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APPLICATION FORM FOR GRADUATE RESEARCH ASSISTANT (GRA) SCHEME

INSTITUTE OF GRADUATE STUDIES (IGS)
UNIVERSITI PENDIDIKAN SULTAN IDRIS
SEMESTER ________ SESSION _________

APPLICATION REQUIREMENTS/INSTRUCTIONS

1. Full time graduate students of Universiti Pendidikan Sultan Idris

2. Undertaking Master by Research Mode / Doctor of Philosophy (Ph.D) Programme
3. The complete application form must be submitted to IPS within 14 working days before the required date.

4. Submit a Completed Application Form to:

Dean,
Institute of Graduate Studies,
Block C, Universiti Pendidikan Sultan Idris, 35900
Tanjung Malim, Perak Darul Ridzuan.

CHECKLIST AND REQUIRED DOCUMENTATION

Completed Application Form

Support Letter From Principle Supervisor

(Please State the Allowance Rate and Duration of Appointment)

Certified Copy Confirmation Letter of Postgraduate Programme

Certified Copy of Academic Transcript

Research Proposal

Academic Progress Report and Recommendation From Main Supervisor

(for student 2nd semester and above)

Read, Signed and Dated The Application Declaration

FOR OFFICE USE ONLY

The Institute of Graduate Studies Committee endorsed the following decision on _______________________

RESULTS COMMENTS

Accept

KIV

Reject
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A. APPLICANT DETAILS

Passport sized
photo

Name :

NRIC : Date of Birth :

Correspondence Address : Contacts Details:
Tel. (M) :

Tel. (H) :

Nationality: Email :

Name of Bank : Bank Account Number :

Race : Religion :

Matrix Number :

Enrolled Date as Postgraduate Student :

Mode : Programme :

Faculty :

Degree : Research Area :

Main Supervisor : Co-supervisor (if applicable) :

Name of Principal Researcher:

Research Title :

Research Code :

Duration of Appointment :

Date of Appointment : ____/____/______ to ____/____/______

B. CURRENT FINANCIAL LOAN / SCHOLARSHIP
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Financial Assistance : Yes No

(If yes, answer the following)

Type :

Sponsor :

Amount : Duration :

C. RESEARCH EXPERIENCE (If applicable, please provide evidence)

1.

2.

3.

D. PUBLICATIONS (If applicable, cite the references and provide copies)

1.

2.

3.

E. PERSONAL JUSTIFICATION
(Please justify why you have to be appointed as a research assistant)

F. DECLARATION

1. I declare that I have understood the terms and conditions of this Graduate Research Assistant Scheme.
2. I am currently enrolled as a full time registered postgraduate student.
3. I certify all information given in this application is correct to my best knowledge.
4. I am agree to abide by the institution's conditions of award as amended from time to time.
5. Failure to provide true information as requested can lead to disqualification and termination of award.

Signature : __________________________

Name : ________________________________________________ Date : _____________

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G. TO BE COMPLETED BY PRINCIPAL RESEARCHER

Supervisor Co-supervisor
Comment on the suitability of applicant for Graduate Research Assistant Scheme:

Signature : __________________________

Name & Official Stamp : ______________________________________ Date : ______________

H. DECLARATION BY MAIN SUPERVISOR
(Complete this section if Principal Researcher is not the Main Supervisor)

I am agree and willing to allow this student to be appointed as Graduate Research Assistant Scheme
__________________________(Research Code) and the research grant is in accordance with student research proposal.

Signature : __________________________

Name & Official Stamp : ______________________________________ Date : ______________

I. DEAN OF FACULTY APPROVAL

Comment :

Signature : __________________________

Name & Official Stamp : ______________________________________ Date : ______________

J. DECLARATION BY THE DEAN OF IGS /DEPUTY DEAN

Comment :

Signature : __________________________

Name & Official Stamp : ______________________________________ Date : ______________