in A4 size and, where possible, double sided. Do not staple or bind your application form and supporting documents – use paper clips or foldback clips instead.

This page is for your information only – do not attach it to your application.

This page is for your information only – do not attach it to your application.

Applications may be lodged in person at:
Research Office
Room K4.01, First Floor, Lobby K, Main Quadrangle
The University of Sydney
(up till 22 September 2008)

The Research Office is expected to relocate on 23 September 2008 to:
Level 6, Jane Foss Russell Building
160 City Road

Mailed applications should be addressed to:
VCRS/APA/UPA Applications
Research Office
Main Quadrangle, A14
The University of Sydney NSW 2006
(from 23 September 2008)
VCRS/APA/UPA Applications
Research Office
Jane Foss Russell Building, G02
The University of Sydney NSW 2006

All applications must reach the University by Friday, 31 October 2008.
Late, faxed and e-mailed applications will NOT be accepted.

Enquiries – telephone: +61 2 9351 3250 email: research.training@usyd.edu.au

Notification of the results of applications will be made in writing
and mailed to all applicants around 9 December 2008.

Other scholarship opportunities are advertised on: http://www.usyd.edu.au/ro/training/index.shtml.
(Click on the Current Research Scholarships menu item and choose Research Scholarships.)

Subscribe to the weekly email Scholarship Bulletin at: http://www.usyd.edu.au/ro/training/index.shtml.

This page is for your information only – do not attach it to your application.


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