Professional Documents
Culture Documents
www.usyd.edu.au
www.usyd.edu.au
Agent details
ARAB
If you appoint a University of Sydney authorized agent to manage your application, you authorise the university to release personal information and visa documentation relevant to your application to the agent. If you submit your application through an agent, please provide the following: Agency name: Agent Number (code) : Counsellor name Agent Stamp
Personal/first names:
MOBIN
DD MM YYYY Date of birth: 13 / 09 / 1983 Sex: Male Female Contact address for correspondence: House number & street + Suburb/town
2032
Country:
AUSTRALIA
+61280067699
Mobile :
+61424271370
MOBIN_ARAB@YAHOO.COM
Country of citizenship:
IRAN
No Yes
3 Previous applications
Have you applied to, or been enrolled at, the University of Sydney before? No Yes If yes, what was your reference number / Student ID or
Have you previously been known by another name? No Yes If yes, what
year of application?
Course choice -
Check the website for course details: www.usyd.edu.au/courses You MUST enter an exact course name or your application cannot be assessed eg. PhD (Arts)
Name of academic contact/proposed supervisor Research proposal attached? Preference (course name) 1st preference: Course name: 2nd preference: Course name: Proposed course start date: Proposed reserch topic/project: Yes No
Andrew Harris
Proposed Faculty
(Your application may not be able to be processed without a research proposal) Course code: Course code:
PhD (ChE)
HB000
000703B
Year
2012
A non-refundable Application Processing Fee (APF) of AUD$100 must be paid with each application form submitted. Applications will not be processed unless accompanied by the APF. Please complete this section to submit your APF payment. You should either supply credit card details or attach a bank cheque. We do not accept personal cheques, company cheques or cash. For more details go to: www.usyd.edu.au/fstudent/international/undergrad/apply/apfdetails.shtml I attach a bank cheque for AUD$100 made payable to the University of Sydney. Please write on the back: your name, contact details, date of birth and student ID or reference number (if applicable). Please charge AUD$100 to my credit card.
Mobin
VISA Mastercard American Express Diners
MM YY Expiry date: 11 / 14
Signature
Date
DD 09 YYYY 22 / MM / 2011
www.usyd.edu.au
If no, have you taken an English language proficiency test within the last 2 years? Yes If yes, which test?
IELTS
Test date
DD 05 YYYY 14 / MM / 2011 No
7.5
If no, have you scheduled to sit an English language proficiency test? Yes If yes, which test?
DD / MM / YYYY No
Have you completed tertiary studies that were taught, examined and assessed entirely in English within the last 5 years? Yes If yes, which qualification? Country No
Do you intend to undertake an English language program through a University of Sydney package program? Yes
7 Academic qualifications
Provide details and supporting documents for all completed or current tertiary studies (undergraduate and postgraduate but NOT pre-university). Supporting documents must include transcripts and testamurs (completion certificates) and must include a guide to the grading system used. Course Course 1 Institution: Country: Course: Course 2 Institution: Country: Course: Course 3 Institution: Country: Course: DD / MM / YYYY DD / MM / YYYY Start date Completion date Class or grade (e.g. honours 2/1 or your GPA)
DD 09 YYYY 22 / MM / 2001
DD 09 YYYY 22 / MM / 2006
13.48 / 20
17.21 / 20
Iran
www.usyd.edu.au
25
Provide details of any academic prizes or awards gained during your tertiary studies.
I won a grant for completing my master thesis from Iranian Fuel Conservation Company (IFCO).
Volume 4
M. Arab, D. Fathi, M. Boroushaki Optimal Designing of Heat Exch M. Arab, M. Soltanieh Impact of Heat Pipe Application i
11 Nati.Ch.Eng.Cong
2006
M. Arab, A. Babalou
If you are engaged in the art or music fields, provide details of your direct input to exhibitions or performances in the last five years.
www.usyd.edu.au
Mehr Renewable Energy Co, Research Engineer, 2.5 years: Economic evaluations and engineering design of landfield projects in Iran and provide required evidences and documents to develop these projects under Clean Development Mechanism framework. National Climate Change Office, Coordinator and Research Assistant, 1 year: Conducting researches and developing models for analysis historical data and projecting GHG emissions for future plus coordinating research groups to prepare Iran's Second National Communication under UNFCCC.
Provide details of any professional associations of which you are a member. Name of association Type/grade of membership First year of membership
Grade 3
2009
2007
Premium
2003
11 Academic referees
You MUST provide details of two academic referees who are familiar with your studies and are qualified to comment on your previous academic achievements and your capacity to undertake a research program. If you are basing this application on relevant work experience or training, at least one of your referees should also be able to comment on your work experience. 1. Provide details of your academic referees below. 2. Detach the Academic Referees Report page and make one copy for each referee. 3. Fill out section 1 of the Academic Referees Report with your personal details. 4. Forward a copy of the Academic Referees Report to each of your referees. 5. Ask your academic referees to complete the Academic Referees Report and return it to you in a sealed envelope OR send it directly to the International Office marked clearly Academic Referees Report for <your name>. The university will not request academic referee reports or follow up on outstanding reports on your behalf. Referee 1 Title Name Position Institution Address Email address Telephone no(s) Referee 2
Professor of Chemical Engineering Depratment Project Assistant for Climate Change Enabling
Chemical & Petroleum Engineering Department #161, International Projects Bldg., Pardisan Ec
msoltanieh@sharif.edu m.s.ahadi@climate-change.ir
(+98-912) 371-0591
www.usyd.edu.au
Scholarship details
Have you been awarded a scholarship or sponsorship to support your research studies? (This includes government or privately funded scholarships/ sponsorships). No Yes If yes, what is the name of your scholarship/sponsor? Have you previously held an AusAid scholarship or other Australian government scholarship? Yes No If yes, which scholarship? Scholarship end date: Attach supporting documentation showing the details of your scholarship/ sponsorship. Have you applied for a scholarship or sponsorship to support your research studies other than an EIPRS or USydIS? (This includes government or privately funded scholarships/sponsorships). No Yes If yes, which scholarship/sponsorship have you applied for? DD / MM / YYYY
Scholarship closing dates If you wish to be considered for an EIPRS or USydIS you MUST submit your Postgraduate Research and Research Scholarship application by: Semester 1 (March commencement) 31 July of the previous year (successful candidates will be notified in late October/early November) Semester 2 (July commencement) 31 December of the previous year (successful candidates will be notified in April)
Will you be undertaking your research project with the universitys areas of research strength? (Refer to www.usyd.edu.au/research/about/areas_of_research.shtml) Yes No If yes, which area?
www.usyd.edu.au
Your signature
Date:
DD / MM / YYYY
Unsigned applications will not be processed. Applications must be signed by the applicant personally. Third parties must not sign on the applicants behalf.
Faculty contacts
Agriculture, Food and Natural Resources Ph: +61 2 9351 2935 Fax: +61 2 9351 2945 Email: pg@agric.usyd.edu.au Web: www.agric.usyd.edu.au Architecture, Design and Planning Ph: +61 2 9351 2686 Fax: +61 2 9351 5665 Email: pg@arch.usyd.edu.au Web: www.arch.usyd.edu.au Arts Ph: +61 2 9351 3129 Fax: +61 2 9351 2045 Email: pg@arts.usyd.edu.au Web: www.arts.usyd.edu.au Dentistry Ph: +61 2 9351 8308 Fax: +61 2 9351 8333 Email: pg@med.usyd.edu.au Web: www.dentistry.usyd.edu.au Economics and Business Ph: +61 2 9351 3076 Fax: +61 2 9351 4433 Email: pg@econ.usyd.edu.au Web: www.econ.usyd.edu.au Education and Social Work Ph: +61 2 9351 2634 Fax: +61 2 9351 5027 Email: pg@edfac.usyd.edu.au Web: www.edsw.usyd.edu.au Engineering and Information Technologies Ph: +61 2 9351 2534 Fax: +61 2 9351 4654 Email: gse@eng.usyd.edu.au Web: www.eng.usyd.edu.au Health Sciences Ph: +61 2 9351 9161 Fax: +61 2 9351 9412 Email: fhspginfo@usyd.edu.au Web: www.fhs.usyd.edu.au Law Ph: +61 2 9351 0351 Fax: +61 2 9351 0200 Email: pg@law.usyd.edu.au Web: www.law.usyd.edu.au Medicine Ph: +61 2 9351 3132 Fax: +61 2 9351 3196 Email: info@med.usyd.edu.au Web: www.medfac.usyd.edu.au Nursing and Midwifery Ph: +61 2 9351 0693 Fax: +61 2 9351 0508 Email: fon@nursing.usyd.edu.au Web: www.nursing.usyd.edu.au Pharmacy Ph: +61 2 9351 2320 Fax: +61 2 9351 4391 Email: pg@pharm.usyd.edu.au Web: www.pharm.usyd.edu.au Science Ph: +61 2 9351 3021 Fax: +61 2 9351 4846 Email: info@science.usyd.edu.au Web: www.science.usyd.edu.au Sydney College of the Arts Ph: +61 2 9351 1104 Fax: +61 2 9351 1199 Email: pg@vetsci.usyd.edu.au Web: www.usyd.edu.au/sca Sydney Conservatorium of Music Ph: +61 2 9351 1216 Fax: +61 2 9351 1287 Email: coninfo@usyd.edu.au Web: www.music.usyd.edu.au Veterinary Science Ph: +61 2 9351 2441 Fax: +61 2 9351 3056 Email: pg@vetsci.usyd.edu.au Web: www.vetsci.usyd.edu.au Office of the Dean of Graduate Studies Ph: +61 2 9036 9518 Fax: +61 2 9036 9519 Email: dogs@usyd.edu.au Web: www.dogs.usyd.edu.au Graduate School of Government Ph: +61 2 9351 8662 Fax: +61 2 9036 5183 Email: pg@gsg.usyd.edu.au Web: www.gsg.usyd.edu.au
www.usyd.edu.au
For the course in which you taught or supervised the applicant, what is the final grade/level of honours was obtained by the applicant? If the applicant is currently completing the course, what overall grade/level of honours are they likely to obtain?
Predicted
Actual
If applicable, what was the applicants overall GPA? If the applicant has completed a masters degree, what percentage of the degree course was the research/thesis component? If applicable, what numeric mark or GPA did the applicant achieve for the research component of the course? If applicable, how was the research component assessed? (eg. one or two examiners, internal or external examiners).
Applicants permanent address (home number and street. suburb/town) Very Good Please give your appraisal of the student in terms of the qualities listed below. Rate the applicant in comparison to other students you have supervised. Country: Postcode / zip: Ability to organize & express ideas Critical & analytical ability Initiative & motivation Perserverence in pursuing aim Ability to plan and complete work Technical competence in proposed field of research Intellectual capacity Imagination & creativity Capacity to work without close supervision Ability to write coherently in English
Information continues over >
Postcode / zip: Fax: (Include Country code+Area code ) (Include Country code+Area code )
Country of citizenship: Visa status: Have you changed your name since your study records were issued? Yes No Attach all relevant documentation.
www.usyd.edu.au
Unable to judge
Excellent
Weak
Good
Fair
Please comment on the applicants suitability to undertake a higher degree by research. Please explain clearly why they deserve serious consideration for a highly competitive research scholarship (attach a separate sheet if necessary).
Signature:
Date:
DD / MM / YYYY
10
www.usyd.edu.au
www.usyd.edu.au
11
g)
3. Research Potential Indicator (RPI) RPI points may be awarded on the basis of demonstrable research performance, relevant professional and direct research experience as per the following criteria. Please note that attaching a curriculum vitae only will not be sufficient for ranking purposes and it is the responsibility of the applicants to provide evidence of such performance or experience. Examples are copy of scholarly publications showing the names and dates of publications or proof that they have been accepted for publication and if applicable, whether the publication is refereed, ISI-listed, Ulrich-listed or DEST approved (refer to b below); evidence of being the major author/contributor; published catalogues of exhibitions; letters detailing duration and level of responsibility of relevant employment or direct research experience. a) Relevant academic qualifications in addition to Honours 1. Examples are a completed masters by research degree (with a research component of at least 2/3 of the course), a completed second Honours 1 degree (in a combined honours degree). b) Scholarly publications (must be published or accepted for publication by a reputable publisher) in the relevant field of research within the last five years. Examples are: A published book or chapter in an edited book (not conference proceedings). A published research article in a refereed international journal (ISI- l isted, Ulrich-listed or DEST approved) refer to: www.usyd.edu.au/ro/performance/refereeing.shtml published or refereed national or international conference paper, A a published or refereed presenting author abstract in national or international conference or a published research report. c) Output in the art or music areas in the relevant field of research within the last five years. Examples are: An exhibition (with published catalogue) with multiple venues of international standard, or a series of performances of international standard, for which reviews in significant outlets are available. An exhibition in a public gallery or museum (with published catalogue) or in a private gallery of standing in which the artist is asked to exhibit by invitation. Visual work(s) held in significant national and/or international collections or commissioned by government bodies and/or the corporate sector. A significant published musical composition or a significant commercially published CD of a musical performance. Visual documentation of performance, installation and electronic creative works in significant national and/or international collections. Participation (as presenting author or equivalent) in significant national or international festivals or professional conventions. d) Relevant professional experience at a responsible level or direct research experience of at least two full-time years since graduation. e) Other Participation in moots such as the Jessup International Law moot at an international level.
12
www.usyd.edu.au