APPLICATION FOR

THESIS ALLOWANCE
Name :

Passport No. :

Address :

Phone No. :

Email Address :

University :

Course :

Level of study : PhD / Master / Undergraduate (Bachelor)

Thesis Title :

Date of submission :
( to the university)
Mode :
Coursework
Coursework & Thesis
Research

Account No & Bank :

I confirm that the information provided on this form is correct.

Signature :

Date :

Note : * Thesis allowance will be paid only upon submission of a hardbound of a thesis to Scholarship Division,
Ministry of Higher Education Malaysia. The thesis must be certified by the supervisor university.
* Please attach a copy of the final transcript and the thesis registration slip together with this form.

SCHOLARSHIP USE ONLY

GRANTED : Amount to be paid : RM

NOT GRANTED : Reason :

Signature : Date :