USM-VIED JOINT FELLOWSHIP SCHEME

GUIDELINES TO FILL UP FORM:

Please submit the hard copy of the endorsed application form (1 unit) together with the
supporting documents to :

DEAN
INSTITUTE OF POSTGRADUATE STUDIES
UNIVERSITI SAINS MALAYSIA
11800 USM
PENANG
 
The completed application (in hard copy) should consists of the following supporting documents:
 A copy of your CV (1-2 pages)
 Certified copies of your academic transcripts

 Detailed research proposal (max 5 pages) structured with the followings :

1. Literature review
2. Objectives
3. Research Methodology
4. Gantt Chart
 Copies of your published articles in the journal (if any)
 Any proof of outstanding achievement in extra-curricular activities

 Please do not submit any certificates of attendance in workshops/seminars/conferences

Incomplete forms shall not be processed.  The University's decision is final.  No further
correspondence or appeal will be entertained.

Thank you.

A. PERSONAL DETAILS

1. Name
 USM-VIED JOINT FELLOWSHIP SCHEME

2. Passport :

4. Nationality :   Address 1 :

5. Contact No. :   Address 2 :

6. Email :   City :

  Postcode :

  Country :

10. Indicate the CURRENT Level of Degree you are :  

undertaking/posses Bachelor Master Ph.D
11. Planned School / Centre to pursue PhD with USM :

12. Current / Planned Research Area :

13. Current / Planned Research Title :

(Please attach research proposal)

14. Potential Supervisor in USM (if any) :

15. Potential Supervisor’s E-mail :

B. ACADEMIC MATTERS
Kindly attach certified copies of all academic transcripts with this application form.
    Details

1. Level of Degree
(obtained)
 USM-VIED JOINT FELLOWSHIP SCHEME

2. University

3. Duration
[dd/mm/yyyy] From : / / To     : / /

5. Final year project (if

relevant)
6. CGPA/Class/Grade

    Details

1. Level of Degree
(obtained)

2. University

3. Duration
[dd/mm/yyyy] From : / / To     : / /

5. Final year project (if

relevant)
6. CGPA/Class/Grade

C. PUBLICATION

Top of Form
IF APPLICABLE  : Indicate your publications details in journal.  Please indicate details where needed.
  (Please attach the copy of the published article in the journal as proof)

Listings
Title of only PUBLISHED Article(s) in reference format Impact Factor
[ISI/SCOPUS/Others]

1
2
 USM-VIED JOINT FELLOWSHIP SCHEME

D. RESEARCH

IF APPLICABLE  : Indicate your previous experience in research.

Date : From Date : To Institution & Country (if any) Research Undertaken
1.

E. ACHIEVEMENT

IF APPLICABLE  : Outstanding achievement/talent in academic or other areas, including arts and sport.
level.  Please attach proof.

Date Details Level

1.

FINANCIAL

IF APPLICABLE  : Indicate any financial assistance you have currently.  Failure to declare will affect your application.

 
No. Type Sponsor Amount (USD) Date : From Date : To
1.
2.

DECLARATION
 USM-VIED JOINT FELLOWSHIP SCHEME

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