SKPSI1 iGSS Application Form

PERKHIDMATAN UTAMA
SISWAZAH
PEJABAT TIMBALAN NAIB CANSELOR
(AKADEMIK & ANTARABANGSA)
APPLICATION FOR INTERNATIONAL
GRADUATE STUDENT SCHOLARSHIP (IGSS)
(PhD ONLY)
PART A

APPLICANT’S PERSONAL DETAILS
To be completed by all applicants

1.

Full name:

2.

Passport no.:

3.

Sex:

4.

Date of birth:

5.

Nationality:

6.

Permanent address:

7.

Current address:

Telephone no:

8.

Field of study:

9.

Faculty/Institute:

Fax. No:

Male

Female

E-mail :

10. Educational Background
Name of University:
__________________________________________________________________________________

Degree Awarded:
___________________________________________________________________________________
Academic Achievement (CGPA/Percentage):
___________________________________________________________________________________
10.

English Language Requirement:
TOEFL/IELTS/TEP - Result:

1 drp. 2

11.

Name of Advisor:

Telephone no.:

Fax.no.:

PART B

E-mail address:

STATEMENT

I certify that I am currently not receiving any financial assistance for my postgraduate study and will not
accept any financial assistance while receiving this scholarship. I also certify that all information given is
true. I understand that the scholarship will be withdrawn if any information is falsified).

Signature of applicant:

PART C

Date:

TO BE COMPLETED BY ADVISOR
Supported

Not Supported

Reasons for supporting/not supporting the application:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Is the applicant’s research related to priorit research areas in UPM/Mala sia? Please e plain
________________________________________________________________________________________
________________________________________________________________________________________
Signature and official stamp:

Date:

Please include the following documents with your application:
A certified copy of TOEFL/IELTS/CIEP result (if relevant)
Copies of published journal article/s
Recommendation letter
A certified copy of academic transcript
Research proposal

All completed applications must be sent to:
Dean, School of Graduate Studies
Zone 4, Off Jalan Stadium
Universiti Putra Malaysia
43400 UPM Serdang
Selangor Darul Ehsan, MALAYSIA
Email : dean.sgs@upm.my
2 drp. 2