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IGS / HEP / JSF / 2016

APPLICATION REQUIREMENTS / INSTRUCTIONS

1. Please read the instructions for this form carefully before completing it. Failure to adhere to the eligibility requirements and application

procedures could lead to a denied request.

2. Applicant must be enrolled as FULL TIME postgraduate students of Universiti Teknologi MARA.

3. All applicants are required to submit their application ONE MONTH prior to the date of the conference with the following documents:

i. Journal brochure / information. ii. Acceptance letter from the journal publisher. iii. Proof of journal indexing. iv. Paper ready for publication.

4. Completed Application Form must be submitted to:

Head,

Department of Academic, Resources & Student, Institute of Graduate Studies, UiTM

Block 8, INTEKMA Convention Centre, Persiaran Raja Muda, Seksyen 7, 40000 Shah Alam, Selangor, MALAYSIA Phone : 03‐5522 5241 / 5343 Fax : 03‐5522 5335

A. APPLICANT’S PARTICULARS

Name :

Student ID :

Programme Code :

Semester:

IC Number / Passport No.

Contact Number:

Current Address :

Postcode

E‐mail:

Have you received IGS Journal Support Fund in the past? Yes

No

Reference of IGS Approval Letter (if applicable): …………………………………………………………………………………………………………..………………………………

Main Supervisor:

Co‐Supervisor: ( if applicable )

Research Title:

………………………………………………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………………………………………….

B. CURRENT SCHOLARSHIPS / FINANCIAL ASSISTANCE / RESEARCH UNIVERSITY GRANT (if any)

Sponsor :

Type : Scholarship / Loan / Scheme / Research / University Grant

Amount : R M .

Duration : From : / / 2 0

To : / / 2 0

IGS / HEP / JSF / 2016

Institut Pengajian Siswazah DANA SOKONGAN

JURNAL

Institute of Graduate Studies JOURNAL SUPPORT

FUND

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IGS / HEP / JSF / 2016

C. JOURNAL INFORMATION

Article’s Title: ………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………

Journal Name:

Volume No. :

Issue No. :

ISSN No. :

Page No. :

D. DECLARATION

The information I have given in this application is true and correct.

I declare that I am not a full time worker at any organisation and do not receive any full scholarship.

Name :

Signature : ……………………………………………………

Date : / / 2 0

E. SUPERVISOR’S COMMENT (To be filled by Main Supervisor)

Name :

Faculty :

Supervisor’s Recommendation: (in terms of the quality of the paper and relevancy)

……………………………………………………………………………………………………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………………………………………………………………………………………………….

I hereby certify that all information given in this application is complete and correct to the best of my knowledge.

…………………………….

Signature

…………………………….

Date

…………………………….

Name and Official Stamp

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IGS / HEP / JSF / 2016

F. ENDORSEMENT BY HEAD OF GRADUATE STUDIES FACULTY

Endorsed

Not endorsed

Comment: ……………………………………………………………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………………………………………………..

…………………………….

Signature

…………………………….

Date

…………………………….

Name and Official Stamp

FOR OFFICE USE ONLY

The Committee of the Tabung Amanah IPSis recommended the following decision on

(Date of committee meeting) / / 2 0

Results Comment

Accept

KIV

Reject