New Colombo Plan Student Details
The University of Western Sydney is obligated to ensure that all Student details are reported to the Government at least one month prior to departing
Australia. Failure to report this information may result in the University being penalised.
To assist with Program promotion, monitoring and evaluation, the New Colombo Plan Secretariat may, from time to time, seek supplementary information
from universities on Mobility Projects. As such, Funding Recipients should retain photographs, newspaper clippings, video clips and/or web links
documenting the Mobility Project that can be provided on request. Funding Recipients are also encouraged to send such materials to the Department of
Foreign Affairs and Trade (ncp.secretariat@dfat.gov.au) at any time. Funding Recipients must seek Student consent before providing any images to the
Australian Government.
PROJECT DETAILS
Government #
Name of Project
Project Leader Name
Phone
Email
Travel dates
Destination country
Destination city(s)
Destination Phone #
Project Partners
Eligibility declaration
☐ All students are Australian citizens and have never been a citizen or permanent resident of the destination country and do not currently have dual
citizenship or residency rights of the destination country.
☐ All students are currently enrolled at Western Sydney University in a Bachelor degree
☐ At the time of the commencement of the project, 70% if the students will be aged 18-28 and no students will be aged under 18.
☐ No student has previously received a New Colombo Plan Mobility Grant
☐ All students have submitted a signed Consent Form
Student #
1
2
3
4
5
6
7
8
9
10
11
12
First Name
Family Name
Gender Date of
Birth
Degree
Email
Phone
Grant
Amount
Student #
First Name
Family Name
Gender Date of
Birth
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Please return completed document to s.mcdonald@westernsydney.edu.au
Degree
Email
Phone
Grant
Amount