Official Portal of UKM
PERMOHONAN HENDAKLAH DISERTAKAN BERSAMA DOKUMEN SEPERTI BERIKUT:
THE FOLLOWING DOCUMENTS MUST BE ATTACHED TO APPLICATION:
| |DOKUMEN |TANDAKAN (√) |
|BIL |DOCUMENT |PLEASE TICK (√) |
|NO | | |
| | |PEMOHON |Pusat Siswazah |
| | |APPLICANT |Graduate Centre |
|1. |1 keping gambar berukuran pasport | | |
| |1 passport sized photograph | | |
|2. |Salinan Kad Pengenalan/Pasport (disahkan benar dari salinan asal) | | |
| |Copy of Identity card/Passport (certified true copy) | | |
|3. |Salinan Transkrip Akademik Sarjana Muda dan Sarjana (disahkan benar dari salinan asal)| | |
| |Certificate copies of academic transcripts Bachelor Degree and Master Degree | | |
| |(certified true copy) | | |
|4. |Muka hadapan artikel yang telah diterbitkan | | |
| |Front page of the published articles | | |
|5. |Muka hadapan permohonan kemasukan ke UKM secara atas talian | | |
| |Front page of the UKM online Application Form | | |
|6 |Cadangan penyelidikan | | |
| |Research proposal | | |
|7. |Huraikan secara ringkas mengapa UKM perlu memilih anda untuk biasiswa ini | | |
| |Briefly describe why UKM should choose you for this scholarship | | |
|8. |Curriculum Vitae | | |
Borang yang telah lengkap diisi serta dokumen yang diperlukan hendaklah dihantar kepada:
Completed form and required documents must be submitted to :
Pengarah / Director
Pusat Siswazah UKM/ The UKM Graduate Centre
Universiti Kebangsaan Malaysia
43600 UKM Bangi, Selangor Darul Ehsan,
Malaysia.
e-mail: awardsandscholarship@ukm.edu.my
|BAHAGIAN A / SECTION A : |
|BUTIRAN DIRI PEMOHON / PERSONAL INFORMATION OF APPLICANT |
| |
|Nama (dalam huruf besar) / Name (in capital letters) : |
| |
| |
| |
|Tarikh Lahir : No. Matrik : |
|Date of Birth Matric No |
| |
|No. Kad Pengenalan / Pasport : Umur : |
|Identity Card No. / Passport No. Age |
| |
|Warganegara : Jantina : |
|Nationality Gender |
| |
|Negara Asal : |
|Origin Country |
| |
|Taraf perkahwinan : |
|Maritial status |
| |
|Fakulti : Jabatan : |
|Faculty Department |
| |
|Sesi/Semester yang Dipohon: |
|Session/Semester Applied for |
|eg: 2020/2021 (Semester 1) |
| |
|Jenis Program : Jenis Pengajian : |
|Programmes Type of study |
| |
|Bidang pengajian : Tempoh pengajian : |
|Field of study Duration of Study |
| |
|Nama Penyelia (jika ada) : |
|Supervisor (if any) |
| |
|Tajaan lain (jika ada) : |
|Sponsorship (if any) |
| |
|Alamat : |
|Address |
| |
| |
| |
| |
|Poskod : Negeri : |
|Postcode State |
| |
|No. Telefon : |
|Telephone No. |
| |
|Emel : |
|Email |
| |
|BAHAGIAN B/ SECTION B : |
|BUTIRAN KULULUSAN AKADEMIK / ACADEMIC QUALIFICATION |
| | | |
|Butiran |Sarjana Muda |Sarjana |
|Information |Bachelor |Master |
| | | |
| | | |
| | | |
|Nama Ijazah | | |
|Name of Degree | | |
| | | |
| | | |
| | | |
|Kelas/PNGK | | |
|Class/CGPA | | |
| | | |
| | | |
|Bidang | | |
|Specialization | | |
| | | |
| | | |
|Tahun | | |
|Year | | |
| | | |
| | | |
|Nama Universiti | | |
|Name of the University | | |
| |
|BAHAGIAN C/ SECTION C : |
|SENARAI PENERBITAN / LIST OF PUBLICATIONS |
|Artikel Jurnal/ Journal Articles |
| | | | | |
|Bil |Pengarang/ Authors |Tajuk/ Title |Maklumat Jurnal/ Journal Information |Faktor Impak Wos Dan |
|No | | |(Nama Jurnal, Nombor Jilid & Halaman/ |Kuartil Jurnal/ Wos |
| | | |Journal Name, Volume Number & Page |Impact Factor And |
| | | |Number) |Journal Quartile |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| |
|Lain-Lain Penerbitan/ Other Publications |
| |
| |
| |
|BAHAGIAN D / SECTION D : |
|PENGADIL AKADEMIK / ACADEMIC REFEREES |
| |
|SENARAIKAN DUA (2) PENGADIL AKADEMIK |
|LIST TWO (2) OF ACADEMIC REFEREES |
| |
|Senaraikan dua (2) pengadil akademik untuk menyokong permohonan anda |
|Provide two (2) academic referees to support your application |
| |
|Nama: |
|Name |
| |
|Jawatan: |
|Position |
| |
|Alamat: |
|Address |
| |
|No. Telefon: |
|Telephone No. |
| |
|Alamat Emel: |
|Email Address |
| |
| |
| |
| |
|Nama: |
|Name |
| |
|Jawatan: |
|Position |
| |
|Alamat: |
|Address |
| |
|No. Telefon: |
|Telephone No. |
| |
|Alamat Emel: |
|Email Address |
| |
| |
| |
|BAHAGIAN E / SECTION E : |
|PERAKUAN DAN PENGESAHAN PEMOHON |
|DECLARATION AND CONFIRMATION BY APPLICANT |
| |
|PERAKUAN PELAJAR/ APPLICANT DECLARATION |
| |
|Saya akui telah membaca dan memahami semua maklumat dan dokumentasi yang dimuatkan dalam borang permohonan dalam pengetahuan saya adalah benar |
|dan lengkap. Saya faham bahawa sebarang maklumat yang didapati palsu akan menyebabkan permohonan ini ditolak. Jika saya ditawarkan dan diterima |
|dalam Biasiswa Naib Canselor UKM ini, saya bersetuju mematuhi peraturan Universiti Kebangsaan Malaysia. |
| |
|I, the undersigned, declare that I have read and understand that all information and documentation provided in the application are, to the best |
|of my knowledge, correct and complete. I understand that any false statement or omission, even if unintended on my part may result a rejection |
|of my application. Finally, if I am offered and accepted to enroll in the UKM Vice-Chancellor Scholarship Fund, I agree to abide by the rules |
|and regulations of University. |
| |
| |
|Tandatangan Pemohon / Applicant Signature: Tarikh / Date: |
| |
| |
Tamat / End
-----------------------
Berkahwin
Married
Bujang
Single
Sarjana
Master
Doktor Falsafah
Doctor of Philosphy
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.