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Ver.1, Rev.2 05.09.2013
POSTGRADUATE PROGRAMME
APPLICATION FORM
Kindly return the application form together with the relevant documents to:
FOR (CYBERJAYA CAMPUS & PSDC) PROGRAMMES
Institute for Postgraduate Studies (IPS) Multimedia University Persiaran Multimedia
63100 Cyberjaya, Selangor Darul Ehsan, Malaysia Contact Number: 603-8312 5290/5560
Fax: 603-8312 5300 Email: [email protected] URL: http://research.mmu.edu.my/ips
*PSDC: Penang Skills Development Centre
FOR (MELAKA CAMPUS) PROGRAMMES
Institute for Postgraduate Studies (IPS) Multimedia University
Jalan Ayer Keroh Lama 75450 Bukit Beruang, Melaka
Contact Number: 606-252 3166/3564 Fax: 606-231 7141
Email: [email protected] URL: http://research.mmu.edu.my/ips
APPLICATION CHECKLIST (Please tick where applicable)
(Please check that your application is complete and that you have enclosed all the relevant documents)
2 sets of Application Form (completed and signed) Reference enclosed (1 original copy and 1 photocopy) 2 certified true copies of academic certificate (Local Applicant) Reference to be forwarded 4 certified true copies of academic certificate (International Applicant) 2 certified true copies of academic transcript (Local Applicant) Financial Statement and Financial Guarantee Form (if applicable) 4 certified true copies of academic transcript (International Applicant) (International Applicant) A certified true copy of English Language Qualification Certificate/ A certified true copy of Sponsorship/ Scholarship letter and Result (if any) documents (if applicable) A certified true copy of GMAT/ GRE Certificate/ Result (if any) 2 copies of Research Proposal (for programme by research only) 7 recent passport-sized photographs (3.5cm x 5cm; BLUE background) 4 recent passport-sized photographs (3cm x 3.5cm) with name with name written on the reverse (International Applicant) written on the reverse (Local Applicant) 4 certified true copies of passport (ALL pages) (International Applicant) Employment Verification Letter (if applicable) Name of Applicant: Date: ______________________________________________ _________________________ Note: A non-returnable processing fees of RM280 (International applicant) and RM50 (Local applicant) should be made payable to UNIVERSITI TELEKOM SDN BHD by bank draft/cheque. Documents which are in languages other than English must be translated into English and certified.
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INFORMATION:
1. Kindly complete in BLOCK CAPITALS.
2. Please tick/circle the relevant.
3. Please provide us the following documents if you are holding student visa from other university/college: i) Release letter ii) Copy of Transcript iii) Attendance report obtained from your former university/college
4. Kindly return the completed form with supporting documents to Institute for Postgraduate Studies (IPS), Multimedia University at the address given on the front page of the form.
SECTION 1: PROGRAMME APPLIED
Programme by
Research
(Structure A) :
Ph.D. (Eng.)
Ph.D. (I.T.)
Ph.D. (Mgmt.)
Ph.D. (C.M.)
M.Eng.Sc
M.Sc. (I.T.)
M.Phil. (Mgmt.)
M.Sc. (C.M.)
CYBERJAYA CAMPUS
Faculty of Engineering
Faculty of Computing and Informatics
Faculty of Management
Graduate School of Management
Faculty of Creative Multimedia
Faculty of Engineering
Faculty of Computing and Informatics
Faculty of Management
Graduate School of Management
Faculty of Creative Multimedia
MELAKA CAMPUS
Faculty of Engineering and Technology
Faculty of Information Science and Technology
Faculty of Business
Faculty of Engineering and Technology
Faculty of Information Science and Technology
Faculty of Business
Mode of Study:
Full Time Part Time
Research Area:
Proposed Research Title:
(Kindly attach the research proposal. Refer Section 6)
Proposed Supervisor (if
any) for Structure A only:
Supervisor:
Co-Supervisor:
(Note: You are advised to discuss with the potential/proposed supervisor before submitting the application. Kindly refer to the faculty’s staff
directory available at http://www.mmu.edu.my for the potential supervisor.)
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Programme by
Coursework & Dissertation
(Structure B):
Doctor of Business Administration (D.B.A.) by Graduate School of Management at Cyberjaya Campus
Full-time Part-time
M.Eng (Telecommunications) by Faculty of Engineering at:
Cyberjaya Campus (Full-time/ Part-time) PSDC, Penang (Part-time)
M.Eng (Microelectronics) by Faculty of Engineering at PSDC, Penang (Part-time)
M.Eng (Photonics) by Faculty of Engineering at PSDC, Penang (Part-time)
Master of Electrical and Electronic Engineering by Faculty of Engineering at Cyberjaya Campus with specialisation in
(please tick not more than 2 specialisations):
Microelectronics Photonics Electric Energy Management
Full-time Part-time
M.Eng (Embedded System) by Faculty of Engineering and Technology at Melaka Campus
Full-time Part-time
M.Eng (Advanced Manufacturing Management) by Faculty of Engineering and Technology at Melaka Campus
Full-time Part-time
Programme by Coursework
(Structure C):
Master of Business Administration (M.B.A.) by Graduate School of Management at:
Cyberjaya Campus (Full-time/ Part-time) Melaka Campus (Part-time)
Executive Master of Business Administration (E.M.B.A.) by Graduate School of Management at Cyberjaya Campus:
Full-time Part-time
Master of Accounting (M.Acc.) by Faculty of Management at Cyberjaya Campus
Full-time Part-time
Master of Knowledge Management with Multimedia by Faculty of Creative Multimedia at Cyberjaya Campus (Full-time)
Master of Multimedia (E-Learning Technologies) by Faculty of Creative Multimedia at Cyberjaya Campus (Full-time)
M.I.T. (Multimedia Computing)* by Faculty of Computing and Informatics at Cyberjaya Campus (Full-time)
* conversion course
M. Comp. Sc. (Software Eng. & Software Architecture) by Faculty of Computing and Informatics at Cyberjaya Campus
(Full-time)
Intake:
(Applicable for Structure B
& C only)
February June October
Note: Application is open throughout the year for research-based programme.
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SECTION 2: PERSONAL PARTICULARS
Forename (s):
Surname/Family Name:
Title: Mr/Mrs/Miss/Ms NRIC/Passport No:
Date of Birth (Day/Month/Year):
Gender: Male Female Marital Status: Single Married Others : ___________
Nationality:
Race: Religion:
Correspondence Address: (Please note that this is the address to which the University will send all correspondence)
Postcode: Country:
Telephone No: (Office) (Home) (Mobile)
Fax No:
E-mail Address:
Permanent Home Address: (If different from the above address)
Postcode: Country:
Telephone No: (Home) (Mobile)
Fax No:
E-mail Address:
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SECTION 3: ACADEMIC AND PROFESSIONAL QUALIFICATIONS
(Please attach the certified true copies of transcripts and certificates for all academic, professional, GMAT/GRE and English Language
Qualifications. Documents which are in Languages other than English must be translated and certified.)
3.1 ACADEMIC QUALIFICATIONS
Degree Qualification
Year
Awarded
Name of
College/University/Institute
Period of Study
Class/CGPA/Grade
Start
(MM/YYYY)
End
(MM/YYYY)
3.2 PROFESSIONAL QUALIFICATIONS
(State whether the qualification was obtained by examination or exemption based on previous qualifications or experience).
Professional Body
Qualification
Year Awarded
Examination
or
Exemption
(if applicable)
3.3 GRADUATE MANAGEMENT ADMISSION TEST (GMAT) / GRADUATE RECORD EXAMINATION (GRE) (if any)
Subject
Date of Test
Place
Verbal Score
Quantitative Score
Total Score
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3.4 ENGLISH LANGUAGE COMPETENCE
English Qualification
Score
Date Obtained
TOEFL (paper/computer/internet)
IELTS
MUET
1119
Other (please specify):- _______________
__________________________________________
ENGLISH PROFICIENCY TEST
All applicants must fulfill the English Language requirement in order to be admitted to the approved programme. The faculty may interview the candidates who
have obtained their Bachelor’s or Master’s degrees from Institution where English is the main medium of instruction or as one of the mediums of instruction and
recommend to Senate for waiver. An English Language Proficiency Test (ELPT) will be conducted to gauge the proficiency level of candidates who do not meet
the English Language requirement and fail the English Interview (if applicable). Candidates who fail to meet the English Language requirement may enroll into
the Intensive English Language Programme (IELP) offered by MMU in the month of February, June and October.
SECTION 4: WORKING EXPERIENCE
(Please attach the employment verification letter from your employer. Documents which are in Languages other than English must be translated.)
4.1 Give details of employment history including current employment.
Name and Address of Employer
Period of Employment
Position Held
Job Description Start
(MM/YYYY)
End
(MM/YYYY)
Continue on a separate sheet if necessary.
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4.2 Please indicate and describe any of your current or past working/training experience that will support your application. How will the
programme fit in with your career objectives?
Continue on a separate sheet if necessary.
SECTION 5: SOURCE OF FINANCE
Self – financed Sponsorship/Scholarship
(For International applicants, kindly enclose the financial statement (Please enclose a copy of sponsorship/scholarship
and financial guarantee form) letter and documents)
SECTION 6: RESEARCH PROPOSAL (Applicable for Structure A only)
(Kindly attach the research proposal)
Kindly classify your research into the following:-
1. Field of Research
2. Area of Research
3. Title of Research
The Malaysia R&D Classification System (http://www.mastic.gov.my/) serves as a guide to categorise the field and area of research.
A research proposal (approximately 8 pages) must be submitted in the attached format (Attachment A) and should consist the following: -
1. Introduction & Justification of the study
Research Background
Problem Statements & Motivations
Objectives & Deliverables
2. Literature Review
3. Research Methodology
4. Research Schedule
5. List of References
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SECTION 7: PERSONAL STATEMENT
(List your short-term and long-term professional goal. Describe your motivation in pursuing postgraduate study at Multimedia University. Please indicate what
you wish to gain from this programme)
SECTION 8: SPECIAL NEEDS
(If you have special needs owing to a disability or specific learning difficulty, please provide details)
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SECTION 9: EMERGENCY CONTACT
Emergency Contact Person
Name: Relationship:
Address:
Postcode: Country:
Telephone No: (Office) (Home) (Mobile)
E-mail Address:
SECTION 10: REFEREES
1. Kindly provide the following details of the two referees to whom you have forwarded the reference forms. One referee should be the supervisor for
your recent academic work or from your current/past employer.
2. Kindly send the reference form(s) to your referee(s) requesting that the reference(s) form be completed and sealed in an envelope. The referee(s)
shall sign across the seal and return to you or forward to IPS, MMU.
3. It is your responsibility to ensure the reference forms are forwarded to IPS, MMU within two weeks after the deadline of application.
Name:
Name:
Position:
Position:
Relationship to Applicant:
Relationship to Applicant:
Address:
Address:
Postcode:
Postcode:
Telephone No:
Telephone No:
Fax No:
Fax No:
E-mail Address:
E-mail Address:
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SECTION 11: REFERENCE SOURCE
How did you get to know about Multimedia University?
Radio Newspaper University Brochures Postgraduate Prospectus
Parent’s Recommendation
Friend studying at Multimedia University
MMU Open Day
MMU Website
Education exhibition/Road show (please specify): ____________________________________________________________________
Representative in your country (please specify): ____________________________________________________________________
Other (please specify: ___________________________________________________________________________________________
SECTION 12: OTHER APPLICATIONS (if any)
If you are applying for more than one programme to this University, please list all your applications (including this one) in the order of preference.
1. _____________________________________________________ 2. _________________________________________________________
DECLARATION
I certify that the information given in this application form is true. Discovery of false information or omission of relevant information subsequent to
the offer of admission will lead to the immediate dismissal.
Signature of Applicant: _____________________________________________ Date: ________________________________
Name of Applicant: ________________________________________________
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REFERENCE FORM CONFIDENTIAL
INFORMATION FOR CANDIDATE
1. The candidate shall send the reference form(s) to his/her referee(s) requesting that the reference(s) form be completed and sealed in an envelope.
The referee(s) shall sign across the seal and return to the candidate or forward to IPS, MMU.
2. It is the responsibility of the candidate to ensure the reference forms are forwarded to IPS, MMU within two weeks after the deadline of application.
PART I: To be completed by the Applicant
Name of Applicant (in BLOCK CAPITALS):
Programme Applied:
Campus:
PART II: To be completed by the Referee
1.
How long have you known the applicant and in what capacity?
2.
How do you rate his/her academic ability?
3.
Taking overall view, what do you consider to be the applicant’s major talents and strengths? What do you consider to be the applicant’s major
weakness?
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4.
Please rate the applicant in relation to the following aspects:
Outstanding
Good
Average
Poor
Unable to Assess
A
Intellectual ability.
B
Capacity for original thought:
e.g. Ability to initiate new ideas.
C
Organisational ability:
e.g. Ability to work with others &
leadership quality.
5.
Please state your observation on the applicant’s suitability for the programme, together with any other information, which might assist the University in
making a decision.
Continue on a separate sheet if necessary.
6.
RECOMMENDATION:
State your support for this application.
Strongly recommend Recommend Do not recommend
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Referee Name: Position:
Organisational Address:
Telephone No: Fax No:
E-mail Address:
Referee’s Signature and Official Stamp: ____________________________________________ Date: ___________________________________
All information provided will be treated confidentially. Your assistance in providing the information is highly appreciated.
Kindly return the form to:
FOR (CYBERJAYA CAMPUS & PSDC) PROGRAMMES
Institute for Postgraduate Studies (IPS) Multimedia University Persiaran Multimedia
63100 Cyberjaya, Selangor Darul Ehsan, Malaysia Contact Number: 603-8312 5290/5560
Fax: 603-8312 5300 Email: [email protected] URL: http://research.mmu.edu.my/ips
*PSDC: Penang Skills Development Centre
FOR (MELAKA CAMPUS) PROGRAMMES
Institute for Postgraduate Studies (IPS) Multimedia University
Jalan Ayer Keroh Lama 75450 Bukit Beruang, Melaka
Contact Number: 606-252 3166/3564 Fax: 606-231 7141
Email: [email protected] URL: http://research.mmu.edu.my/ips
Ver.1, Rev.2 05.09.2013
ATTACHMENT A - RESEARCH PROPOSAL
Name of Candidate:
Degree pursued:
Faculty:
Title of Proposal:
Abstract (no less than
200 words):
Description of Proposal:
1)Literature review
2)Research
Problem/Issue
3)Research Objectives
4)Methodology (with
justification)
Keywords:
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Objectives: 1. 2. 3. 4.
Please state your
proposed milestones for
your research (refer to
your proposal especially
objectives):
Year 1 Year 2 Year 3
1st half 2nd half 1st half 2nd half 1st half 2nd half
Year 4 Year 5
1st half 2nd half 1st half 2nd half
References (recent
publications in Journals
and Conferences):
Proposed Supervisor:
Proposed Co-
Supervisor:
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11 November 2010
TO WHOM IT MAY CONCERN:
Dear Prof./Asst. Prof./Dr/Mr./Mrs./Ms.,
NO OBJECTION CERTIFICATE (NOC) FOR AFRICAN STUDENTS BEGINNING 1ST JANUARY 2011
This is with reference to the latest circular from Private Higher Education Governance Division of Ministry
of Higher Education (MOHE) Malaysia bearing reference JPT/GS1000-606 (13) (attached herewith).
This is to inform all parties that with regard to the circular, which is effective from 1 January 2011, all
citizens from the countries listed in Appendix B, as well as other nationalities who had studied in the listed
countries are now required to get a NO OBJECTION CERTIFICATE (NOC) from their respective countries
Ministry of Higher Education or equivalent ministry for to be able to further their education in Malaysia. A
sample of NOC is attached as Appendix A.
Students who are already in Malaysia as tourist and decides to pursue his or her education in Malaysia are
required to get the NO OBJECTION CERTIFICATE (NOC) from their respective High Commission / Embassy /
Consulate.
NO OBJECTION CERTIFICATE (NOC) is now officially made as a compulsory document for the purpose of
applying for Malaysian Student Visa beginning 1 January 2011.
Kindly advise future students to adhere to the following.
Thank you.
Yours Sincerely,
……………………………………………….
SERITHEREN SUBRAMANIAM
Head
International Relations Department
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APPENDIX A
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(NAME OF COUNTRY’S AUTHORITY)
This is to certify that
(NAME)
Is a citizen of _____________________ (NAME OF COUNTRY) and
a holder of Passport Number _______________________
Document evidences had been produced stating
That he/she had fulfilled the minimum academic qualification requirements
to pursue his/ her studies in:
(PROGRAMME, UNIVERSITY & ACADEMIC YEAR)
The ______________________ (NAME OF COUNTRY’S AUTHORITY)
Has no objection for the students to pursue the
intended course.
______________________________
(SIGNATURE & OFFICER’S NAME)
(NAME OF COUNTRY’S AUTHORITY)
Date:
Reference No:
