EDUCATIONAL PLANNING & RESEARCH DIVISION MINISTRY OF EDUCATION FORM Ae P41 7 LEVEL 1 4, BLOCK E8 ng ion GOVERNMENT COMPLEX PARCEL E FERERAL GOVERNMENT ADMINISTRATIVE CENTRE 62604 PUTRAJAYA, MALAYSIA Tel : 03-88846591 Fax : 03-88846579 REMINDER TO RESEARCHERS 1. Every application must be accompanied by the Form BPPDP 1. 2. A complete research proposal must be attached with the application. 3. A copy of the research instrument(s) and the sample list must be provided if your research proposal does not have these, Researchers are NOT encouraged to invalve ‘students from examination classes in their research. 4, Please include 3 envelopes (measuring 21.5 cm x 10.5 cm) and stamped with a 60 sen stamp in each of these erivelopes. 5. A copy of your dissertation/thesis/research report must be sent to the Director, Educational Planning & Research Division, Ministry of Education upon comptetion ‘of your research. 6. The Ministry of Education reserves the right to reject any application to conduct research in institutions under its purview and may cancel any permission granted without giving any reasons, CHECK LIST 1. Application attached with a copy ef Form BPPDP 4 ves No 2. Application included a complete copy of the Che Jno research proposal, Ud 3. Application included a copy of the research instruments). , N es lo 4, Application included a copy of the sample list. ¥ N es lo 5. Research sample includes students sitting for UPSR, PMR, SPM and STPM examinations. De No 6. Applicant provided 3 envelopes (measuring 21.5 om x ves N 10.5 cm) and stamped with a 50 sen stamp each. ie [__ sirsess2so— Form BPPDP t 7 Director (To be filled only in one copy) Educational Planning & Research Division Ministry of Education Date Received: Level 1-4, Block £8 LO Federal Govemment Administrative Centre 62604 PUTRAJAYA, MALAYSIA Application To Conduct Research In Schools, Teacher Training Colleges, Education Departments, And Divisions Under The Ministry Of Education PART A: Researcher's Information (To be filled by the applicant) 1, Researcher's Name: (Mr/Mrs /Miss/Dr.) 2. Identity Card No. LT 3, Correspondence Address, i Postcode CityTown State Hoo I ine 4 Tel. No 5, Handphone No 6 E-mail Address I Tu 7. Occupation (Applicable to those who are working) 8. Name of nstuton LI 9. Address of institution worse [TT 11, Faculty/Department/Year of Study 12, Research title 3698001513 1“d 13. Level of your research (Please mark X in the relevant boxes provided.) Dpioms — [JBansomes MAI EA nt Se proeao — [_ ]eeneral suey Day Month Year Day Month Year 14. Plot atudy dates From I 15. Actual study dates: From to i 16. Expected date of completion for See actor 17. Wath this, | hereby state that | shall fulfil all conditions aécertamned by tre Ministry of Education. assure that one copy of my dissertation/thesis/report shall be given to the Educational Planning & Research Division, Ministry of Education through my Head of Department/Faculty once itis completed. Date Researcher's Signature PART D; To be filled by the researcher's Head of Department/Faculty thereby Comments (if any) ‘Support this application Do not support this application ‘The researcher has given an undertaking that a copy of his/her dissertationthesisireport shall be given to the Educational Planning & Research Division, Ministry of Education when it has been completed through the Head of DepanmentFaculty, Date Signature of Head of DeparimenvFaculty Name Officiat Stamp: