CENTRE FOR GRADUATE STUDIES

UNIVERSITI PERTAHANAN NASIONAL MALAYSIA

PPS -

Duty, Honour, Integrity

APPLICATION CHECKLIST (For office use only)

Applicants Name
:_____________________________________________________________________
No.

Documents Required

Tick ()

Completed and signed application form (2 copies).

Two (2) copies of passport-sized colour photographs.

3
4
5
6
7
8

Certified copies of degree/equivalent qualifications, full academic

transcripts, and professional certificates.
Certified copies of TOEFL/IELTS. (For International Students
only)
Two (2) copies of research proposal. (Format based on
Guidelines for Writing a Research Proposal)
Financial Guarantee (For International Students only)
Letter of undertaking for Scholarship/training award/study loan;
OR
TwoLatest
bankof
account
statement
of the(front
applicant
(2) copies
international
passport
page only). (For
International Students only)
Any other relevant documents.
Please
state:_____________________________________________________

Received by:
Signature

Official Stamp:

_______________________________________
Officers

Name:

_______________________________________
Date

:
_______________________________________

CONFIRMATION OF RECEIPT OF APPLICATION FORM

We hereby confirm that the Centre for Graduate Studies, Universiti Pertahanan
Nasional Malaysia has received your application form and we have begun
processing your application.
0

Thank you for your interest in applying to the postgraduate studies programme at
this university.

(Official Stamp)

Centre for Graduate Studies

__________________
Universiti Pertahanan Nasional Malaysia

Date :

PPS -

APPLICATION FORM FOR GRADUATES STUDIES

IN UPNM

Please submit the application in 2 copies.

PHOTO

A.

PERSONEL DETAILS
1
2

Name (as in International

Passport or Identification Card)
International Passport No. / IC No.

MUHAMMAD ZAHRAN BIN YAACOB

790504-02-5041

Date of Birth
4TH MAY 1979

Gender
MALE

Marital Status

Religion

MARRIED
ISLAM
7

Disability

Nationality

Correspondence Address

10

City

SK DANAU KOTA JALAN 2/23E

TAMAN DANAU KOTA
SETAPAK,KUALA LUMPUR

11

Postcode / Zipcode

53300

12

Country

13

Contact Number

MALAYSIA
011 26263654

14

E-mail

cikguzahran@gmail.com

NONE
MALAYSIA

B. DETAILS OF CANDIDATURE / PROGRAMME APPLIED

Faculty of Engineering

1. Faculty/Centre

Faculty of Defence Science and

Technology
Faculty of Defence Studies and
Management
Centre for Defence Foundation Studies
Language Centre

2.Programmed Applied

Others

Master
Ph. D

Full Time

3. Type of Candidatures

x
4. Field of Study

Part Time

Civil Engineering
Mechanical Engineering
Electrical and Electronic Engineering
Computer Science
Strategic and International Relations
Resource Management
Defence Technology
Maritime Technology
Chemistry
Chemistry Engineering

Biology
Physics
Mathematics
Statistics

Education
Coaching Science
Sports Science

5. Academic Session Entry (Year) 2015

6. Semester I/II
7. Supervisor (if any)
8. Research Title

Perbandingan Pencapaian Tahap Akademik

Please attach a research proposal
dan Hubungan Gaya Pembelajaran di
kalangan anak-anak Pegawai Tentera dan
Lain-Lain Pangkat di Sekolah Kebangsaan
Danau Kota.

C.

ACADEMIC QUALIFICATIONS
1.

Details of Degree / Diploma obtained from University / College / other tertiary

institutions

Please attach degree/ diploma and academic transcript certified copies.

Name of
Institutions

Year of
Entry

Year of
Graduation

Qualifications obtained

UUM

2000

2004

Bac. Human Resource

Management(Hons)

IPDA

2008

2008

Diploma KPLI (Social

Science)

Achivement
(CGPA/Result/
Score)
2.72
3.65

2.

Proficiency in English Language. (For International Student Only)

(Minimum score TOEFL is paper based minimum score 550 or internet based
minimum score 79-86 or computer based minimum score 213 and IELTS is band 6).

Please attach certified copies of relevant certificates.

Name of Examination / Test

Band / Score

Year Passed

Paper based

TOEFL

Internet based
Computer based

IELTS

3.

Other professional qualifications (if any). Please attach certified copies of the
relevant certificates.
Qualifications

Year Awarded

Silver Medal UTEMEX

D.

2012

Name of Institution
Universiti Teknikal Malaysia

WORKING EXPERIENCE
Date (format : dd mm yyyy)
Position
From

Employer

To

2004

2008

Officer

2009

now

Teacher

Kedah State
Assemblymen
Ministry of
Education

E.

RELEVANT RESEARCH EXPERIENCE

Fields of Research

F.

Name of and Location of

Research Institution

PUBLICATIONS (IF ANY)

Title of
Publication

G.

Year of
Research

Author(s)

Year of
Publication

Name and location of

the Publisher

FINANCIAL SUPPORT
x I am Self-Financing
I am sponsored by my employer / government of my country (_______________)
If others, please specify : ____________________________________________

H.

REFEREES
1st Referee

2nd Referee

Name :

Name :

Position :

Position :

Organization :

Organization :

Address :

Address :

Telephone Number :

Telephone Number :

Fax Number :

Fax Number :

E-mail Address :

E-mail Address :

I.

APPLICANTS DECLARATION
(For local applicants)
I declare that all the information stated in this application form is true and correct.
I understand that at any time the information or part thereof stated in this declaration is
found contrary of facts, the University has the authority to disqualify or, if I am already
admitted, to terminate my candidature.
___________________
Signature of Applicant

____________________
Date

(For international applicants)

I declare that all the information stated in this application form is true and correct.
I understand that at any time the information or part thereof stated in this declaration is
found contrary of facts, the University has the authority to disqualify or, if I am already
admitted, to terminate my candidature.
I understand that as a non-citizen in Malaysia, I will require a Work Permit from
appropriate Malaysian authorities in order to be engaged in any form of employment in
Malaysia. I also understand that such work permit is not issued to non-citizen who are
under Student Visa/Pass.

___________________
Signature of Applicant

____________________
Date

Update : 11/9/2014

PUSAT PENGAJIAN SISWAZAH

CENTRE FOR GRADUATE STUDIES
GARIS PANDUAN PENYEDIAAN CADANGAN PENYELIDIKAN
(GUIDELINES FOR WRITING A RESEARCH PROPOSAL)
Permohonan untuk Program Sarjana dan Doktor Falsafah (secara penyelidikan).
Application for Masters and Doctoral Programmes (by Research).
A.

Cadangan Penyelidikan tuan/puan hendaklah mengandungi perkara-perkara

berikut dan ditulis dalam Bahasa Inggeris / Bahasa Melayu.
Your Research Proposal must be written in English / Bahasa Melayu. It should
consist of the following:
1.
2.
3.
4.
5.
6.

Title of Research
Background of the research
Problem Statement / Thesis Statement
Aims and Objectives of the research
Research Methodology / Research Design
Expected significant contribution to new knowledge and applied value of
outcome of research
7. References
B.

Kertas cadangan tersebut hendaklah ditaip atas kertas bersaiz A4 dan tidak
melebihi had maksima 10 mukasurat.
Your research proposal must be typed on A4 size paper. The whole proposal
should not exceed 10 pages.