SKPSI1 iGSS Application Form

1 drp. 2

PART A APPLICANT’S PERSONAL DETAILS

To be completed by all applicants

1. Full name:

2. Passport no.: 3. Sex: _{Male Female}

4. Date of birth: 5. Nationality:

6. Permanent address:

7. Current address:

Telephone no: Fax. No: E-mail :

8. Field of study:

9. Faculty/Institute:

10.

Educational Background

Name of University:

__________________________________________________________________________________ Degree Awarded:

___________________________________________________________________________________ Academic Achievement (CGPA/Percentage):

___________________________________________________________________________________

10. English Language Requirement: TOEFL/IELTS/TEP - Result:

PERKHIDMATAN UTAMA

SISWAZAH

PEJABAT TIMBALAN NAIB CANSELOR

(AKADEMIK & ANTARABANGSA)

APPLICATION FOR INTERNATIONAL

GRADUATE STUDENT SCHOLARSHIP (IGSS)

2 drp. 2 11. Name of Advisor:

Telephone no.: Fax.no.: E-mail address:

PART B STATEMENT

I certify that I am currently not receiving any financial assistance for my postgraduate study and will not accept any financial assistance while receiving this scholarship. I also certify that all information given is true. I understand that the scholarship will be withdrawn if any information is falsified).

Signature of applicant: Date:

PART C TO BE COMPLETED BY ADVISOR

Supported Not Supported

Reasons for supporting/not supporting the application:

________________________________________________________________________________________

Is the applicant’s research related to priorit research areas in UPM/Mala sia? Please e plain

________________________________________________________________________________________ ________________________________________________________________________________________

Signature and official stamp: Date:

Please include the following documents with your application: A certified copy of TOEFL/IELTS/CIEP result (if relevant) Copies of published journal article/s

Recommendation letter

A certified copy of academic transcript Research proposal

All completed applications must be sent to: