Post-doctoral Research Fellow Application Form - Mmd Amended 23102012 (2) (1)

Updated: October 2012

POST - DOCTORAL RESEARCH FELLOWSHIP SCHEME

APPLICATION FORM

APPLICATION CATEGORY

Please tick (√) one of the following boxes and complete the appropriate section. Your application will not be processed if you tick more than once.

UM Post-Doctoral Research Fellow (SECTION B)

HIR Post-Doctoral Research Fellow (SECTION C)

THE DIRECTORInstitute of Research Management & Monitoring (IPPP)Level 7, Research Management & Innovation Complex

University of Malaya50603 Kuala Lumpur

[Application of Post-Doctoral Research FellowUpdated: 23 October 2012]

INSTRUCTIONS:

The applicant should:

complete the form online and forward to [email protected]

submit three (3) copies of the forms together with the research proposal, Curriculum Vitae and relevant documents [one (1) original & two (2) photocopies] to:

THE DIRECTORInstitute of Research Management & Monitoring (IPPP)Level 7, Research Management & Innovation Complex

University of Malaya50603 Kuala Lumpur

include the checklist form together with the before submitting the application.

Each copy of the academic qualifications MUST BE CERTIFIED TRUE AS PER THE ORIGINAL and any document in a foreign language MUST BE TRANSLATED INTO THE ENGLISH LANGUAGE.

Please submit immediately a letter of confirmation from the respective University on the conferment of the Ph.D degree.

It is the responsibility of the applicant to update any documents necessary.

Incomplete application will not be processed.

If your application is successful, FOREIGN APPLICANTS ARE NOT TO ASSUME DUTY UNTIL BEING NOTIFIED THAT THE VISA AND EMPLOYMENT PASS APPLICATION HAS BEEN APPROVED BY THE IMMIGRATION AUTHORITIES IN MALAYSIA.


mailto:[email protected]

SECTION A (COMPULSORY TO BE COMPLETED BY THE APPLICANT)

PART I: PERSONAL PARTICULARS

Passport - sized photograph with a blue background.

1. Full Name:

(Please use CAPITAL LETTERS and underline your family name.)

2. Nationality:

3. IC No:

4. Details of Passport:

Date & Place of Issue:

Date of Expiry:

5. Date of Birth: 6. Place of Birth:

7. Age: 8. Religion:

9. Sex (Male / Female): 10. Marital Status (Single / Married):

11. Correspondence Address:

12. Telephone No: Office: Mobile:

13. Email Address:


Please place your photo here

PART II: ACADEMIC QUALIFICATIONS

Name of Certificate Field Name of Institution Grade/Class/CGPA & Year

Title of Thesis/Dissertation for PhD (Please attach the description of the Thesis/Dissertation)

Membership of Professional Institutions or Societies (Please indicate name & date awarded)

Scholarship/awards obtained (Please indicate and enclose documentary evidence, if any)

Are you bonded with your sponsor? * YES/NO


PART III: EMPLOYMENT / WORKING EXPERIENCE

Company & Address Job Description Duration Year

REFEREES: Name TWO (2) persons. Your referees should be able to comment on your academic standing, professional competence, and research ability. One of them should be your supervisor for your higher degree thesis/dissertation. (Please forward to your referees the attached Referee’s Report form. The completed forms should be returned direct to the Director of IPPP by your referees. It is your responsibility to advise the referees on the deadline for the submission of the reports. The deadline is within 2 weeks after submitting the application.

Name Appointment Address

1.

2.

Any other relevant information (Please use a separate sheet of paper, if necessary):

PART IV: NEXT OF KIN

Name Relationship Nationality Occupation Present Address and Telephone No.

PART V: OTHER INFORMATION

List of countries in which you have resided during the past five years

From To Address Country


Part VI: BRIGHT SPARKS INCENTIVE SCHEME FOR POST - DOCTORAL RESEARCH FELLOW

Are you interested to apply for this programme? YES NO

If yes, please refer to Section D

APPLICANT DECLARATION:

I admit that all information specified in this application is correct and true. All copies of certificates and letters of recommendation in support of this application are certified as requested.

I agree that the University of Malaya has the right to reject this application or cancel the offer at any time if the information given is found to be untrue.

I agree that the University of Malaya has the right to reject this application without giving any reasons.

Name: ……………………………………………..

Signature: ………………………………………. Date: ……………………………………..


SECTION B

UM POST - DOCTORAL RESEARCH FELLOW

PART ITo be completed by the Applicant

Publications: (List of publications in chronological order on a separate sheet of paper)

Field of specialisation:

Research collaboration with UM staff: (if any, you may use a separate sheet of paper)

Name of UM staff:

Department:

Research Titles:


SECTION C

HIR POST - DOCTORAL RESEARCH FELLOW

Part ITo be completed by the Applicant

Name of Principal Investigator (PI):

Address of Principal Investigator (PI) :

HIR Reference Number : UM.C/625/1/HIR/_______________

HIR Account Number : H-50001-00-_________-__________

Name of HIR Project :

Date of commencing work if offered : ________/________/20________

Bank Account Number :

(for payment)

_______________________________________(CIMB BANK ONLY)

Part IITo be completed by the Principal Investigator (PI)

Comments of PI concerning the suitability of candidate as HIR Post-Doctoral Research Fellow for the project and state the proposed monthly salary as well as the period of appointment:

………………………………………………………………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………

Suggested Salary : …………………………………………………. [ Salary Range : RM4000 – RM6000 ]

Period of Appointment: ……/……/20……-……/……/20……….. [ Maximum : 12 months ]

Signature : ……………………………………………………… Official Stamp : …………………………………………………………

Name : ……………………………………………………… Date : ………………………………………………………….


PART IIITo be completed by the Assistant Registrar (HIR Secretariat)

Vote : Sufficient Insufficient

Salary : RM…………………………………………………………..per Month

Period of appointment : ………………………………………………………………..

Signature : …………………………………………………………………

Official Stamp : …………………………………………………………………

Date : ………………………………………………………………...

INFORMATION ON THE APPLICATION FOR THE HIR POST-DOCTORAL RESEARCH FELLOW

1. This application form must be completed and attached with a copy of the Passport and Visa, most recent Curriculum Vitae (for foreign applicant), Account Number, copies of other relevant certificates.

2. Application should be forwarded through the Principal Investigator (PI) concerned with the form duly completed.

3. Candidate must fulfill job requirement qualifications as specified in the guideline.

4. Candidate is required to give a copy of the following documents which should be certified true.

i. Passport and Visaii. Account Number (CIMB only)iii. Certificates of academic qualifications

5. Application that is not complete or does not follow procedures will be REJECTED.


ATTACHMENT 1

BRIGHT SPARKS (BS) INCENTIVE SCHEME FOR POST - DOCTORAL RESEARCH FELLOW

1. Main Criteria (Minimum)

(1) Candidate has published at least 6 research articles in ISI ranked journals or has carried out research (for at least 5 years) in current research

(2) The age of the candidate MUST NOT EXCEED 35 years at the time of application.

2. Activities And Incentives For Bright Sparks Candidates

Candidate must meet the KPI which has been ascertained.

3. Key Performance Indicator (KPI)

(1) publish at least three research papers in ISI journals (Q1 and Q2) each year;

(2) submit at least one research paper to the ISI journal every 4 months;

(3) present at least a research paper at two conferences locally and one internationally each year;

(4) deliver at least 4 seminars at the Faculty each year;

(5) show evidence that you have tried to apply for international research grants;

(6) have research collaboration with world-renowned institutions;

(7) successfully established collaboration with a senior staff in the Faculty;

(8) supervise at least two junior staff in the Faculty in the field of advanced research;

(9) obtain positive feedback from your co-researchers, and

(10) participate in programmes determined by the Bright Sparks Unit.

4. Contract

(1) Candidate will sign an appointment contract as a Post - Doctoral Research Fellow.

(2) Candidate will be receiving the BS Incentive subject to a satisfactory progress report for the first six (6) months of appointment. This incentive is over and above the monthly emolument received.

(3) Candidate will be assessed every six (6) months on his/her progress. Should he/she fails to meet the KPI as required for a BS Post - Doctoral Research Fellow, the candidate will be terminated from the BS Incentive Scheme. However, the appointment contract will still continue until the end of the tenure.


5. Conditions On The Bright Sparks Incentive Scheme Offer

A candidate is required to carry out activities and fulfill the requirements of the Key Performance Indicator (KPI) as determined in Item no 3 and to submit a progress report every six (6) months throughout the duration of the sponsorship under this scheme.

Failure to carry out such activities and/or fulfill the KPI requirements may lead to your termination from this programme. All the incentives will be withdrawn and you are required to repay the total amount of incentives disbursed to you under this programme for a particular period that you have not performed.

If you so decide, upon whatever reason, to be terminated from this programme before you fulfill the publication requirement, you are required to repay all the Incentives disbursed to you for a particular period that you have not performed.

SECTION D


BRIGHT SPARKS INCENTIVE SCHEME FOR POST - DOCTORAL RESEARCH FELLOW

PART ITo be completed by the Applicant

Publications (at least six (6) research articles in ISI ranked journals or has carried out research (for at least 5 years) in current research.

Field of specialisation:

PART IITo be completed by the Head, Bright Sparks Unit

Recommendation : (1) Approved

(2) Rejected due to: ………………………………………………

Signature : …………………………………………………………………

Official Stamp : …………………………………………………………………

Date : ………………………………………………………………...

BSP/APP___________________


Date:

HeadBright Sparks UnitLevel 3, Chancellery BuildingUniversity of Malaya50603 Kuala Lumpur

Dear Sir/Madam,

DECLARATION: BRIGHT SPARKS INCENTIVE SCHEME FOR POST - DOCTORAL RESEARCH FELLOW

__________________________________________________________________________

I, _______________________________, IC/Passport No: _______________ hereby CERTIFY/DECLARE that I fully understood the contents of the Bright Sparks Incentive Scheme for Post-Doctoral Research Fellow.

2. I am AWARE of all potential consequences of accepting this offer and that the University of Malaya is not responsible for any negligence caused by me.

3. I DECLARE that I am solely responsible for my own actions and that if any of the above happens, I will not pursue any legal action against University of Malaya.

4. I CERTIFY that the information provided above is correct and complete and Universiti of Malaya reserves the right to terminate the contract if the information / documentation is incorrect or forged.

Thank you.

………………………………………..

Name:

IC / Passport No:

Address:

Tel No:

Email:

CO NF IDE NT I AL


UNIVERSITY OF MALAYA

REFEREE’S REPORT

SE CT ION I (T o be c omple te d by the a pplica nt)

Name of Applicant :

Position applied : POST DOCTORAL RESEARCH FELLOW

Name of Referee :(As mentioned in theApplication Form)===============================================================SE C T I ON II ( T o be c o m p l e t e d by the r e f e r e e )

1. Please state period of acquaintance with the applicant

2. Please state your observation on the candidate’s ability and suitability for the post, together with any other information which might assist the University in making an appointment.

(Please use a separate sheet, if necessary). Your comments will be treated in strictest confidence.

Referee’s Signature: ……………………………………………… Date: …………………..

It shall be the responsibility of the applicant to advise his/her referee of this deadline.


Post-doctoral Research Fellow Application Form - Mmd Amended 23102012 (2) (1)

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Transcript of Post-doctoral Research Fellow Application Form - Mmd Amended 23102012 (2) (1)