UNIVERSITI TEKNOLOGI PETRONAS POSTGRADUATE STUDIES

APPLICATION FOR POSTGRADUATE STUDIES

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INSTRUCTIONS TO APPLICANTS: 1. ` 2. Please fill in this form using BLOCK LETTERS. The following documents are required to be submitted together with this application form (please tick): Four (4) recent passport-size photographs Certified true copies of Identification Card (IC) or passport Certified true copies of official academic transcripts and degree scrolls. Documentary evidence of financial support Recommendations from two (2) referees A 2000-word research proposal (for research candidates only). Please follow the “Guidelines to Writing Research Proposal”. 3. Please note, incomplete application forms may delay the processing of the forms. The University reserves the right to cancel, restructure or change the programmes according to the academic requirements.

---------------------------------------------------------------------------------------------------------------------------------------A. APPLICATION DETAILS
MSc by Research By Research Chemical Engineering Civil Engineering Electrical & Electronic Engineering Mechanical Engineering Information Technology Mode of Study Academic Year For Research Programmes only: Area of Specialization : Proposed Supervisor: On Campus Intake : Off Campus January July PhD MSc by Coursework and Dissertation By Coursework and Dissertation MSc Petroleum Engineering MSc Process Integration MSc Petroleum Geoscience MSc Electronic Systems Design MSc Asset Management & Maintenance

Degree Applied For Programme of Study

B.

PERSONAL DETAILS
Full Name: (Underline your last name)

Gender: Date of Birth: Age: Nationality: Mailing Address:

Male years -

Female

NRIC/Passport No: Place of Birth: Single Married Religion: Divorced

Marital Status: Ethnicity:

Postcode: Tel. No.: Permanent Address: Fax: E-mail Address:

Postcode:

C.

ACADEMIC QUALIFICATIONS
Please provide details of degree obtained from University/College/Other Tertiary Institutions Qualification obtained CGPA (or equivalent) Name of Institution Period of study From To Medium of Instruction

Other professional qualifications:

Research experience:

Publications (provide citations):

D.

LANGUAGE PROFICIENCY
Grade Year Passed

Proficiency in Malay language (For local applicants only) Proficiency in Malay language in SPM/MCE Proficiency in English language (For all applicants) Test Date Taken Grade/Point Obtained

E.

WORKING EXPERIENCE

Please provide details of current and previous employment (start with the most recent) Present Position : Business Address :

Postcode: Tel No: From To Fax No: Position and Nature of Work Email: Employer

F.

FINANCIAL SUPPORT
I am a self-financed student/have financial support from my family I am fully sponsored by my home government/employer/other organization (attach evidence) I am awarded a scholarship by __________________ (attach evidence) I am applying for the UTP Research Officer Postgraduate Assistantship Scheme (ROPAS) I am applying for the UTP Graduate Assistantship Scheme (GA) If my application for UTP ROPAS/GA Scheme is unsuccessful, I with to study as a full-fee paying student Yes No

Please indicate your source of financial support while studying at UTP.

G.

REFEREES
Please provide details of two referees who are able to comment on your academic capabilities. Name Organization Tel. No. Email Address

H.

PERSON TO BE NOTIFIED IN CASE OF EMERGENCY
Name : Address : Relationship :

Postcode: Tel No: Fax: Email:

I.

DECLARATION

I declare that all the information stated in this application form is true and correct. I understand that if at any time the information or part thereof stated in this declaration is found contrary to facts, the University has the authority to disqualify, or if I am already admitted, to terminate my candidature.

Signature of Applicant

Date

HOW TO APPLY
Please return completed application forms to: Postgraduate Studies Programme 1st Floor, Block J, Universiti Teknologi PETRONAS Bandar Seri Iskandar 31750 Tronoh Perak Darul Ridzuan Tel: 05-3688190/1/3 Fax : 05-3654090 Email: pgs_utp@petronas.com.my Closing Dates International Applicants 30 September (previous year) 31 March

Intake

Local Applicants 31 October (previous year) 30 April

January July

REFEREE’S REPORT (CONFIDENTIAL) POSTGRADUATE DEGREE APPLICATION LETTER OF RECOMMENDATION APPLICANT’S INFORMATION

SECTION A: To be completed by applicant
Name Programme Applied For

M. Andri Setiawan PhD in IT/IS

SECTION B: To be completed by referee
The candidate above is applying for admission for postgraduate study at Universiti Teknologi PETRONAS and has given your name as a referee. We appreciate your evaluation of the applicant and look forward to a quick response. All information will be treated as confidential. You can send your reports to the following address: Postgraduate Studies Programme Universiti Teknologi PETRONAS Bandar Seri Iskandar 31750 Tronoh Perak Darul Ridzuan Tel: 05-3688190/1/3 Fax : 05-3654090 You are requested to complete questions 1 – 6 in this report. 1. How long have you known the applicant? In what capacity? 2.

Email: pgs_utp@petronas.com.my

4 years

He is my student in Gadjah Mada University

How do you rate the candidate’s academic ability?

He is a very hardworking student and show a very good result when he did his research and project under my supervisory. His academic achievement was proven from his degree roll that he is an outstanding student.

3.

Taking an overall view, what do you consider to be the applicant’s major talents and most significant weaknesses?

He is a very creative and innovative student, and work very good in a team and a very flexible person

4.

In which category would you place the applicant in relation to the group in which you know him/her? Outstanding Intellectual ability Capacity for original thought Diligence Self-reliance and independence Above average Average Below average Unable to comment

V V V V

5.

Please feel free, either in the following space or in a separate letter, to make any further comments which you think will be helpful.

From the overall view I consider that he has the ability to undertake a doctorate degree

6.

How strongly do you support this application? Strongly recommend Recommend Recommend with reservations Do not recommend

V

Name Address

Teguh Bharata Adji

Position

Bachelor degree supervisor

Department of Electrical Engineering, Faculty of Engineering, Gadjah Mada University.

Jl. Grafika 2, Sleman, Yogyakarta, Indonesia
Postcode: Tel No Signature

55281

+62 274 547506

Fax No

+62 274 547506

Email Date

adji@mti.ugm.ac.id April 17, 2007

REFEREE’S REPORT (CONFIDENTIAL) POSTGRADUATE DEGREE APPLICA TION LETTER OF RECOMMENDATION APPLICANT’S INFORMATION

SECTION A: To be completed by applicant
Name Programme Applied For

SECTION B: To be completed by referee
The candidate above is applying for admission for postgraduate study at Universiti Teknologi PETRONAS and has given your name as a referee. We appreciate your evaluation of the applicant and look forward to a quick response. All information will be treated as confidential. You can send your reports to the following address: Postgraduate Studies Programme Universiti Teknologi PETRONAS Bandar Seri Iskandar 31750 Tronoh Perak Darul Ridzuan Tel: 05-3688190/1/3 Fax : 05-3654090 You are requested to complete questions 1 – 6 in this report. 1. How long have you known the applicant? In what capacity? 2. How do you rate the candidate’s academic ability?

Email: pgs_utp@petronas.com.my

3.

Taking an overall view, what do you consider to be the applicant’s major talents and most significant weaknesses?

4.

In which category would you place the applicant in relation to the group in which you know him/her? Outstanding Intellectual ability Capacity for original thought Diligence Self-reliance and independence Above average Average Below average Unable to comment

5.

Please feel free, either in the following space or in a separate letter, to make any further comments which you think will be helpful.

6.

How strongly do you support this application? Strongly recommend Recommend Recommend with reservations Do not recommend

Name Address

Position

Postcode: Tel No Signature Fax No Email Date

GUIDELINES TO PREPARING RESEARCH PROPOSALS
This guideline is intended for candidates applying to pursue their postgraduate degrees by research. Candidates are required to submit a 2000-word research proposal, which should comprise the following elements: Background or a brief literature review on the research topic Ø Describe the current state of the art. Why is the research needed? Outline previous work in this field. How will the results fill this need and how will the results be beneficial? To what extent does this research build upon or add to existing research.

Objective of study Ø Describe the objectives that influence the research. May be stated as questions which the research seeks to answer or as hypotheses to be tested.

Scope of study Ø Be specific in what you want to conduct research on, and try to draw a boundary around the area of study that you think you can finish within the time allowed.

Methodology Ø Describe the design or procedural plan to be followed or methods to be used in the study such as library research, lab work, field work, historical documentary, interview, survey, evaluation and analysis, pitfalls that may be encountered and limitations to proposed procedures.

Work schedule Ø Ø Please provide a detailed Gantt chart, stating the expected commencement date of research, and the expected date of the submission of the final thesis. When preparing a framework for the research, please include time estimates for the completion of its various phases bearing in mind the maximum periods of candidacy

Equipment required (where applicable) Ø Any special equipment, techniques, literature or statistical advice needed?

Estimated costs (where applicable) Ø Please provide a brief estimate of costs involved in completing the research.

Brief bibliography or references Ø A familiarity with the literature in the field should be shown.

UTP FINANCIAL ASSISTANCE
UTP offers limited financial assistance to deserving candidates who wish to pursue MSc and PhD by research. The two types of financial assistance are: 1. GRADUATE ASSISTANTSHIP SCHEME Eligibility Requirements q For Masters of Science, candidates must posses a good Honours Degree or equivalent in the relevant field from a recognized university. For Doctor of Philosophy, candidates must possess a Masters Degree or equivalent in the relevant field from a recognized university q Research proposal approved by UTP Postgraduate Committee Period and Term of Assistantship q The period for assistantship will be decided by the Postgraduate Committee based on the actual period of study. Extension of the assistantship will be based on performance. Registration q The offer is subject to the acceptance of the registration for the programme. Value of Assistantship q Subsistence Allowance will be given: RM1320 for MSc students and RM1650 for PhD students. q All fees will be covered by the Scheme. Registration fees and hostel fees will be born by the student. Responsibilities q All candidates are required to undertake 13 hours of academic activities per week in the form of tutorials or laboratory demonstration or any other related academic activities. Termination q The University reserves the right to terminate the assistantship without notice. 2. RESEARCH OFFICER POSTGRADUATE ASSISTANTSHIP SCHEME Eligibility Requirements q For Masters of Science, candidates must posses a good Honours Degree or equivalent in the relevant field from a recognized university. For Doctor of Philosophy, candidates must possess a Masters Degree or equivalent in the relevant field from a recognized university q Research proposal approved by UTP Postgraduate Committee q Must be appointed as a Research Officer by the Research Enterprise Office of UTP Period and Term of Scholarship q The period for the assistantship will be decided by the Postgraduate Committee based on the actual period of study. Extension of the assistantship will be based on performance. Registration q The offer is subject to the acceptance of the registration for the programme. Value of Scholarship q No subsistence allowance will be given. q Only tuition fees will be covered by the Scheme. Registration, hostel and examination fees will be borne by the student Responsibilities q All candidates are required to undertake 6 hours of academic activities per week in the form of tutorials or laboratory demonstration or any other related academic activities. Termination q The University reserves the right to terminate the assistantship without notice.