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* 1. Full Name

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* 2. Student Number

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* 3. Mob (if known)

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* 4. Student email address

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* 5. Are you currently enrolled as a full-time student at the University of Melbourne

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* 6. Why are you applying for this grant? Please select the option that best suits your needs

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* 7. Explain, in further detail, why you are applying for this grant. Include costs if known and purpose of purchases

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* 8. I declare that all responses submitted are true, and if successful, I will use the funds awarded for the purposes specified.

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