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SANTOS Petroleum Engineering Scholarship 2017

International Students from Papua New Guinea, Malaysia, Indonesia, Bangladesh or Vietnam Application Form

This application form should be used by international Students from Papua New Guinea, Malaysia, Indonesia, Bangladesh or Vietnam wishing to be considered for a SANTOS Petroleum Engineering Scholarship in 2017.

Applicants must be entering University for the first time and be enrolling full-time in the single or combined-degree Bachelor of Engineering (Petroleum Engineering) program at the University of Adelaide.

This application form must be submitted to the Australian School of Petroleum no later than Tuesday 24 January 2017, see end of form for details.

 Application Form
* Indicates Required Information

Personal Details


Please list the subjects you undertook in your final year, your GPA score (or other as listed) and individual subject marks (include your raw, unadjusted, score for all subjects)

Subject 1

Subject 2

Subject 3

Subject 4




Please provide the name and contact information of two referees who may be consulted to endorse your application. If you have worked in a leadership role, please ensure at least one of these referees is someone for (or with) whom you worked:

Referee One

Referee Two


We have chosen the following provisional dates for interview. If selected for interview, please indicate your preferred date and a convenient time.

NOTE: If you are selected for Interview and it is inconvenient for you to get to Adelaide, we will make arrangements to interview you by telephone or preferably, by video call.



I declare that I have read the instructions on this application form and that, to the best of my knowledge, the information I have provided here is true and complete. I acknowledge that the University of Adelaide may reverse any decision to award a scholarship that was made on the basis of inaccurate information. I understand that I may be invited to attend a 20 minute interview conducted by a panel comprising representatives from the Australian School of Petroleum at the University of Adelaide. I can be contacted at the address provided.


If you have any questions about your application, please contact Australian School of Petroleum on (08) 8313 8040 or email

Please submit the completed application form on line by close of business Tuesday 24 January 2017.

Australian School of Petroleum



T: +61 8 8313 8000
F: +61 8 8313 8030