KEMENTERIAN PEKERJAAN UMUM DAN PERUMAHAN RAKYAT BADAN PENGEMBANGAN SUMBER DAYA MANUSIA

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KEMENTERIAN PEKERJAAN UMUM DAN PERUMAHAN RAKYAT BADAN PENGEMBANGAN SUMBER DAYA MANUSIA

Jl. Pattimura No. 20, Kebayoran Baru - Jakarta Selatan, Telepon (021) 275 15703, Facsimile (021) 275 15703

Nomor : KP.0903-Ms/240 Jakarta, 22 Februari 2022 Lampiran : 1 (satu) berkas

Sifat : Segera

Perihal : Penawaran Program Beasiswa Magister Pemerintah Thailand Tahun 2022 Yth.

1. Para Sekretaris Unit Organisasi

2. Para Kepala Biro/Pusat di lingkungan Sekretariat Jenderal 3. Para Kepala Pusat di lingkungan BPSDM

4. Direktur Politeknik PU

Kementerian Pekerjaan Umum dan Perumahan Rakyat di –

J a k a r t a

Sehubungan dengan surat Kepala Biro Perencanaan Anggaran dan Kerja Sama Luar Negeri nomor KP.09.02-Sr/166 tanggal 16 Februari hal Tawaran Beasiswa Master Program / Pascasarjana dari Pemerintah Thailand TA 2022, dengan hormat kami sampaikan penawaran program dengan rincian sebagai berikut :

1. Pemerintah Thailand menawarkan beasiswa Master Program/Pascasarjana TA. 2022/ 2023, yang terbagi dalam 5 (lima) tema utama, yakni Sufficiency Economy Philosophy (SEP), Perubahan Iklim, Ketahanan Pangan, Kesehatan Masyarakat, dan topik lainnya terkait Sustainable Development Goals (SDGs). Adapun daftar prodi Beasiswa yang sesuai dengan kebutuhan Kementerian PUPR sebagaimana terlampir.

2. Informasi mengenai persyaratan, prosedur pelamar dan application form sebagaimana terlampir serta dapat diakses melalui https://bit.ly/Penawaran_MasterProgramThailand2022.

3. Pemilihan program studi dan seluruh proses pengajuan tugas belajar mengacu pada SE Menteri nomor : 02/SE/M/2019 tentang Pelaksanaan Pendidikan Lanjutan Program Magister dan Doktoral dan Surat Sekretaris Jenderal Nomor SM.04-Sj/480 tanggal 14 Juni 2021 tentang Pelaksanaan Pendidikan Lanjutan Program Magister (S2) dan Doktoral (S3) dimana pilihan bidang studi yang didasarkan pada kebutuhan kompetensi teknis Unit Organisasi dan disesuaikan dengan latar belakang pendidikan calon peserta.

4. Adapun mekanisme pendaftaran sebagai berikut:

a. Wajib melakukan pendaftaran online melalui link https://bit.ly/TIPP2022.

b. Pencalonan peserta agar melampirkan berkas administrasi sebagai berikut:

1) Surat keterangan sehat dari institusi kesehatan (medical form pada application form wajib diisi dan ditandatangani dokter berwenang)

2) Ijazah dan transkrip nilai pendidikan S1/setara yang telah dilegalisir dalam Bahasa Inggris 3) Surat rekomendasi dari Unit Organisasi dan Badan Pengembangan Sumber Daya Manusia 4) Sertifikat Bahasa Inggris terbaru TOEFL atau IELTS sesuai persyaratan masing-masing

universitas

5) Formulir aplikasi TIPP yang telah diisi lengkap

6) Dokumen kelengkapan lain sesuai persyaratan masing-masing universitas.

5. Guna proses endorsement oleh Biro Kerja Sama Teknik Luar Negeri Kementerian Sekretariat Negara RI, calon peserta wajib mengunggah soft copy seluruh berkas persyaratan ke dalam Google Drive masing-masing calon peserta dan mengisi link https://bit.ly/Endorsement_MasterProgramThailand2022 paling lambat tanggal 4 Maret 2022, serta mengirimkan pemberitahuan ke Biro Kerja Sama Teknik Luar Negeri Kementerian Sekretariat Negara RI melalui e-mail ktssbilateralsetneg@gmail.com.

6. Calon peserta yang memenuhi persyaratan dan sesuai analisis kebutuhan pada unit organisasi masing-masing dapat disampaikan kepada Sekretariat Badan Pengembangan Sumber Daya Manusia untuk mendapatkan rekomendasi pemilihan program studi paling lambat tanggal 02 Maret 2022.

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7. Calon peserta yang diusulkan oleh unit organisasi harus mendapatkan rekomendasi sebelum mengikuti proses seleksi. Bagi calon yang direkomendasikan melakukan pendaftaran secara online sesuai dengan ketentuan pihak penyelenggara.

8. Bagi calon peserta yang lulus seleksi beasiswa namun tidak melapor kepada Pejabat Pembina Kepegawaian Unit Organisasi dan kepada BPSDM pada proses awal pendaftaran, maka rekomendasi untuk penerbitan SK Tugas Belajar dan administrasi lainnya tidak dapat kami proses.

9. Kementerian PUPR tidak dapat memfasilitasi pembiayaan dengan mekanisme cost sharing.

Demikian kami sampaikan. Atas perhatiannya kami ucapkan terima kasih.

Sekretaris Badan Pengembangan Sumber Daya Manusia

Ir. Herman Suroyo, M.T NIP. 196307141992031010

Tembusan Kepada :

1. Kepala Badan Pengembangan Sumber Daya Manusia (sebagai laporan);

2. Kepala Biro Kepegawaian, Organisasi, dan Tata Laksana;

3. Kepala Bagian Kepegawaian dan Umum, Sekretariat BPSDM.

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Nomor : KP.0903-Ms/240 Tanggal : 22 Februari 2022 Lampiran : 1 (satu) berkas

Hal : Penawaran Program Beasiswa Magister Pemerintah Thailand Tahun 2022 Daftar Program Studi Beasiswa Pemerintah Thailand

No Program Studi Universitas Waktu Pendidikan

1.

Master of Engineering Program in Environmental Engineering

Naresuan University 2 tahun (Juni 2022 – Maret 2024)

2. Master of Science Program in

Disaster Management Naresuan University 2 tahun (Juni 2022 – Maret 2024)

3.

Master of Science Program in Environmental Management and Technology

Mahidol University 2 tahun (Agustus 2022 – Mei 2024)

4. Master of Arts in Social

Innovation and Sustainability Thammasat University 1 tahun (Agustus 2022 – Juli 2023)

5.

Master of Arts in

Environment, Development and Sustainability

Chulalongkorn University 2 tahun (Agustus 2022 – 2024)

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KEMENTERIAN PEKERJAAN UMUM DAN PERUMAHAN RAKYAT SEKRETARIAT JENDERAL

Jalan Pattimura Nomor 20, Kebayoran Baru, Jakarta 12110, Telepon (021) 7392681, Faksimili (021) 7243623

Nomor : KP.09.02-Sr/166 Jakarta, 16 Februari 2022 Sifat : SEGERA

Lampiran :

Hal : Tawaran Beasiswa Master Program/Pascasarjana dari Pemerintah Thailand TA. 2022

Yth.

Sekretaris Badan Pengembangan Sumber Daya Manusia di-

Jakarta

Sehubungan dengan Surat Kepala Biro Kerja Sama Teknik Luar Negeri Kementerian Sekretariat Negara RI Nomor: B-75/S/KTLN/LN.03.00/02/2022 Tanggal 10 Februari 2022 (salinan terlampir), bersama ini dengan hormat disampaikan hal-hal sebagai berikut:

1. Pemerintah Thailand menawarkan beasiswa Master Program/Pascasarjana TA. 2022/

2023 (daftar Master Program terlampir), yang terbagi dalam 5 (lima) tema utama, yakni Sufficiency Economy Philosophy (SEP), Perubahan Iklim, Ketahanan Pangan, Kesehatan Masyarakat, dan topik lainnya terkait Sustainable Development Goals (SDGs).

2. Informasi terkait penawaran beasiswa tersebut dapat diakses melalui link https://bit.ly/Penawaran_MasterProgramThailand2022.

3. Adapun mekanisme pendaftaran sebagai berikut:

a. Wajib melakukan pendaftaran online melalui link https://bit.ly/TIPP2022.

b. Pencalonan peserta agar melampirkan berkas administrasi sebagai berikut:

1) Surat keterangan sehat dari institusi kesehatan (medical form pada application form wajib diisi dan ditandatangani dokter berwenang);

2) Ijazah dan transkrip nilai pendidikan S1/setara yang telah dilegalisir dalam Bahasa Inggris;

3) Surat rekomendasi dari Unit Organisasi dan Badan Pengembangan Sumber Daya Manusia;

4) Sertifikat Bahasa Inggris terbaru TOEFL atau IELTS sesuai persyaratan masing- masing universitas;

5) Formulir aplikasi TIPP yang telah diisi lengkap;

6) Dokumen kelengkapan lain sesuai persyaratan masing-masing universitas.

c. Guna proses endorsement oleh Biro Kerja Sama Teknik Luar Negeri Kementerian Sekretariat Negara RI, calon peserta wajib mengunggah soft copy seluruh berkas persyaratan ke dalam Google Drive masing-masing calon peserta dan mengisi link https://bit.ly/Endorsement_MasterProgramThailand2022 paling lambat tanggal 4 Maret 2022, serta mengirimkan pemberitahuan ke Biro Kerja Sama Teknik Luar Negeri Kementerian Sekretariat Negara RI melalui e-mail ktssbilateralsetneg@gmail.com.

4. Terkait hal…

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4. Terkait hal tersebut, mohon bantuannya agar dapat menginformasikan tawaran beasiswa tersebut kepada Unit Organisasi di lingkungan Kementerian Pekerjaan Umum dan Perumahan Rakyat yang sesuai dengan bidang tugas dan fungsi dari masing-masing Unit Organisasi.

Demikian kami sampaikan. Atas perhatian dan kerjasamanya, diucapkan terima kasih.

Kepala Biro Perencanaan Anggaran dan Kerja Sama Luar Negeri Ir. Edy Juharsyah, M.Tech.

NIP. 196705121993031004

Ditandatangani secara elektronik

Tembusan:

1. Bapak Sekretaris Jenderal Kementerian PUPR (sebagai laporan);

2. Bapak Kepala Badan Pengembangan Sumber Daya Manusia, Kementerian PUPR;

3. Kepala Biro Kepegawaian Organisasi dan Tata Laksana, Sekretariat Jenderal, Kementerian PUPR.

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Lampiran Surat Kepala Biro Perencanaan Anggaran dan Kerja Sama Luar Negeri Nomor : KP.09.02-Sr/166

Tanggal : 16 Februari 2022

Daftar Program Studi Beasiswa Master Degree dari Pemerintah Thailand

No Program Studi Universitas Durasi Tema

1

Master of Engineering Program in Environmental

Engineering Naresuan

University

2 tahun

(June 2022 – March 2024)

Climate Change 2 Master of Science Program

in Disaster Management

2 tahun

(June 2022 – March 2024)

3

Master of Science Program in Environmental

Management and Technology

Mahidol University

2 tahun

(August 2022 – May 2024)

4 Master of Arts Program in Asia Pacific Studies

Thammasat University

18 bulan

(August 2022 – January 2024)

SDGs 5

Master of Arts in Social Innovation and

Sustainability

1 tahun

(August 2022 – July 2023) 6

Master of Arts Program in Diplomacy and International Studies

Rangsit University

1 tahun

(August 2022 – July 2023) 7

Master of Arts in

Environment, Development and Sustainability

Chulalongkorn University

2 tahun (August 2022 – 2024)

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KEMENTERIAN SEKRETARIAT NEGARA REPUBLIK INDONESIA

Jalan Veteran No. 17-18, Jakarta 10110, Telepon (021) 3845627, 3442327 Faksimile (021) 3813583, Situs: www.setneg.go.id

Nomor : B-75/S/KTLN/LN.03.00/02/2022 10 Februari 2022

Sifat : Segera

Hal : Penawaran Beasiswa Master Program/Pascasarjana oleh Pemerintah Thailand TA 2022

Yth. Pejabat terlampir di tempat

Bersama ini dengan hormat, kami sampaikan tawaran 23 (dua puluh tiga) program beasiswa master program/pascasarjana dari Pemerintah Thailand Tahun Akademik 2022/2023, yang terbagi dalam 5 (lima) tema utama yakni Sufﬁciency Economy Philosophy (SEP), perubahan iklim, ketahanan pangan, kesehatan masyarakat, dan topik lainnya terkait Sustainable Development Goals (SDGs). Informasi terkait penawaran beasiswa tersebut, detail program studi yang ditawarkan oleh masing-masing universitas, tata cara pendaftaran dan formulir aplikasi dapat dilihat pada general information terlampir atau diakses melalui link https://bit.ly/Penawaran_MasterProgramThailand2022.

Berkenaan dengan kesempatan dimaksud, instansi Saudara dapat mengajukan Pegawai Negeri Sipil (PNS) sebagai calon penerima beasiswa, yang tugas dan fungsinya sesuai dengan program beasiswa dari masing-masing universitas dimaksud. Adapun mekanisme pendaftaran yang berlaku adalah sebagai berikut.

1. Diutamakan berumur di bawah 45 tahun.

2. Sehat secara ﬁsik dan mental.

3. Wajib melakukan pendaftaran online melalui link https://bit.ly/TIPP2022.

4. Pencalonan peserta agar melampirkan berkas administrasi sebagai berikut:

a. surat pengantar/rekomendasi dari focal point masing-masing instansi yang ditujukan kepada Kepala Biro KTLN Kemensetneg. Bagi instansi daerah harap mengecek alur koordinasi instansi kementerian/lembaga pusatnya;

b. surat keterangan sehat dari institusi kesehatan (medical form pada application form wajib diisi dan ditandatangani dokter berwenang);

c. ijazah dan transkrip nilai pendidikan S1/setara yang telah dilegalisir dalam Bahasa Inggris;

d. surat rekomendasi dari 2 orang (surat tersebut dapat berasal dari dosen di universitas saat menempuh S1 atau atasan di kantor/organisasi);

e. sertiﬁkat Bahasa Inggris terbaru TOEFL atau IELTS sesuai persyaratan masing-masing universitas;

f. formulir aplikasi TIPP yang telah diisi lengkap;

g. dokumen kelengkapan lain sesuai persyaratan masing-masing universitas.

Dokumen ini telah ditandatangani secara elektronik.

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5. Guna proses endorsement oleh Biro KTLN Kemensetneg, calon peserta wajib mengunggah soft copy seluruh berkas persyaratan ke dalam Google Drive masing-masing calon peserta dan mengisi link https://bit.ly/Endorsement_MasterProgramThailand2022 paling lambat tanggal 5 Maret 2022, serta menginfokan kepada PIC Biro KTLN Kemensetneg melalui e-mail

ktssbilateralsetneg@gmail.com.

Seluruh berkas yang disampaikan harus diisi dengan menggunakan Bahasa Inggris.

Untuk informasi lebih lanjut, dapat menghubungi kami melalui e-mail kstbilateral@setneg.go.id dan ktssbilateralsetneg@gmail.com dengan subjek "Master ProgramThailand 2022", serta website resmi Biro Kerja Sama Teknik Luar Negeri, Kemensetneg https://ktln.setneg.go.id.

Atas perhatian dan kerja sama yang baik, kami sampaikan terima kasih.

Kepala Biro Kerja Sama Teknik Luar Negeri,

Noviyanti

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Lampiran 1 Surat Dinas

Kepala Biro Kerja Sama Teknik Luar Negeri Nomor : B-75/S/KTLN/LN.03.00/02/2022 Tanggal : 10 Februari 2022

DAFTAR PEJABAT YANG DIKIRIMI SURAT DINAS

1. Sekretaris Kementerian Badan Usaha Milik Negara 2. Sekretaris Kementerian Pemuda dan Olahraga 3. Sekretaris Jenderal, Dewan Perwakilan Daerah 4. Sekretaris Jenderal, Dewan Perwakilan Rakyat

5. Sekretaris Jenderal, Majelis Permusyawaratan Rakyat 6. Sekretaris Jenderal, Mahkamah Konstitusi

7. Sekretaris Jenderal, Komisi Yudisial

8. Sekretaris Jenderal, Badan Narkotika Nasional

9. Sekretaris Utama, Badan Nasional Penanggulangan Bencana 10. Sekretaris Utama, Badan SAR Nasional

11. Sekretaris Utama, Badan Standardisasi Nasional

12. Sekretaris Utama, Perpustakaan Nasional Republik Indonesia

13. Sekretaris Jenderal, Lembaga Kebijakan Pengadaan Barang/Jasa Pemerintah 14. Sekretaris Utama, Arsip Nasional Republik Indonesia

15. Sekretaris Utama, Badan Koordinasi Penanaman Modal 16. Sekretaris Utama, Lembaga Ketahanan Nasional 17. Sekretaris Jenderal, Ombudsman Republik Indonesia

18. Sekretaris Jenderal, u.p. Dirkersin Ditjen Strahan, Kementerian Pertahanan 19. Sekretaris Utama, u.p. Direktur Kerja Sama, Badan Keamanan Laut

20. Sekretaris Jenderal, u.p Kepala Pusat Kerja Sama Internasional, Kementerian Komunikasi dan Informatika

21. Sekretaris Utama, u.p. Kepala OSDM, Badan Siber dan Sandi Negara

22. Sekretaris Ditjen Ketahanan, Perwilayahan, dan Akses Industri Internasional, Kementerian Perindustrian

23. Kepala Biro Kepegawaian, Organisasi dan Tata Laksana, Sekretariat Kabinet

24. Kepala Biro Manajemen Kinerja, Organisasi, dan Kerja Sama, Kementerian Pendayagunaan Aparatur Negara dan Reformasi Birokrasi

25. Kepala Biro SDM, Kementerian Pendayagunaan Aparatur Negara dan Reformasi Birokrasi 26. Kepala Biro Kepegawaian, Kementerian Koordinator Bidang Politik, Hukum, dan Keamanan 27. Kepala Biro Umum, Kementerian Koordinator Bidang Perekonomian

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28. Kepala Biro Umum, Kementerian Koordinator Bidang Pembangunan Manusia dan Kebudayaan

29. Kepala Biro Umum, Kementerian Koordinator Bidang Kemaritiman dan Investasi 30. Kepala Biro Hukum dan Kerja Sama Luar Negeri, Kementerian Agama

31. Kepala Pusat Fasilitasi Kerja Sama, Kementerian Dalam Negeri

32. Kepala Biro Perencanaan dan Kerja Sama Luar Negeri, Kementerian Desa, Pembangunan Daerah Tertinggal, dan Transmigrasi

33. Kepala Biro Komunikasi, Layanan Informasi Publik, dan Kerja Sama, Kementerian Energi dan Sumber Daya Mineral

34. Kepala Biro Kepegawaian, Kementerian Hukum dan Hak Asasi Manusia 35. Kepala Biro Humas dan Kerja Sama, Kementerian Kelautan dan Perikanan 36. Kepala Biro Kerja Sama Luar Negeri, Kementerian Kesehatan

37. Kepala Biro Kerja Sama Luar Negeri, Kementerian Ketenagakerjaan

38. Kepala Pusat Kebijakan Regional dan Bilateral, Badan Kebijakan Fiskal, Kementerian Keuangan

39. Kepala Pusat Pendidikan dan Pelatihan Pengembangan Sumber Daya Manusia, Kementerian Keuangan

40. Kepala Biro Sumber Daya Manusia, Komisi Pemilihan Umum 41. Kepala Biro Administrasi, Badan Pengawas Pemilihan Umum

42. Kepala Biro Perencanaan, Kementerian Koperasi dan Usaha Kecil dan Menengah 43. Kepala Biro Kerja Sama Luar Negeri, Kementerian Lingkungan Hidup dan Kehutanan 44. Kepala Pusat Pendidikan dan Pelatihan, Kementerian Luar Negeri

45. Kepala Biro Kerja Sama dan Hubungan Masyarakat, Kementerian Pendidikan, Kebudayaan, Riset, dan Teknologi

46. Sekretaris Utama, Badan Riset dan Inovasi Nasional (BRIN)

47. Kepala Biro Perencanaan dan Kerja Sama Luar Negeri, Kementerian Pekerjaan Umum dan Perumahan Rakyat

48. Kepala Biro Hukum dan Humas, Kementerian Pemberdayaan Perempuan dan Perlindungan Anak

49. Kepala Biro Perencanaan, Kementerian Perdagangan

50. Kepala Badan Pengembangan SDM, Kementerian Perhubungan 51. Kepala Biro Kerja Sama Luar Negeri, Kementerian Pertanian 52. Kepala Biro Perencanaan, Kementerian Sosial

53. Kepala Biro Humas dan Kerja Sama Internasional, Badan Pemeriksa Keuangan 54. Kepala Biro Humas dan Protokol, Mahkamah Agung

55. Kepala Biro Hukum dan Hubungan Luar Negeri, Kejaksaan Agung Republik Indonesia 56. Kepala Pusat Pelatihan dan Kerja Sama Internasional KKB, Badan Kependudukan dan

Keluarga Berencana Nasional

57. Kepala Pusat Penerangan, Tentara Nasional Republik Indonesia

58. Kepala Divisi Hubungan Internasional, Kepolisian Negara Republik Indonesia

59. Kepala Biro Hubungan Masyarakat, Hukum dan Kerja Sama, Badan Kepegawaian Negara

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60. Kepala Biro Hukum dan Organisasi, Badan Meteorologi, Klimatologi, dan Geoﬁsika

61. Kepala Biro Kepegawaian dan Organisasi, Badan Pengawas Keuangan dan Pembangunan 62. Kepala Biro Perencanaan, Kepegawaian, dan Hukum, Badan Informasi Geospasial

63. Kepala Biro Kerja Sama Luar Negeri, Badan Pengawasan Obat dan Makanan 64. Kepala Biro Hukum dan Humas, Badan Pusat Statistik

65. Kepala Biro Perencanaan, Hukum, Humas dan Protokol, Lembaga Administrasi Negara 66. Direktur Pemasaran Pariwisata Regional I, Kementerian Pariwisata dan Ekonomi Kreatif 67. Kepala Biro Perencanaan, Pengawasan Internal dan Kerja Sama, Komisi Nasional Hak Asasi

Manusia

68. Kepala Sekretariat Kantor Staf Kepresidenan

69. Kepala Biro Sumber Daya Manusia, Kementerian Perencanaan Pembangunan Nasional/BAPPENAS

Kepala Biro Kerja Sama Teknik Luar Negeri,

Noviyanti

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Thailand International Cooperation Agency Ministry of Foreign Affairs of Thailand

GUIDELINES

for Thailand International Postgraduate Programme (TIPP)

1. Qualifications

1.1 Candidates must be nominated by the National Focal Point for International Development Cooperation in a country from the TIPP eligible countries/territories list. (See “List of Eligible Countries/Territories”)

1.2 Candidates should be preferred working in the government sector or in the area which related to the course was provided

1.3 Candidates must have Bachelor’s degree and/or professional experience related field or related to graduate degree.

1.4 Candidates must have a good command of English.

1.5 Candidates whose first language is not English and Bachelor’s degree was not instructed in English, have to pass an English Language proficiency test according to criteria required by the academic insitution regulations.

1.6 It is recommended that candidates should beno more than 45 years of age.

1.7 Candidates must have good physical and mental condition.

1.8 TICA reserves the rights to revoke scholarship offered to awardees who violate rules and regulations.

1.9 Other requirements apart from these will be under consideration by the University regulations.

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-2- 2. Procedures for application submissions

2.1 The candidates must fill in the online application form on TICA website: Thailand International Cooperation Agency (TICA). Menu: Fellowships and Scholarships, Sub - menu:

Thailand International Postgraduate Programme, Click on: TIPP 2022 or access the online application form at https://forms.gle/Azn48mUEafSc1aNN9

2.2 The candidates must be nominated by the National Focal Point for International Development Cooperation (such as Ministry of Foreign Affairs) or by relevant central government agencies for which the nominated candidates currently work. Nomination must be in line with relevant rules and regulations of the nominating countries/territories. The National Focal Point will forward the nominated candidates’ documents to the Royal Thai Embassy/Permanent Mission of Thailand to the United Nations/Royal Thai Consulate – General accredited to eligible countries/territories.

Please prepare one (1) original with two (2) copies of each document as these following items:

*1. TIPP application form (Download at: https://tica-thaigov.mfa.go.th/en/page/75500- tipp-application-form?menu=605b13dbb6f1b76ed31778b3)

*2. Medical report (If candidates had submitted other health certificates without the medical report form, their application will not be accepted for consideration.)

*3. Transcript of Bachelor’s degree (to show the courses that you have learnt throughout Bachelor’s degree)

*4. Certificate of Bachelor’s degree

*5. Recommendation Letter from at least 2 person (1 person per letter) e.g. university instructor, supervisor in the candidate’s organization, employer etc.

*6. English test score (e.g. TOEFL, IELTS) as required by the academic institution

7. Other documents as required by the academic institution (please see the course detail : subject “Document Required” for more information.)

All forms are duly filled out and endorsed by the candidates’ supervisor and the National Focal Point for International Development Cooperation. All of related documents must be in English.

*The documents number 1 – 6 are mandatory. If candidates fail to provide the specified documents, their application will not be accepted for consideration.

Each of eligible countries/territories can nominate up to five (5) candidates per academic programme.

2.3 The application procedure will complete when TICA has received the hard copy of the application form and other related documents through the Royal Thai Embassy/Permanent Mission of Thailand to the United Nations/Royal Thai Consulate – General accredited to eligible countries/

territories.

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2.4 Application from should be summited to the Royal Thai Embassy/Permanent Mission of Thailand to the United Nations/Royal Thai Consulate – General accredited to eligible countries/

territories within 1^stMarch 2022, 15^th April 2022 and 15^th May 2022 respectively, in order to be sent to Thailand International Cooperation Agency before the application’s closing date.

3. Selection of candidates

3.1 In considering applications, particular attention shall be paid to the candidates’

background, their current position in the service of their Government, and practical use they expect to make of the knowledge and experience gained from studying on the return to their Government positions.

3.2 Selection of candidates is also based on geographical distribution and gender balance, unless priority is set for particular countries/ cooperation frameworks.

4. Condition for Attendance

4.1 Awardees are required to study full time and not to change the programme topic/ study plan.

4.2 Any part time employment is not allowed.

4.3 Awardees are not allowed to bring any family members to stay with them during study.

5. Benefit of Awardees

The Royal Thai Government will bear the following expenses for successful candidates during their study in Thailand. The expenses include:

5.1 Return economy class air ticket and airport pick - up service Return economy class air ticket

- International travel - Return economy class air ticket will be provided via the most direct and most economical route from the international airport at awardee’s respective country/territory to the Suvarnabhumi International Airport, Bangkok – Thailand. The award does not cover domestic travel cost in awardee’s respective country.

Transit destination will be arranged, in case of a need for visa application to Thailand, with the most direct and the most economical route basis.

All booking and changes to the booking, including setting of date of arrival and departure, must be done by TICA only. Ticket will be issued in electronic form (e -ticket) only.

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Baggage allowance quota is in line with the airlines’ policy. Any purchase for extra baggage allowance is not covered by the award.

- Domestic travel in Thailand – will be provided via the most economical route from the Suvarnabhumi International Airport, Thailand to the airport where the university located.

Your scholarship is confirmed once the travel documents/flights are verified.

Airport pick - up service

Transfer to and from airport will be provided to awardees. TICA will coordinate directly w ith the limousine service. Upon arrival at the Suvarnabhumi International Airport, please proceed to the AOT Limousine Customer Relations counter and present the instruction of scholarship award for the airport transfer. A taxi fare paid by awardees cannot be reimbursed.

5.2 Monthly subsistence, settlement, books and thesis allowance Monthly subsistence allowance

- Living allowance - Awardees will receive living allowance at the amount of 7,000 Baht per month.

- Accommodation allowance - Awardees will receive accommodation allowance at the amount of 7,000 Baht or 9,000 Baht per month

Awardees need to bring pocket money of approximately USD300 to cover the payment of rental deposit (usually for 2 months) and advance rental for 1 month as requested by most accommodation owners. TICA will not be responsible for the deposit since awardees will receive back the deposit when their accommodation contract terminated.

Settlement allowance

Awardees will receive the settlement allowance at the amount of 6,000 Baht on their first arrival to Thailand.

Books allowance

Awardees will receive books allowance at the amount of 10,000 Baht per year. (Only 4 semesters for Master’s degree)

Thesis allowance

Awardees are strongly recommended to make necessary data collection in relation to their proposed research topic, if it is to be done in their country, prior to coming to Thailand. Awardees will be given the thesis allowance as a lump sum amount of 20,000 Baht for compulsory fieldwork or data collection and a lump sum amount of 12,000 Baht for thesis printing or 8,000 Baht for independent study (IS) printing.

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5.3 Visa arrangement

Awardees will be responsible for obtaining Non – immigrant visa Type “F” prior to their travel to Thailand. TICA will provide facilitation to awardees who require visa application i.e. liaising with the Royal Thai Embassy/Royal Thai Consulate – General and advising on appropriate procedure and necessary documents for visa application.

Awardees must cover all costs arising from visa application i.e. visa fee, travel cost to the Royal Thai Embassy/ Consulate, postal fee (in case visa application is made by post,) transit visa fee (in case awardees needs to apply for visa to Thailand at a transit country). The visa fee can be reimbursed upon presenting an original receipt of the fee.

Awardees must not bring their family members with them during their scholarship programme. Awardees in the scholarship programme cannot be used as reference for visa application to Thailand of his/her family member.

5.4 Tuition fee

Awardees’ tuition fee will be directly reimbursed from TICA, except equipment insurance fee, transcript and certificate fee

5.5 Insurance

Accident and Hospitalization Insurance during the period of study in Thailand will be provided. Cost of pre - existing illnesses, dental treatment, brain disease, mental illness, pregnancy and glasses are NOT covered. Awardees are advised to obtain their own travel insurance which is fully covered for any costs arising from loss or theft of personal belongings.

6. Contact address

For more information, please contact;

Human Resources Development Cooperation Division Thailand International Cooperation Agency (TICA), Government Complex, Building B (South Zone), 8^th Floor, Chaengwattana Rd, Laksi District, Bangkok 10210

THAILAND

https://tica-thaigov.mfa.go.th Email: tipp@mfa.mail.go.th

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Thailand International Cooperation Agency (TICA) Ministry of Foreign Affairs

APPLICATION FORM

for Thailand International Postgraduate Programme: TIPP

INSTRUCTIONS

This application form is composed of five parts. Part A to part E should be

completed in triplicate, part A to part D should be completed by the candidate and part E by the government authority. All application forms must be filled in typewritten form. Each question must be answered clearly and completely.

Detailed answers are required in order to make the most appropriate arrangements. The National Focal Point for International Development Cooperation of the nominating Government will forward one original and two copies of certified application form and other related documents to the Thaila nd International Cooperation Agency (TICA), the Government Complex, Building B (South Zone), 8^th Floor, Chaengwatta Road, Laksi District, Bangkok 10210, THAILAND, through the Royal Thai Embassy/Permanent Mission of Thailand to the United Nations/

Royal Thai Consulate – General accredited to eligible countries/territories.

The candidate is required to attach medical report or health status certification.

No consideration will be given to the late submissions or incomplete applications/documents

Course Name: ………

……….

Institute: ………..………

A. PERSONAL HISTORY

Title Family name Middle name Given name Gender

(as shown in passport and kindly attach the copy of your passport, information will be used for travel arrangement)

o Mr.

o Mrs.

o Ms.

o ……

 Male

 Female

City and country of birth Nationality Date of birth (DD/MM/YY)

Age Marital Status

Religion

Work address (Please complete this section as clear as possible, information will be used for travel arrangements.)

Home address (Please complete this section as clear as possible, information will be used for travel arrangements.)

………..

……….

Fax No: (Country Code / Area Code/ Number)

Telephone No : ...

………...

Telephone No :………

E-mail : ………...…

Fax No :...

……….….

.………... International Airport/City for departure : Name and address of person to be notified in case of emergency :

……….…

……….

Telephone No :……….Relationship of this person to you :………

Page 1 of 4 pages

(

Please attach photograph here

)

FOR OFFICIAL USE ONLY

Reference No……….

Received: ………

Checked: ……….

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Languages: READ WRITE SPEAK Excell

ent Good Fair Excell

ent Good Fair Mother tongue: ………

English

Others:………..

English Proficiency Test (please attach)  TOEFL Score ……….  IELTs Score ………..

(only a candidate for a degree course)  Other (specify) ………

Education Record:

Education Institution City / Country Years Attended Degrees, Diplomas and Certificates

Special fields of study

From To

Have you ever been trained/studied in Thailand? If yes, what course, where and for how long?

… No

… Yes, please specify……….………

Please give a list of relevant publications/researches (do not attach details)

………

Are you currently applying for scholarship (s) from other source (s)?

………

B. EMPLOYMENT RECORD (It is important to give complete information. For each post you have occupied, give details of your duties and responsibilities.)

Present or most recent post :

Dates from _______________ to ________________

Description of your work, including your personal responsibilities Title of your post:

Name of organisation:

Ministry ……….

Type of organisation:

Official address:

Description of your work, including your personal responsibilities Title of your post:

Name of organisation:

Ministry ……….

Type of organisation:

Official address:

Page 2 of 4 pages

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C. REFERENCES (Please attach the recommendation letters from three (3) persons acquainted with your academic and professional experiences.)

D. EXPECTATIONS

Please describe the practical use you will make of this training/study on your return home in relation to the responsibilities you expect to assume and the conditions existing in your country in the field of your training.

(Give the attached paper, if necessary)

………

I certify that my statements in answer to the foregoing questions are true, complete and correct.

If accepted for a scholarship award, I undertake to:

a) carry out such instructions and abide by such conditions as stipulated by both the nominating government and the host government in respect of this programme of scholarship;

b) follow the programme of scholarship, and abide by the rules of the University and Thailand International Cooperation Agency in which I undertake the scholarship;

c) refrain from engaging in political activities, or any form of employment for profit or gain;

d) study full time, make academic progress and submit progress reports to Thailand International Cooperation Agency;

e) not bring any member of my family to stay with me during the course;

f) return to my home country promptly upon the completion of my programme of scholarship.

I also fully understand that if I am granted a scholarship award and violate Thailand International Cooperation Agency’s rules and regulations, I may be required to return part or all of the scholarship paid, depending on the severity of the violation, without any appeal.

Signature of candidate: ……….………

Printed name: ………

Date: ………..………..

Page 3 of 4 pages

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E. GOVERNMENT AUTHORISATION (To be completed by the National Focal Point for International

Development Cooperation in charge of nomination of the candidate (see guideline for TIPP for detailed information on nomination.))

Supervisor’s Endorsement:

I certify that, to the best of my knowledge,

(a) all information supplied by the candidate is complete and correct;

(b) the candidate has adequate knowledge and experience in related fields and has adequate English proficiency for the purpose of the scholarship in Thailand.

On return from the scholarship, the candidate will be employed in the following position:

Title of post ……….……….……….………

Duties and responsibilities……….…..……….……….………

……….……….……….…………

………

Signature of responsible supervisor (Official stamp)

Title: ...……….……….………….………….…

Organisation: ……….

Official address: ………

……….

E-mail :………..………..………...

Date: ………..

National Focal Point for International Development Cooperation Endorsement:

(To be completed by the National Focal Point for International Development Cooperation, please affix seal here or attach a Diplomatic Note)

(Official stamp)

Page 4 of 4 pages

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Attachment

MEDICAL REPORT

Name of Candidate………

Country……….………

Age: ……… Gender: ………

Physical Examination (To be filled in by physician)

Height …………. Cms. Weight ……....….kgs. Blood Pressure ……….… mm.Hg. Pulse …….…../min.

Vision Right .…..……… Left ………... Eyes ……….…... With glasses / Without glasses Check each item in appropriate column

………

Page 1 of 2 pages

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LABORATORY EXAMINATIONS

Blood group ………..………. Blood film for malaria …..…..……….. Hb ……….…. gm%

WBC ……… Cells/cu.mm.

Differential PMN ………. % Lymp ……….…… % Mono ………..…… % Eos ………..….. % Baso ………..… % Band ……… % Blast ………. % : Colour ……….. Sp. Gr ……… pH ……….

Sugar ……….

Alb ………. Blood ………..………. Ketones …….………. Blie…………..………..

Micro : WBC ……….……./HPF., RBC ………/HPF., Epethelial………. /HPF.

Casts ………/ HPD., Others ………..………

Stool examination for parasite & Ova ………..

Chest X – Ray report ……….………

Urine pregnancy test ………..

Is the person examined at present in good health and able to work full time?

………

Is the candidate able physically and mentally to carry on intensive study away from home?

………

Is the candidate free from infectious diseases (such as tuberculosis, leprosy, syphilis and filariasis) and other conditions (such as psychosis and drug addiction) which could present risks for anyone during the scholarship period?

………

(For female candidate) Is the person examined pregnant?

………

Does the candidate have any condition or defect which might require treatment during the scholarship period?

………

I certify that the candidate is medically fit to undertake the scholarship in Thailand.

Physician signature (with stamp) ………..M.D.

(………) Full name and address of Examining physician (printed) Place and Date………

Telephone: ………

(printed)

E-mail: ……….

KEMENTERIAN PEKERJAAN UMUM DAN PERUMAHAN RAKYAT BADAN PENGEMBANGAN SUMBER DAYA MANUSIA