BORANG PERMOHONAN ANUGERAH AKADEMIK...

UTeM.PPS.AAP Borang 01/2019

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BORANG PERMOHONAN ANUGERAH AKADEMIK PASCASISWAZAH UTeM

APPLICATION FORM OF POSTGRADUATE ACADEMIC AWARDS

Anugerah Akademik Pascasiswazah ini bertujuan memberi pengiktirafan kepada graduan pasca-siswazah di UTeM yang berkaliber dan cemerlang dalam bidang akademik. Penerima Anugerah Akademik ini ialah seorang graduan yang beriltizam, terlibat secara menyeluruh dan menyumbang kepada penemuan dan pembangunan ilmu dalam memenuhi aspirasi universiti sebagai pusat kecemerlangan kejuruteraan dan teknikal. Pencalonan terbuka kepada semua pelajar yang telah tamat pengajian di peringkat Pasca-Siswazah sama ada di peringkat Doktor Falsafah (PhD), Sarjana Sains (MSc), Sarjana Mod Campuran dan Sarjana Mod Kerja Kursus. Setiap butiran perlu disertakan dengan salinan dokumen sebagai bahan bukti, jika berkaitan. Calon boleh memohon mengikut senarai Anugerah Akademik Pascasiswazah UTeM seperti berikut: The Postgraduate Academic Award are aimed to recognize postgraduate student in their caliber and excellence in the academic field. The Academic Recipient is a committed, involved and contributes to the discovery and development of knowledge towards the university’s aspirations as a center of engineering and technical excellence. Nominations are opened to all students who have graduated at Post-Graduate level either at the Doctor of Philosophy (PhD), Master of Science (MSc), Master Programme by Mixed Mode and Taught Course. Each item must be accompanied by a copy of the document as evidence, if relevant. Candidate can apply for the UTeM Postgraduate Academic Awards as follows:

A. Anugerah Canselor / Chancellor Award

B. Anugerah Pro Canselor / Pro Chancellor Award

C. Anugerah Naib Canselor / Vice Chancellor Award

D. Anugerah Tesis Terbaik / Best Thesis Award

Calon mestilah bergraduat pada sesi di UTeM. Candidates must graduate in the _____________________________________________ session at UTeM.

1. MAKLUMAT PEMOHON Personal Details

NAMA (Full Name) : .............................................................................................................................................

PROGRAM (Program) : .........................................................................................................................................

NO. MATRIK (Matrix No) : ..................................... FAKULTI / INSTITUT (Faculty / Institute): ...........................

NO. TELEFON (Phone No) : ..................................... EMEL (Email) : .............................................................

ALAMAT (Address) : ............................................................................................................................................

...............................................................................................................................................................................

NO. KAD PENGENALAN / NO. PASPORT (Identity Card No) : ...........................................................................


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2. PENGAKUAN PEMOHON / DECLARATION OF APPLICANT

Dengan ini saya mengaku bahawa segala maklumat yang diberi adalah benar. Saya akur sekiranya maklumat ini didapati palsu, permohonan ini akan terbatal. I hereby declare that all information given is true. I acknowledged that if the information is found to be false, the application will be canceled. Tarikh / Date : ....................................... Tandatangan / Signature : ..............................................

3. PENGESAHAN DEKAN FAKULTI / INSTITUT / APPROVAL BY DEAN OF FACULTY / INSTITUTE

Tarikh / Date : .......................................... Tandatangan Dekan & Cop : Dean’s Signature and Stamp :...........................................

4. ULASAN PENGERUSI PANEL / PANEL CHAIRMAN REVIEW (Diisi semasa mesyuarat penilaian)

......................................................................................................................................

......................................................................................................................................

......................................................................................................................................

...................................................................................................................................... Nama / Name : Tarikh / Date :

Nota / Note : 1. Calon dikehendaki hantar SATU (1) salinan borang permohonan kepada Urus Setia Anugerah Akademik

Pascasiswazah dan emel kepada Urus Setia : [email protected] Candidates are required to send ONE (1) copy of the application form to the Postgraduate Academic Award Secretariat and email to the Secretariat.

2. Semua borang permohonan mestilah diisi dan disertakan dengan maklumat dan bukti yang sah dan lengkap. (Permohonan yang tidak lengkap akan ditolak) All application forms must be filled in and enclosed with valid and complete information and proof. (Incomplete applications will be rejected)

3. Tarikh tutup permohonan adalah pada Closing date of application is on 30 SEPTEMBER 2019 4. Permohonan hendaklah dihantar ke alamat berikut : Applications should be sent to the following address:

Dean Centre for Graduate Studies (PPS), Universiti Teknikal Malaysia Melaka, Hang Tuah Jaya, 76100 Durian Tunggal, Melaka, Malaysia

(UP: Urus Setia Anugerah Akademik Pascasiswazah)


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(I) ANUGERAH CANSELOR / Chancellor Award for Doktor Falsafah / Doctor of Philosophy (PhD)

BIL KOMPONEN (Component) BIL / No MARKAH (Marks)

Penilaian / Assessment

Kendiri (Self) Panel (Panel)

MARKAH DIBERI – CALON (Marks Awarded by Candidate)

A. PENCAPAIAN PELAJAR / Student’s Achievement

i. GOT (Graduate-On-Time) 10

< 3 Tahun / Year 10

B. SUMBANGAN PELAJAR / Student’s Contribution

i. PENERBITAN / Publication Article

Journal Indeks ISI WOS Q1 / Q2 – Penulis Utama ISI WOS Index Journal – Main Author


Journal Indeks SCOPUS / ERA – Penulis Utama SCOPUS Index Journal – Main Author

All article must be already published.

Only publication with UTeM affiliation will be considered.

Indexed journal must be published during the duration of study.

Proof of evidence for indexed publication (Q1 / Q2 / Q3 / Q4 / ERA / SCOPUS) must be attached.

ii. ANUGERAH INOVASI / Innovation Award Award.

Universiti – Emas / University – Gold

Perak / Silver

Gangsa / Bronze

Kebangsaan – Emas / National – Gold

Perak / Silver

Gangsa / Bronze

Antarabangsa – Emas / International - Gold

Perak / Silver

Gangsa / Bronze

iii. PERTANDINGAN / AKTIVITI YANG DISERTAI / Activity (/ Competition (s) involved

Akademik / Academic

Universiti / University

Kebangsaan / National

Antarabangsa / International

Aktiviti bukan akademik / Non-academic activity

Sukan – Antarabangsa / Sport – International

Sukan – Kebangsaan / Universiti Sport – National / University

Khidmat Komuniti – Antarabangsa Community Service – International

Khidmat Komuniti – Kebangsaan Community Service – National

iv. IMPAK KEPADA KOMUNITI ATAU INDUSTRI / KEANGGOTAAN / Community or Industrial Impact or Membership.

Research with MOA

Industry / Community Acknowledgement

Anggota Institusi Antarabangsa / Kementerian / Institusi luar Membership of International / Ministry / Other Institutions

Jawatankuasa Universiti / University’s Committee

C. MARKAH DIBERI – PANEL PENILAI (Marks Awarded by Panel Evaluator)

i. KUALITI TESIS / Thesis Quality 30

Keaslian / Originality

JUMLAH / SUM

100


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(II) ANUGERAH PRO CANSELOR / Pro Chancellor Award for Sarjana Sains / Master of Science (MSc)






i. GOT (Graduate-On-Time) 10

< 1 ½ Tahun / Year 10












Perak / Silver

Gangsa / Bronze


Perak / Silver

Gangsa / Bronze


Perak / Silver

Gangsa / Bronze


Akademik / Academic










Research with MOA







JUMLAH / SUM

100


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(III) ANUGERAH NAIB CANSELOR / Vice Chancellor Award for Master Programme by Mixed Mode






i. GOT (Graduate-On-Time)

PNGK / CGPA












Perak / Silver

Gangsa / Bronze


Perak / Silver

Gangsa / Bronze


Perak / Silver

Gangsa / Bronze


Akademik / Academic










Research with MOA





i. KUALITI DISERTASI / Dissertation Quality 30


JUMLAH / SUM

100


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(IV) ANUGERAH NAIB CANSELOR / Vice Chancellor Award for Master Programme by Coursework






i. GOT (Graduate-On-Time)

PNGK / CGPA












Perak / Silver

Gangsa / Bronze


Perak / Silver

Gangsa / Bronze


Perak / Silver

Gangsa / Bronze


Akademik / Academic










Research with MOA





i. KUALITI PROJEK SARJANA / Master Project Quality

30


JUMLAH / SUM

100


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(V) ANUGERAH TESIS TERBAIK / Best Thesis Award Doktor Falsafah / Doctor of Philosophy (PhD)

















JUMLAH / SUM

100

(VI) ANUGERAH TESIS TERBAIK / Best Thesis Award Sarjana Sains / Master of Science (MSc)

















JUMLAH / SUM

100


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The Postgraduate Academic Award

The Postgraduate Academic Award are aimed to recognize postgraduate student in their caliber and excellence in the

academic field. The Academic Recipient is a committed, involved and contributes to the discovery and development of

knowledge towards the university’s aspirations as a center of engineering and technical excellence.

Nominations are opened to all students who have graduated at Post-Graduate level either at the Doctor of Philosophy (PhD),

Master of Science (MSc), Master Programme by Mixed Mode and Taught Course. Candidate can apply for the UTeM

Postgraduate Academic Awards as follows:

No. Academic Award Postgraduate Level Award

1. Chancellor Award PhD Received RM 2000 with certificate. Name will be announced at the Convocation Ceremony

2. Pro Chancellor Award MSc Received RM 1500 with certificate. Name will be announced at the Convocation Ceremony

3. Vice Chancellor Award

Master (Mixed Mode and Taught Course)

Received RM 1000 with certificate. Name will be announced at the Convocation Ceremony

4. Best Thesis Award PhD and MSc Received RM 1000 with certificate. Name will be announced at the Convocation Ceremony

Candidate should fill the application form and must be accompanied by a copy of the document as evidence, if relevant.

No. Eligibility / Requirement Additional Information

1. Graduate-on-time (GOT) Status Proof of evidence must be attached

2. Publication


Publications without the name of supervisors will not be considered.


Indexed journal (SCOPUS or ERA or ISI WOS at level Q1 / Q2 / Q3 / Q4) must be published during the duration of study.

Proof of evidence for indexed publication must be attached.

3. Received any academic or non-academic award(s)

Proof of evidence must be attached Should be related to your research study

4. Recognition (s) from Industry / Community / MOA / MOU

Proof of evidence must be attached Should be related to your research study

5. Participate in any society (s) / competition (s) / conference (s) / community service (s) at International / National / University level

Proof of evidence must be attached

6. Thesis / Dissertation / Master Project Report

Proof of evidence must be attached. Softcopy of the original report is a must and endorsed by supervisor and faculty.

7. Application form Candidate must fill the application form of Postgraduate Academic Awards.

The application must be enclosed with valid and complete information and proof. Incomplete applications will be rejected.

Only application endorsed by faculty / institute will be considered.

Result of application is strictly final, and no appeal will be entertained.

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