UTHM/ORICC/R&D/017/2014

For Office Use

Only :
Ref. No. :
Recv. Date :

RESEARCH AND DEVELOPMENT CENTER (R&D)

OFFICE FOR RESEARCH, INNOVATION, COMMERCIALIZATION & CONSULTANCY MANAGEMENT (ORICC)
FORM OF GRADUATE RESEARCH ASSISTANT/RESEARCH ASSISTANT/ STUDENTWORK SCHEME
PROJECT DETAILS
Type of Grant
No. Vot
Research Leader
Project Duration

Information of Provision

:
:
:
:

Information of
Provision

Allowances and Services

Provision Approved

until

Expenses
Balance

TYPE OF APPOINTMENT

TYPE OF APPLICATION

Graduate Research Assistant (GRA)

New Appointment

Research Assistant (RA)

Extension

Student Work Scheme (SPB)

Appointment

Comments :

Certified by :

Assistant Registrar

DETAILS OF APPLICANT
Name
IC Number
KWSP No.
Nationality

:
:
:
:

Gender :

Family Related with Head Researcher :

Yes

Male
Female

No (Please Specify : ___________________ )

Marriage Status :
Single
Married
Others (Please Specify : ________________________ )
Correspondence Address :

Telephone No :
Bank Account No. (Bank Muamalat Malaysia Berhad) :
Please attach the photocopy of bank account slip

GRADUATE RESEARCH ASSISTANT/

RESEARCH ASSISTANT
Diploma
Degree
Master

PhD

Others (Plase state : __________________ )

Please attached :
1) Higher education certificate
2) Passport / Identity Card
3) Study offer letter
4) Matric Card

STUDENT WORK SCHEME

Course
Matric No.
Year
Faculty
Latest CGPA

:
:
:
:
:

Please attached :
1) Higher education certificate
2) Passport / Identity Card
3) Study offer letter
4) Matric Card
5) Transcript

JUSTIFICATION OF APPLICANT GRA/RA/SPB

DURATION OF APPLICATION
From

To

ESTIMATED OF ALLOWANCE/ SALARY

Application Scheme

Rate of Allowance

Duration of
Applicant

Total Estimated Indicate the

Overall Budget

Graduate Research Assistant (GRA)

Master

Refer table 1

PhD
Research Assistant (RA)

Diploma

RM 52.33 per day

Bachelor

RM 76.89 per day

Please estimated extra
15% for EPF and SOCSO

Allowance for Research Assistant (RA)

will be charge KWSP and SOCSO

Student Work Scheme (SPB)

Diploma

RM 3.00 per hour

Bachelor

RM 4.00 per hour

Master

RM 5.50 per hour

PhD

RM 7.00 per hour

Please estimated extra 3%
for SOCSO

Allowance for Student Work Scheme

(SPB) will be charge SOCSO

** Please tick P type of appointment

SIGNATURE AND OFFICIAL STAMP

DATE

RECOMMENDED BY ACADEMIC ADVISOR (for SPB appointment)

Recommended
Not Recommended
(Comment : ________________________________________________________________________ )
Signature and
official stamp

Date :

FACULTY RECOMMENDED (Deputy Dean (Research and Development))

Recommended
Not Recommended
(Comment : _______________________________________________________________________ )
Signature and
Official Stamp
Comment :

Date :
Approved /Not Approved by :
Dean ORICC

Date :