UNIVERSITI TEKNOLOGI PETRONAS

POSTGRADUATE STUDIES Please affix

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APPLICATION FOR POSTGRADUATE STUDIES

INSTRUCTIONS TO APPLICANTS:

1. Please fill in this form using BLOCK LETTERS.

2. The following documents are required to be submitted together with this application form (please tick):
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Four (4) recent passport-size photographs

Certified true copies of Identification Card (IC) or passport

Certified true copies of official academic transcripts and degree scrolls.

Documentary evidence of financial support

Recommendations from two (2) referees

A 2000-word research proposal (for research candidates only).

Please follow the “Guidelines to Writing Research Proposal”.

3. Please note, incomplete application forms may delay the processing of the forms. The University reserves the right
to cancel, restructure or change the programmes according to the academic requirements.

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A. APPLICATION DETAILS

Degree Applied For MSc by Research PhD MSc by Coursework and Dissertation

Programme of Study By Research By Coursework and Dissertation

Chemical Engineering MSc Petroleum Engineering

Civil Engineering MSc Process Integration

Electrical & Electronic Engineering MSc Petroleum Geoscience

Mechanical Engineering MSc Electronic Systems Design

Information Technology MSc Asset Management & Maintenance

:
Mode of Study On Campus Off Campus

Academic Year Intake January July

For Research Programmes only:

Area of Specialization :

Proposed Supervisor:
B. PERSONAL DETAILS

Full Name:
(Underline your last name)

Gender: Male Female NRIC/Passport No:

Date of Birth: - - Place of Birth:

Age: years Marital Status: Single Married Divorced

Nationality: Ethnicity: Religion:

Mailing Address:

Postcode:

Tel. No.: Fax: E-mail Address:

Permanent Address:

Postcode:

C. ACADEMIC QUALIFICATIONS
Please provide details of degree obtained from University/College/Other Tertiary Institutions

CGPA (or Period of study Medium of

Qualification obtained Name of Institution
equivalent) Instruction
From To

Other professional qualifications:

Research experience:

Publications (provide citations):

D. LANGUAGE PROFICIENCY
Proficiency in Malay language (For local applicants only)

Grade Year Passed

Proficiency in Malay language in SPM/MCE

Proficiency in English language (For all applicants)

Test Date Taken Grade/Point Obtained

E. WORKING EXPERIENCE
Please provide details of current and previous employment (start with the most recent)

Present Position :

Business Address :

Postcode:

Tel No: Fax No: Email:

From To Position and Nature of Work Employer

F. FINANCIAL SUPPORT
Please indicate your source of financial support while studying at UTP.

I am a self-financed student/have financial support from my family

I am fully sponsored by my home government/employer/other organization (attach evidence)

I am awarded a scholarship by __________________ (attach evidence)

I am applying for the UTP Research Officer Postgraduate Assistantship Scheme (ROPAS)

I am applying for the UTP Graduate Assistantship Scheme (GA)

If my application for UTP ROPAS/GA Scheme is unsuccessful, I with to study as a full-fee paying
Yes No
student
G. REFEREES
Please provide details of two referees who are able to comment on your academic capabilities.

Name Organization Tel. No. Email Address

H. PERSON TO BE NOTIFIED IN CASE OF EMERGENCY

Name : Relationship :

Address :

Postcode:

Tel No: Fax: Email:

I. DECLARATION

I declare that all the information stated in this application form is true and correct. I understand that if at any time the information or
part thereof stated in this declaration is found contrary to facts, the University has the authority to disqualify, or if I am already
admitted, to terminate my candidature.

Signature of Applicant Date

HOW TO APPLY

Please return completed application forms to: Closing Dates

Postgraduate Studies Programme

1st Floor, Block J, International
Intake Local Applicants
Universiti Teknologi PETRONAS Applicants
Bandar Seri Iskandar
31750 Tronoh 31 October 30 September
January
Perak Darul Ridzuan (previous year) (previous year)
Tel: 05-3688190/1/3 Fax : 05-3654090
Email: pgs_utp@petronas.com.my
July 30 April 31 March
 REFEREE’S REPORT (CONFIDENTIAL)

POSTGRADUATE DEGREE APPLICATION

LETTER OF RECOMMENDATION

APPLICANT’S INFORMATION

SECTION A: To be completed by applicant

Name M. Andri Setiawan

Programme Applied For PhD in IT/IS

SECTION B: To be completed by referee

The candidate above is applying for admission for postgraduate study at Universiti Teknologi PETRONAS and has given your name as a
referee. We appreciate your evaluation of the applicant and look forward to a quick response. All information will be treated as confidential.
You can send your reports to the following address:

Postgraduate Studies Programme

Universiti Teknologi PETRONAS
Bandar Seri Iskandar
31750 Tronoh
Perak Darul Ridzuan
Tel: 05-3688190/1/3 Fax : 05-3654090 Email: pgs_utp@petronas.com.my

You are requested to complete questions 1 – 6 in this report.

1. How long have you known the applicant? 4 years

In what capacity? He is my student in Gadjah Mada University

2. How do you rate the candidate’s academic ability?

He is a very hardworking student and show a very good result when

he did his research and project under my supervisory.
His academic achievement was proven from his degree roll that he is an outstanding student.
3. Taking an overall view, what do you consider to be the applicant’s major talents and most significant weaknesses?

He is a very creative and innovative student, and work very good in a team and a very flexible person

4. In which category would you place the applicant in relation to the group in which you know him/her?

Unable to
Outstanding Above average Average Below average
comment

Intellectual ability V

Capacity for original thought V

Diligence V

Self-reliance and independence V

5. Please feel free, either in the following space or in a separate letter, to make any further comments which you think will be helpful.

From the overall view I consider that he has the ability to undertake a doctorate degree

6. How strongly do you support this application?

Strongly recommend V

Recommend

Recommend with reservations

Do not recommend

Name Teguh Bharata Adji Position Bachelor degree supervisor

Address Department of Electrical Engineering, Faculty of Engineering, Gadjah Mada University.

Jl. Grafika 2, Sleman, Yogyakarta, Indonesia

Postcode: 55281

Tel No +62 274 547506 Fax No +62 274 547506 Email adji@mti.ugm.ac.id

Signature Date April 17, 2007

 REFEREE’S REPORT (CONFIDENTIAL)

POSTGRADUATE DEGREE APPLICA TION

LETTER OF RECOMMENDATION

APPLICANT’S INFORMATION

SECTION A: To be completed by applicant

Name

Programme Applied For

SECTION B: To be completed by referee

The candidate above is applying for admission for postgraduate study at Universiti Teknologi PETRONAS and has given your name as a
referee. We appreciate your evaluation of the applicant and look forward to a quick response. All information will be treated as confidential.
You can send your reports to the following address:

Postgraduate Studies Programme

Universiti Teknologi PETRONAS
Bandar Seri Iskandar
31750 Tronoh
Perak Darul Ridzuan
Tel: 05-3688190/1/3 Fax : 05-3654090 Email: pgs_utp@petronas.com.my

You are requested to complete questions 1 – 6 in this report.

1. How long have you known the applicant?

In what capacity?

2. How do you rate the candidate’s academic ability?

3. Taking an overall view, what do you consider to be the applicant’s major talents and most significant weaknesses?

4. In which category would you place the applicant in relation to the group in which you know him/her?

Unable to
Outstanding Above average Average Below average
comment
Intellectual ability

Capacity for original thought

Diligence

Self-reliance and independence

5. Please feel free, either in the following space or in a separate letter, to make any further comments which you think will be helpful.

6. How strongly do you support this application?

Strongly recommend

Recommend

Recommend with reservations

Do not recommend

Name Position

Address

Postcode:

Tel No Fax No Email

Signature Date
 GUIDELINES TO PREPARING RESEARCH PROPOSALS

This guideline is intended for candidates applying to pursue their postgraduate degrees by research. Candidates are
required to submit a 2000-word research proposal, which should comprise the following elements:

Background or a brief literature review on the research topic

Ø Describe the current state of the art. Why is the research needed? Outline previous work in this field. How will the
results fill this need and how will the results be beneficial? To what extent does this research build upon or add to
existing research.

Objective of study

Ø Describe the objectives that influence the research. May be stated as questions which the research seeks to answer
or as hypotheses to be tested.

Scope of study

Ø Be specific in what you want to conduct research on, and try to draw a boundary around the area of study that you
think you can finish within the time allowed.

Methodology

Ø Describe the design or procedural plan to be followed or methods to be used in the study such as library research,
lab work, field work, historical documentary, interview, survey, evaluation and analysis, pitfalls that may be
encountered and limitations to proposed procedures.

Work schedule

Ø Please provide a detailed Gantt chart, stating the expected commencement date of research, and the expected date
of the submission of the final thesis.
Ø When preparing a framework for the research, please include time estimates for the completion of its various phases
bearing in mind the maximum periods of candidacy

Equipment required (where applicable)

Ø Any special equipment, techniques, literature or statistical advice needed?

Estimated costs (where applicable)

Ø Please provide a brief estimate of costs involved in completing the research.

Brief bibliography or references

Ø A familiarity with the literature in the field should be shown.

 UTP FINANCIAL ASSISTANCE

UTP offers limited financial assistance to deserving candidates who wish to pursue MSc and PhD by research. The two
types of financial assistance are:

1. GRADUATE ASSISTANTSHIP SCHEME

Eligibility Requirements
q For Masters of Science, candidates must posses a good Honours Degree or equivalent in the relevant field from
a recognized university. For Doctor of Philosophy, candidates must possess a Masters Degree or equivalent in
the relevant field from a recognized university
q Research proposal approved by UTP Postgraduate Committee

Period and Term of Assistantship

q The period for assistantship will be decided by the Postgraduate Committee based on the actual period of
study. Extension of the assistantship will be based on performance.

Registration
q The offer is subject to the acceptance of the registration for the programme.

Value of Assistantship
q Subsistence Allowance will be given: RM1320 for MSc students and RM1650 for PhD students.
q All fees will be covered by the Scheme. Registration fees and hostel fees will be born by the student.

Responsibilities
q All candidates are required to undertake 13 hours of academic activities per week in the form of tutorials or
laboratory demonstration or any other related academic activities.

Termination
q The University reserves the right to terminate the assistantship without notice.

2. RESEARCH OFFICER POSTGRADUATE ASSISTANTSHIP SCHEME

Eligibility Requirements
q For Masters of Science, candidates must posses a good Honours Degree or equivalent in the relevant field from
a recognized university. For Doctor of Philosophy, candidates must possess a Masters Degree or equivalent in
the relevant field from a recognized university
q Research proposal approved by UTP Postgraduate Committee
q Must be appointed as a Research Officer by the Research Enterprise Office of UTP

Period and Term of Scholarship

q The period for the assistantship will be decided by the Postgraduate Committee based on the actual period of
study. Extension of the assistantship will be based on performance.

Registration
q The offer is subject to the acceptance of the registration for the programme.

Value of Scholarship
q No subsistence allowance will be given.
q Only tuition fees will be covered by the Scheme. Registration, hostel and examination fees will be borne by the
student

Responsibilities
q All candidates are required to undertake 6 hours of academic activities per week in the form of tutorials or
laboratory demonstration or any other related academic activities.

Termination
q The University reserves the right to terminate the assistantship without notice.