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Assistant Scheme
GA0
1
001
APPLICANTS PARTICULARS
1. 1. Name
2.
3. Mailing Address
4.
5. Contact Number
7.
Registration date :
8.
Matric No :
Masters
Ph.D
9. School/Centre :
Page | 1
Graduate
Assistant Scheme
GA01
001
B. ACADEMIC BACKGROUND
(Kindly attach certified copies of all academic transcripts)
Bachelors Degree
Masters Degree
1. University
(state full name)
2. Duration
3.
From
From
To
To
Programme Mode
ISI/Scop
us
Listings
Other
Listin
gs
Impac
t
Facto
r
1.
2.
3.
4.
5.
Scholarship/Loan/Research Assistant/Research
Officer
2. Name of Sponsor/Awarding
body/Research Grant
3. Amount
RM
4. Duration
From
:
Page | 2
To
Graduate
Assistant Scheme
GA01
001
Research undertaken
F. DECLARATIONS
F1. I declare that I am not a recipient of any other scholarship or financial aid
Name :
(BLOCK LETTERS)
Signature :
Date :
F2. I hereby certify that all information given in this application is complete and correct to the best of
my knowledge
Name :
(BLOCK LETTERS)
Signature :
Date :
Page | 3
Graduate
Assistant Scheme
GA01
001
--------------PLEASE DETACH THIS SECTION AND FORWARD TO YOUR MAIN SUPERVISOR (if
any)-----------
G. SUPERVISORS REPORT
(Confidential report to be completed Main Supervisor)
1.
Name
2. School/Centre
3. Candidates Name
4. Candidates Research Area
5.
..
b.
..
.
c. Relevancy of research title to sustainability (please circle)
Not relevant at
all
Very relevant
Page | 4
Graduate
Assistant Scheme
0
GA01
001
2
d. Supervisors Endorsement
Recommended
Not recommended
SIGNATURE :
DATE :
OFFICIAL STAMP :
Not Recommended
SIGNATURE :
DATE :
OFFICIAL STAMP :
Please state the assignments that can be assigned to this candidate during his/her term as a Gradua
Assistant
1.
2.
3.
4.
Not Approved
Page | 5
Graduate
Assistant Scheme
001
SIGNATURE :
DATE :
OFFICIAL STAMP :
Page | 6
GA01