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Program Penyelidikan Rakan Universiti Malaya (PRPUM) Bantuan Kecil Penyelidikan (BKP)
Program Penyelidikan Rakan Universiti Malaya (PRPUM) Bantuan Kecil Penyelidikan (BKP)
PhD
MATRIC NO.: .
(Please provide a copy of offer letter and matric card)
i.
Photo
Full Name :
2.
Female
Correspondence Address :
4.
i) Telephone No :
Male
ii) Email :
5. Date & Place of Birth :
7.
Marital Status:
(No. of Children :
9.
Passport No.
6.
Age :
8.
Name of Husband/Wife:
(For non-Malaysian)
SPECIALIZATION
INSTITUTION
YEAR
First Degree:
Class:
CGPA :
Master
PhD
Candidate Declaration :
I admit that all information specified in this application is correct and true. All copies of certificates and
letters of recommendation in support of this application are certified as requested.
I agree that the University of Malaya has the right to reject this application or cancel the offer at any time
if any of the information given is found to be untrue.
I agree that the University of Malaya has the right to reject this application without reasons given.
Date : ___________________
Signature:_______________________
(For non-Malaysian)
EMPLOYMENT
DURATION
(Min 4 months
Max 12
months)
TOTAL AMOUNT
(RM)
SUGGESTED
EMOLUMENT
TOTAL
BALANCE OF TOTAL ALLOCATION: RM ...................................................
(*Please attached the allocation)
DATE OF RA COMMENCING WORK IF OFFERED:
1.
Project detail:
Name of Supervisor:
Department:
Faculty:
2.
Title of Project :
3.
Project Number :
(Start/End date:
Signature
: .
Chop
: ...
Date
: ...
: ..
Chop
: ...
Name
: ..
Date
: ...
(For non-Malaysian)
Vote:
Sufficient
Total : RM
Insufficient
Comments:
.
.
.
Signature : .
This application form must be completed and attached with a copy of the Passport and
Visa, copies of other relevant certificates and addressed to :
Director
Centre of Grant Management Unit (UPGP)
Level 4, Research & Innovation Management Complex
University of Malaya
50603 Kuala Lumpur
2)
Application should be forwarded through the Head of the Project and Head of
Department concerned with the form duly completed.
3)
4)
5)
Application that is incomplete or does not follow procedures will result in the delay of
processing the application.
6)