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Pusat Pengajian Pascasiswazah Centre for Postgraduate Studies UNIVERSITI MALAYSIA SABAH

BORANG PERMOHONAN SKIM BANTUAN ELAUN KHAS PEMBANTU PENGAJAR UNTUK PENERIMA BIASISWA MYMASTER (EKPP) TEACHING ASSISTANCE SPECIAL ALLOWANCE FOR MYMASTER SCHOLARSHIP RECIPIENT APPLICATION FORM (EKPP)

A. MAKLUMAT PEMOHON PARTICULAR OF APPLICANT 1. No. Pelajar Student No.

-

2. Nama Penuh (mengikut Kad Pengenalan/Pasport) Full Name (as per Identification Card/Passport)

3. No. Kad Pengenalan/Pasport Identification Card /Passport No.

4. Tarikh Lahir (HH-BB-TTTT) Birth of Date (DD-MMM-YYYY)

- -

5. Umur Age

6. Jantina Gender

Lelaki Male Perempuan Female

7. Bangsa Race

8. Warganegara Citizen

9. Alamat surat-menyurat Correspondence Address

10. No. yang boleh dihubungi Contact No.

No. Telefon Bimbit Mobile phone no.

No. Telefon Rumah House Phone No.

No. Telefon Pejabat Office Phone No.

11. E-mel E-mail

B. MAKLUMAT PENGAJIAN PARTICULARS OF STUDIES

1. Peringkat Pengajian Level of study

Doktor Falsafah Doctor of Philosophy Sarjana Falsafah Master of Philosophy Sarjana Master

2. Bidang Pengajian Field of Studies

3. Tajuk Penyelidikan Research Title

4. Nama Penyelia Name of Supervisor

5. Berapa lama pemohon mengenali Penyelia? How long have you known your Supervisor?

Bulan Month Tahun Year

Sila lekatkan gambar berukuran

passport

Please affix passport size photo

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C. PENGAKUAN DECLARATION Saya dengan sesungguhnya mengaku bahawa segala maklumat yang diberi adalah benar. Jika didapati maklumat yang diberikan adalah palsu, pihak universiti berhak membatalkan sebarang tajaan yang ditawarkan. I do hereby declare that all information given have are true. If the information given here is falsified, University has the right to cancel the scholarship offer. Nama Name ____________________________________________________________ Tandatangan Signature ____________________________________________________________ Tarikh Date ____________________________________________________________

SENARAI SEMAK BORANG PERMOHONAN SKIM BANTUAN PASCASISWAZAH CHECK LIST FOR APPLICATION FOR UMS POSTGRADUATE ASSISTANCE SCHEME

Pemohon adalah dikehendaki menghantar dokumen-dokumen berikut:- Applicants are required to submit the following documents:- JENIS DOKUMEN

Types of documents

1 set Borang Permohonan Skim Bantuan Pascasiswazah Asal yang melampirkan dokumen-dokumen berikut:- 1 set of original Application for UMS Postgraduate Assistance Scheme by attaching the following documents:-

1 salinan Surat Tawaran Biasiswa MyMaster A copy of MyMaster Scholarship Letter Offer.

Permohonan dihantar ke:- Application submitted to:-

Pusat Pengajian Pascasiswazah Universiti Malaysia Sabah Jalan UMS 88400 Kota Kinabalu, Sabah Centre for Postgraduate Studies Universiti Malaysia Sabah Jalan UMS 88400 Kota Kinabalu, Sabah Permohonan yang tidak lengkap tidak akan diproses. Incomplete application will not be processed.