EXPRESSION OF INTEREST
PROTIC Monash-Oxfam Project for Information
Empowerment in Bangladesh
For Potential Research Applicants PhD
Monash University CRICOS Provider Number 00008C
Potential applicants to graduate research programs in Information Technology must complete this form before applying for
admission. On the basis of the information provided in this Expression of Interest you may be invited to submit an online
Application for Admission and/or Scholarship.
1. Personal Details
Monash Student ID Number:
(If applicable)
Family Name:
Title: (Ms/Mr/Mrs)
Given names:
Preferred
name:
Citizenship:
Domestic (Australian/New Zealand Citizen or Australian Permanent Resident)
International - please specify country of citizenship:
Have you previously applied for a program with the Faculty of Information Technology?
Yes
No
2. Contact Details
Please give contact details that are valid for at least one month after submission of this form.
Email:
Telephone:
3. Research Interests
Please specify the project you are interested in applying for. If you wish to be considered for more than one project please list
in preference order.
PROTIC 1: INFORMATION ECOLOGY FOR SUSTAINABLE DEVELOPMENT
PROTIC 2 : INTERFACE DESIGN FOR BANGLADESHI FAMERS
PROTIC 3 : ADVANCED SATELLITE DATA ANALYTICS FOR AGRICULTURAL APPLICATIONS IN RURAL BANGLADESH
PROTIC 4: GENDER, SMALL AND MEDIUM ENTERPRISES, MICROBUSINESS AND MOBILE OPPORTUNITIES.
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4. Academic Qualifications and Research Training Experience
Please list qualifications attained for all previous tertiary studies. Insert additional rows into the table as required
Duration (give
Degree
Institution
GPA/Grade
% of Degree
Status (e.g.
Copy attached of
expected
Completed
awarded/incomplete)
transcript
completion
by Research
including
date if
grading scheme?
incomplete)
List all previous relevant research experience/employment. Insert additional rows into the table as required
Position
Duties
Employer/Institution
Duration
Start date:
End date:
Start date:
End date:
List your 10 most recent (or all) publications
Year
Title
Journal Reference
Attach copies of your 3 most recent articles: Yes/No
List any professional qualifications and memberships, awards and prizes, or additional relevant information
Year
Qualification/ Membership/ Presentation/
Name and Location of Institution
Performance /Award /Prize
5. English Language Proficiency
Proficiency in the English language is a requirement for admission.
Is English your first language?
Yes – please move to section 8
No – please complete below
Tick the appropriate box to indicate any English test you have completed within the last two years:
Academic IELTS
TOEFL
If you have not completed Academic IELTS or TOEFL in the last two years and you wish to apply for the scholarship, the latest
date for which you can take an IELTS test in Bangladesh and be considered is 22 April. For TOEFL, it is 23 April. Please see the
relevant website to register and send the results to us as soon as they become available.
Indicate here if you are going to take Academic IELTS or TOEFL
Please provide your results
Date completed
Overall test score
Reading
Listening Writing
Speaking
Please note: test results are valid for two years from the date of the test, and must be valid when you commence your program. If
you have not completed an appropriate English test within the past two years, please review the Monash University policy on
English Language requirements and answer the question below.
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Please specify if you have completed two years of tertiary study within the past five years at an accredited university where
English is the language of instruction and assessment, and is an official language of that country (specify name of institution,
dates of study and attach documentary evidence). Bangladesh is not included in the Monash list of countries for English
as the official language. If you have studied in Bangladesh you are required to provide a valid English test result.
6. Scholarship Support
Tick all boxes that apply:
1. Have applied for or been awarded a living allowance scholarship from another organisation to
undertake studies at the Faculty of Information Technology, Monash University?
2. I have applied for or been awarded a tuition fee scholarship from another organisation to
undertake studies at the Faculty of Information Technology, Monash University?
3. I wish to be considered for a living allowance scholarship?
4. I wish to be considered for a tuition fee scholarship?
5. I am self-funded and do not require any scholarship support?
Yes
No
Yes
Yes
Yes
Yes
No
No
No
No
Please list all scholarships applied for or awarded below. Insert additional rows into the table as required.
Name of
scholarship
Sponsor/organisation
Value per
annum
(Australian $)
Duration in total
Purpose(s)
(e.g. tuition fees, living
expenses)
Status
(e.g.
applied,
awarded,
expired)
7. Why do you want to do research at the Faculty of Information Technology, Monash University?
There are many reasons to choose Monash as the University for your Research Degree. Please outline the main reasons why
you have selected to contact us (50-100 words maximum).
8. Statement by Applicant
I HAVE
Answered all questions on this form truthfully
I AGREE TO

Notify the Faculty of Information Technology of any change to the information I have given in this expression of interest

Permit the University to access my academic results from other institutions when assessing this expression of interest
I UNDERSTAND THAT

The University may vary or cancel any decision it makes if the information I have given is incorrect or incomplete

The University is not responsible for the loss of any documents submitted

Submission of this form does not guarantee acceptance to a graduate research program

Giving false or misleading information is a serious offence under the Criminal Code (Commonwealth of Australia)
Full Name
Signature
Date
EXPRESSION OF INTEREST ENDS HERE
Please:
Email an electronic copy of this form to [email protected]
Privacy statement:
The information on this form is collected for the primary purpose of assessing your qualifications. Other purposes for collection include attending to administrative matters,
corresponding with you and statistical analysis. If you choose not to complete all questions on this form it will not be possible for Monash University to assess your application. You
have a right to access personal information that Monash University holds about you, subject to any exceptions in relevant legislation. If you wish to seek access to your personal
information or inquire about the handling of your personal information, please contact the University Privacy Officer on 9905 6011or: [email protected].
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