UM-Postgraduate App Form

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UM-PT01-PK02-BR001-S01

UNIVERSITI MALAYAINSTITUT PENGAJIAN SISWAZAH

INSTITUTE OF POSTGRADUATE STUDIES

BORANG PERMOHONAN KEMASUKAN KE PROGRAM PASCASISWAZAHAPPLICATION FORM FOR POSTGRADUATE PROGRAMME

ARAHAN KEPADA PEMOHON (INSTRUCTIONS TO APPLICANTS)

1. Sila rujuk Panduan dan Prosedur Permohonan Kemasukan Ke Program Pascasiswazahsebelum melengkapkan borang ini.Please refer to the Application Guide and Procedures for Admission into PostgraduateProgrammes before filling out this form.

2. Pastikan semua dokumen yang diminta disertakan bersama borang permohonan ini.Ensure that all documents requested are sent together with the application form.

3. Semua dokumen yang disertakan hendaklah disahkan benar.Only certified copies of documents should be enclosed.

4. Sila taip atau tulis di dalam HURUF BESAR.Please type or write in BLOCK LETTERS.

A. BUTIR-BUTIR PENCALONAN DETAILS OF CANDIDATURE

1. Program yang Dipohon Programme Applied for

2. Kaedah Pengajian Method of Studies

3. Fakulti / Akademi / Institut / Pusat Faculty / Academy / Institute / Centre

4. Jabatan/Bahagian Department/Division

5. Sesi Kemasukan Academic Session of Entry ___________________________________

6. Semester I / II Semester I / II _____________________________________________

**UNTUK KEGUNAAN PEJABAT SAHAJA **FOR OFFICE USE ONLY

IPS Fakulti Jabatan

Nama Penerima:

Tarikh:

Cop:

Kursus CourseworkKursus & Disertasi Coursework & DissertationDisertasi / Tesis Dissertation / Thesis

Sertakan sekepinggambar bersaiz

passport

Affix one passport-sized photo

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7. Cadangan Bidang Penyelidikan Proposed Area of Research( Untuk Permohonan Disertasi/Tesis SAHAJA Application for Dissertation/Thesis ONLY)

8. Cadangan Tajuk Penyelidikan Proposed Topic of Research( Untuk Permohonan Disertasi/Tesis SAHAJA Application for Dissertation/Thesis ONLY)

9. Pemohon program secara Disertasi / Tesis perlu kemukakan Cadangan Penyelidikan. Sila rujukkepada Panduan Menulis Cadangan Penyelidikan terlampir.Applicants for programmes by Dissertation / Thesis need to submit a Research Proposal. Please referthe Guide to Writing Research Proposal enclosed.

Sila tanda bahasa yang akan digunakan untuk menulis tesis/disertasi:Please tick the language your thesis/dissertation.

Bahasa Melayu Malay Bahasa Inggeris English Bahasa Arab Arabic( Untuk tesis/disertasi di AkademiPengajian Islam sahajaFor thesis/dissertation from Academyof Islamic Studies only)

10. Penyelia yang dicadangkan (jika ada) Proposed supervisor(s) (if any)

i. NamaName:

FakultiFaculty:

ii. NamaName:

FakultiFaculty:

B. BUTIR-BUTIR PERIBADI PERSONAL DETAILS

11. Nama penuh (mengikut Kad Pengenalan / Pasport) Full Name (as in Identity Card / Passport)

12. No. Kad Pengenalan Identity Card No.( Untuk calon tempatan sahaja For local applicants only)

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13. No. Pasport Passport No.

14. Tarikh Lahir Date of Birthhariday bulanmonth tahunyear

15. Jantina (L/P) Gender (M/F)

/ /

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17. Kaum Race 18. Agama Religion( Untuk calon tempatan sahaja For local applicants only)

19. Kewarganegaraan Citizenship

20. Status perkahwinan Marital status

21. Alamat Surat-menyurat Correspondence address

Poskod Postcode Bandar City

Negeri State Negara Country

No. Telefon Phone No.

Rumah Home Pejabat Office

Telefon Bimbit Handphone Faks Fax

22. E-mel E-mail

23. Dalam waktu kecemasan, sila hubungi Person to be notified in case of emergency

Nama Name

Alamat Addresss

No. Telefon Phone No.

Hubungan Relationship

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C. KELAYAKAN AKADEMIK ACADEMIC QUALIFICATIONS

24. Ijazah/Diploma yang diperoleh daripada Universiti/Kolej/Institusi Pengajian Tinggi lainDetails of Degree/Diploma obtained from University/College/other tertiary institutions( Sertakan salinan sijil yang disahkan benar Please attach certified copies of relevant certificates )

Nama Institusi

Name of Institution

TahunKemasukanYear of Entry

TahunTamatYear of

Graduation

Kelayakan diperoleh

Qualifications obtained

PNGK* (atausetaraf) yang

diperolehCGPA* (orequivalent)obtained

*Untuk PELAJAR YANG BERADA DALAM SEMESTER AKHIR: Sila nyatakan PNGK terkini

For STUDENTS IN FINAL SEMESTER: Please state the latest CGPA

25. Pencapaian Bahasa Melayu Proficiency in Malay Language(Sertakan salinan sijil yang telah disahkan benar) (Please attach certified copy of the relevant certificate)

Untuk Pemohon Warganegara Malaysia sahaja For Local Applicant onlyGred Grade Tahun Lulus

Year PassedPencapaian Bahasa Melayu peringkatSijil Pelajaran Malaysia / MCE

Proficiency in Malay Language in SPM / MCE

26. Proficiency in English Language

(Please attach certified copies of the relevant certificates)

For Foreign Applicant onlyName of Examination/Test Grade/Result Year PassedEnglish Language

(Mininum score for TOEFL is550 and IELTS is Band 5)

27. Kelayakan Profesional yang lain (jika ada) Other professional qualifications (if any)(Sertakan salinan sijil yang telah disahkan benar) (Please attach certified copies of the relevant certificate)

KelulusanQualifications

Tahun dianugerahYear awarded

Nama InstitusiName of Institution

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D. PENGALAMAN KERJA WORKING EXPERIENCE

Bulan & TahunMonth & Year

Mula From Hingga To

JawatanPosition

MajikanEmployer

Diisi oleh Ketua Jabatan bagi mereka yang berkhidmat dengan Kerajaan dan Badan Berkanunsahaja.To be filled by the Head of Department for applicants from the Government and Statutory Authorities only.

Dimaklumkan ________________________________________________________ telah memberitahuThis is to notify that _____________________________________________________ has informed me

saya bahawa beliau ingin mengikuti Program Pascasiswazah di Universiti ,Malaya.of his/her intention to enroll in a Postgraduate Programme in the University of Malaya.

Saya menyokong / tidak menyokong permohonan ini.I support / do not support this application

Tandatangan Signature ___________________________ Tarikh Date _________________

Nama Name ___________________________________

Jawatan Position ________________________________

Jabatan Department ___________________________________________________________________

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E. PENGALAMAN PENYELIDIKAN YANG BERKAITAN RELEVANT RESEARCH EXPERIENCE

i. _____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

ii. _____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

iii. _____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

F. PENERBITAN (JIKA ADA) PUBLICATIONS (IF ANY)

Tajuk Title Tahun Penerbitan

Year of Publication

Nama dan Tempat Penerbitan

Name and Location of the Publication

( Sertakan lampiran sekiranya ruang tidak mencukupi Please attach separate sheet if required)

G. BANTUAN KEWANGANFINANCIAL SUPPORT

Saya dibiayai oleh majikan / kerajaan negara saya.I am sponsored by my employer / government of my country.

Sila nyatakan nama, alamat atau organisasi yang menaja anda.Please state name and address of sponsor.

( Sertakan salinan surat penaja Please attach copy of sponsorship letter )

Saya membiayai sendiri pengajian saya.I am self-supporting.

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J. KEPERLUAN KHAS AKADEMI / FAKULTI / INSTITUT / PUSAT

SPECIAL REQUIREMENTS FROM THE ACADEMY / FACULTY / INSTITUTE / CENTRE

Sila penuhkan bahagian ini bagi PROGRAM PASCASISWAZAH YANG ANDA INGIN MEMOHONSAHAJA.Please fill up this section according to the PROGRAMME WHICH YOU ARE APPLYING.

FAKULTI PERGIGIAN FACULTY OF DENTISTRY

Calon yang memohon program Sarjana Pergigian dikehendaki mengemukakan esei dalam

200 patah perkataan tentang penyelidikan yang ingin dikaji dan nyatakan sebab-sebab

calon memilih bidang penyelidikan tersebut (sertakan lampiran).

A candidate applying for the Master of Dentistry programme is required to submit an essay of

about 200 words on the proposed area of research and indicate the reasons for choosing that area

of research (attach a separate sheet).

FAKULTI ALAM BINA FACULTY OF BUILD ENVIRONMENT

Sarjana Sains (Senibina) secara Disertasi Master of Science (Architecture) by Dissertation

Calon yang memohon program di Jabatan ini diminta menyatakan penyelidikan yang

diminati dalam bidang Senibina dan sertakan maklumat tambahan yang berkaitan (tidak

melebihi 200 perkataan dan sertakan lampiran)

A candidate applying for a programme in this department is required to state his research interest

in the architectural field and provide other relevant information (in not more than 200 words and

attach a separate sheet)

FAKULTI BAHASA DAN LINGUISTIK FACULTY OF LANGUAGE AND LINGUISTICS

Sila nyatakan pengalaman dalam mana-mana mata pelajaran Bahasa dan tempat bertugas.

(Sila gunakan lampiran)

Please state your teaching experience in any Language Subject and the places of work. (attach a

separate sheet)

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FAKULTI PENDIDIKAN FACULTY OF EDUCATION

( Sertakan salinan sijil yang disahkan benar Please attach certified copy of relevant certificate)

Adakah anda mempunyai kelayakan Diploma Pendidikan?

Do you have a Diploma in Education?

Ya Yes Tidak No Kelayakan latihan perguruan

Nyatakan kelayakan setaraf Teaching practical experienceState any equivalent qualification

Sila nyatakan pilihan bidang pengkhususan yang ingin diikuti.

Please state your preferred field of study.

( Permohonan ke Sarjana Pendidikan SAHAJA Application for Master of Education ONLY)

i.

ii.

Calon yang memohon Program Sarjana di Fakulti Pendidikan dikehendaki menjawab dalam

bentuk esei soalan berikut:-

1) Mengapakah anda berminat mengikuti Program Sarjana di Fakulti Pendidikan,

Universiti Malaya?

2) Apakah topik penyelidikan yang anda minati? Nyatakan sebab-sebab memilih topik

berkenaan.

3) Apakah satu-satunya kursus yang mendorong anda untuk memilih Program Sarjana

di Fakulti Pendidikan, Universiti Malaya?

4) Bagaimanakah program ini dapat menyumbang ke arah pembangunan peribadi,

kerjaya dan organisasi?

Candidate applying for the Master Programme in Faculty of Education are required to answer

these questions in the form of an essay:-

1) Why do you wish to follow the Master Programme in the Faculty of Education, University of

Malaya?

2) What research topics are you interested in? State reasons for your choice.

3) Which specific courses inspire your choice for the programme?

4) How will the programme contribute towards your self-development, career and

organization?

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PUSAT KEBUDAYAAN CULTURAL CENTRE

Untuk diisi oleh pemohon Program Sarjana Kesenian (Seni Persembahan) sahaja.

To be filled by applicants applying for MASTER OF ART (Performing Arts) programme only.

Sila tanda pilihan bidang pengkhususan yang ingin diikuti.

Please tick your preferred field of study.

Drama & Teater Theatre Drama Muzik Music Tari Dance

FAKULTI EKONOMI DAN PENTADBIRAN FACULTY OF ECONOMICS AND ADMINISTRATION

Calon yang memohon Program Sarjana Pentadbiran Awam dikehendaki menjawab dalambentuk esei soalan berikut:-

1) Mengapakah anda berminat mengikuti Program Sarjana Pentadbiran Awam di

Universiti Malaya?

2) Apakah topik penyelidikan yang anda minati? Nyatakan sebab-sebab memilih topik

berkenaan.

3) Apakah satu-satunya kursus yang mendorong anda untuk memilih Program Sarjana

Pentadbiran Awam?

4) Bagaimanakah program ini dapat menyumbang ke arah pembangunan peribadi dan

kerjaya anda?

Candidate applying for the Master of Public Administration Programme are required to answer

these questions in the form of an essay:-

1) Why do you wish to follow the Master of Public Administration Programme in the University

of Malaya?

2) What research topics are you interested in? State reasons for your choice.

3) Which specific courses inspire your choice for the programme?

4) How will the programme contribute towards your self-development and career?

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FAKULTI PERUBATAN FACULTY OF MEDICINE

For international applicants ONLY

1. Date of full registration as a registered medical practitioner (dd/mm/yyyy)

2. Professional career (please list professional positions held since graduation in chronological orderusing the following format). Please use a separate sheet of paper if the space is insufficient.

Position, institution & place Particular field of MedicineDates of employment,inclusive of dates of

commencement & resignation

3. Please indicate your reasons for wishing to undertake this course. Also indicate your future careerplans after completing this course.

4. Please fill in the attached form for registration under the Medical Act, 1971 and submit it togetherwith your application form (for Clinical Masters programme only).

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UM-Postgraduate App Form

Documents

Transcript of UM-Postgraduate App Form