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CRICOS Provider No. 00300K (NT/VIC) | CRICOS Provider No. 003286A (NSW) – Updated September 2019
International Scholarship Referee Report Form
This form is to be used by an academic or professional referee for an international student wishing to apply for an undergraduate or postgraduate coursework scholarship at CDU. It is essential that ALL sections are completed carefully.
APPLICANT DETAILS – to be completed by the applicant
Title Mr Mrs Ms Miss Other ________________
Family Name
Given Name(s)
Date of Birth (DD/MM/YYYY)
/ / Studylink Application Number
REFEREE DETAILS – to be completed by the referee
Title Mr Mrs Ms Miss Other ________________
Family Name
Given Name(s)
Position/Title Institution/ Workplace
Address
Contact Number Email Address
Relationship to applicant
How long have you known the applicant?
REFEREE REPORT– to be completed by the referee Please comment on the applicant’s academic strength
CRICOS Provider No. 00300K (NT/VIC) | CRICOS Provider No. 003286A (NSW) – Updated September 2019
Please comment on the applicant’s capabilities and personal qualities
Please comment on the applicant’s passion for innovation and creativity
Please comment on the applicant’s leadership abilities in their academic, work or personal life
DECLARATION BY THE REFEREE
• I declare that the information I have provided is true and correct
Signature Date (DD/MM/YYYY) / /
Instructions for the applicant: Please submit the completed referee report form together with your scholarship application when applying to study a course with CDU