GALLIPOLI SCHOLARSHIP 2009 Sponsored by Gallipoli Scholarship Fund, Inc

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1. PERSONAL DETAILS

Name:

Address:

Telephone:

Date of Birth:

Place of Birth:

Australian Citizenship Status:


2. PERSONAL DOCUMENTARY DETAILS

Your scholarship application should include an authenticated copy of your own Birth Certificate and ancestral Birth Certificate.


3. AUSTRALIAN SERVICEMAN OR WOMAN OF WHOM YOU ARE A LINEAL DESCENDANT

Provide as much information as possible. Verification will be undertaken at the final selection stage.

Name:

Relationship:

Service Number:

Rank:

Service:


4. THE IMPORTANCE OF GALLIPOLI TO AUSTRALIA AND AUSTRALIANS or for those applying for the Bill Hall Memorial Scholarship THE IMPORTANCE OF THE BATTLE OF MILNE BAY.

Provide up to a maximum of 250 words.


5. MOST RECENT ACADEMIC ATTAINMENTS

School:

Grade/Class:

Subjects:


6. EDUCATIONAL REFEREE REPORT


7. ELIGIBILITY FOR FULL BENEFITS FROM AUSTUDY, ABSTUDY or VETERANS' CHILDREN EDUCATION SCHEME IN 2009.

Indicate whether at home, away from home rates or independent.


8. OTHER NECESSITOUS CIRCUMSTANCES (own and family) WHICH COULD THREATEN TERTIARY STUDY PLANS IN 2009.