Subject: Colombo Plan- University Science Malaysia (USM)- Joint Post Graduate Programmes

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1 No.403/200-EO(F) Government of lnda Mnstry of Personnel, P.G. and Pensons Department of Personnel & Tranng North Block, New Delh- Dated the& March 200 TRANNG CRCULAR Subject: Colombo Plan- Unversty Scence Malaysa (USM)- Jont Post Graduate Programmes The undersgned s drected to state that the Colombo Plan Secretarat has nvted applcatons from the CPS Member countres for the Post Graduate Programmes for academc year 200/20, whch wll commence from July 200. The Scholarshps wll be offered to CPS member countres. The detals of the programme and the applcaton form may be drawn from Mnstry of Personnel, Publc Grevances and Pensons webste (persmn.nc.n). 2. The Schoarshps are offered for the followng Courses:- () Master of Publc Admnstraton (MPA) () Master of nternatonal Studes (European Studes) () Master of Socal Work (MSW) (v) Master of Economc Management (MEM) (v) Master of Socal Scence (Asan Studes) (v) Master of Socal Scence (slamc Development Management) 3. The canddate should possess a bachelor degree n the area of specalzaton; have at least 5 years experence n the publc sector; meet Englsh language requrement; and have a clear dea about the area of research. 4. The Scholarshp offers economy class ar fare from the closest nternatonal arport to Penang, Malaysa at the begnnng of the programme and after completon of the degree programme; local tranng costs; accommodaton at the USM hostel; lvng allowance of RM,OOO per month (US$ =RM 3.4), payable up to 8 months; Book allowance, USD$35 and Thess allowance of US$205. (Book allowance and Thess allowance are to be pad n local currency, based on current rate) 5. t s requested that the nomnaton of the sutable canddates may please be forwarded to ths Department n accordance wth the elgblty crtera and the terms and condtons of the Colombo Plan's Crcular dated s' February 200. The Mnstry State Governments may sponsor the names of only Government Publc Sector Undertakng functonary. 6. The nomnaton detals should be submtted n the Colombo Plan Secretarat's prescrbed proformas, duly authentcated by the Department concerned along wth all the requste enclosures. 7. The applcatons should reach ths Department through proper channel not later than 29h March 200. Nomnatons receved after the prescrbed date wll not be consdered. The crcular nvtng - applcatons.. for tranng - course s avalable on ths Department's webste persmn.nc.n / (G.Srnv'asan) Under Secretary to the Govt. of lnda nstresl Departments of Govt. of lnda. 2. Goqernmentsl Unon Terrtores. (~e&hncal), NC wth the request to post the crcular along wth the Plan's crcular and the enclosed applcaton Proformas on the De artment's websle p

2 February 200 drs. Trsbaljt Seth Drector (MM) Department of Personnel and Tranng North Block, New Delh nda t Fax: Dear Mrs. Trsbaljt Seth, CALL FOR NOMNATONS: THE COLOMBO PLAN - UNVERSTY SCENCE MALAYSA JONT POST GRADUATE PROGRAMMES 200 / 20 The Colombo Plan Secretarat (CPS) s pleased to nvte nomnatons from our member countres for the above post-graduate programmes, for academc $ ' year 200/20 whch wll begn n July ths year. 2. Ths programme, co-sponsored by Malaysan Techncal Cooperaton Programme (MTCP) s offerng 0 scholarshps for government offcals of the CPS member countres, to pursue ther Master Degrees at the unversty. t wll be conducted on a full-tme bass of 8 months. The CPS scholarshp wll provde followng benefts: () Return economy ar fare; () Daly subsstence allowance (DSA) of RM,OOO per month, payable up to 8 months; () Book allowance, USD$35* payable at the begnnng of the academc year; (v) Thess allowance of USD$ 205*; and (v) Personal bond (refundable). *to be pad n Malaysan RnggC based on amnt rate 3. The unversty on the other hand wll provde hostel accommodaton and bears all related expenses for the studes. Please note that the accommodaton s on a sngle occupancy bass. The unversty s not oblged to provde accommodaton for scholars wth famly. n ths regard, scholars wll have to bear the necessary costs of lvng of ther famly. NO. 3, Wjerama Mawatha, Colombo 7, P.O. Box. 596, Sr Lanka. Tel: (94 ) (Huntng), , Fax: (94 ) E-mal: nfo@colombo-plan.org Webste:

3 4. We attach herewth, a copy of the project notfcaton contanng detals of the programme. Please advse nterested canddates to read t carefully and fully understand the procedures of applcaton, whch should be sent to the Colombo Plan Secretarat wthout sendng to the unversty. 5. Two sets of applcaton forms wth relevant supportng documents should reach the Colombo Plan Secretarat on or before 0 Aprl 200. Detals of ths programme and the applcaton form can also be obtaned from our webste - n addton, nterested canddates are advsed to vst USM webste to apply for the course on lne, concurrently. We regret that no consderaton wll be gven to late and ncomplete submsson. Thank you. "PLANNNG PROSPERTY TOGETHER" Yours fathfully, Admnstraton and Envronment Cc: H.E. Mr. Alok Prasad, Hgh Commssoner, Hgh Commsson of nda, 36-38, Galle Road, Colombo 3.

4 MASTER OF PUBLC ADMNSTRATON (MPA) MASTER OF NTERNATONAL STUDES (EUROPEAN STUDES) MASTER OF SOCAL WORK (MSW) MASTER OF ECONOMC MANAGEMENT (MEM) MASTER OF SOCAL SCENCE (ASAN STUDES) MASTER OF SOCAL SCENCE (SLAMC DEVELOPMENT MANAGEMENT) UNVERSTT SCENCE MALAYSA (USM) SPONSORED BY: THE COLOMBO PLAN & MALAYSAN TECHNCAL COOPERATON PROGRAMME (MTCP)

5 BACKGROUND Colombo Plan The Colombo Plan for Cooperatve Economc and Socal Development n Asa and the Pacfc s a unque ntergovernmental organzaton provdng development assstance under the Plannng for Prosperty motto and the concept of self-help and mutual help where member countres provde assstance to one another n soco-economc development. The Colombo Plan was conceved at the Commonwealth Conference on Foregn Affars held n Colombo, Ceylon (now Sr Lanka) n January 950 and was establshed on July 95 as a cooperatve venture for economc and socal advancement of the people of South and Southeast Asa. t has grown from the foundng group of seven Commonwealth natons - Australa, Brtan, Canada, Ceylon, nda, New Zealand and Pakstan, to 26, ncludng non- Commonwealth and countres belongng to the Assocaton of South-East Asan Natons(ASEAN) and South Asan Assocaton for Regonal Cooperaton (SAARC). Current Colombo Plan member countres are Afghanstan, Australa, Bangladesh, Bhutan, Brune, Fj, nda, ndonesa, ran, Japan, Republc of Korea, Lao PDR, Malaysa, the Maldves, Mongola, Myanmar, Nepal, New Zealand, Pakstan, Papua New Gunea, the Phlppnes, Sngapore, Sr Lanka, Thaland, Unted States of Amerca and Vetnam. n December 977, the Colombo Plan for Cooperatve Economc Development n South and South-east Asa was changed to The Colombo Plan for Co-operatve Economc and Socal Development n Asa and the Pacfc, to reflect the expanded geographcal composton of ts enhanced membershp and the scope of ts actvtes. Through the 57 years of ts operaton, the prmary focus of all Colombo Plan actvtes remans human resource development of ts member countres. Over the years, the programme content of the Colombo Plan has been adjusted to respond to the needs of member countres n a fast changng economc envronment. n the early years, the tranng programmes were more of a longterm nature whlst the current programmes are establshed to provde advance sklls and experence sharng, amed at best practces n dfferent felds of economc and socal actvtes for effectve polcy makng and governance.

6 Fundng A sgnfcant characterstc of the Colombo Plan s that the admnstratve costs of the Councl and the Secretarat are borne equally by all member countres and all member countres have an equal status n Colombo Plan s functons and actvtes. However, programme actvtes are funded by voluntary contrbutons by member countres based on the phlosophy of self-help and mutual help. n addton, non-member countres, other nternatonal and regonal organsatons and other donor agences are also sourced for fundng. Current Programmes n 995, Colombo Plan restructured ts programmes to emphasze on three permanent short-term tranng courses n prorty areas and promotng South-South cooperaton. The current programmes of the Colombo Plan are n the areas of Publc Admnstraton and Envronment ncludng post-graduate long-term scholarshps, Prvate Sector Development and Drug Demand Preventon n member countres. n ths regard, Colombo Plan has establshed three programmes for capacty buldng, namely, Drug Advsory Programme, Programme for Publc Admnstraton & Envronment and Programme for Prvate Sector Development. Programme for Publc Admnstraton & Envronment (PPA & Env.) The man objectve of the Programme for Publc Admnstraton s to develop human captal n the publc sector of the developng member countres (DMCs) through provson of tranng programmes n prortzed areas such as poverty reducton, leadershp development, economc management, strategc management, food securty and envronmental ssues ncludng clmate change. The PPA has establshed good partnershps wth centres of excellence n the member countres as well as wth ntergovernmental organsatons to delver tranng programmes n crtcal ssues of development to mddle and senor level publc offcals from DMCs, many of whom hold key postons n ther respectve countres. n 2009, had 7 short-term tranng programmes for government offcals of the CPS member countres. A total of 6 partcpants were traned. For 200, PPA has scheduled 6 Tranng Programmes and total of 95 partcpants are

7 expected to be tran. PPA s ntroducng new programmes lke Postal Servces Course n Pakstan, Tranng Course on Energy Effcency Emsson Reducton n Sngapore and Tranng Programme on Poverty Reducton and Tranng Programme on Empowerng Women n ndonesa. LONG-TERM SCHOLARSHP PROGRAMME (LTSP) The Long term Scholarshp Programme (LTSP), whch was the hallmark of the Colombo Plan durng ts early years of establshment, has been rentroduced n 2005 n response to the stated needs of member countres. Pror to that, the programme was put to a halt n 989. The LTSP programme provdes opportuntes for qualfed canddates from CPS member countres to pursue ther study at Masters degree level at prestgous unverstes n Korea, Malaysa, Sngapore and Thaland. n 2008, the LTSP recorded several new achevements. Frstly, the Government of Sngapore offered two new postgraduate scholarshps tenable at three prestgous unverstes n Sngapore namely, Natonal Unversty of Sngapore (NUS), Nanyang Technologcal Unversty (NTU) and Sngapore Management Unversty (SMU). Currently, the CPS s sponsorng one post graduate scholar from Nepal at the Sngapore Management Unversty. Secondly, the CPS had sgned a MOU wth Unversty Scence Malaysa (USM) and Unversty Putra Malaysa (UPM). Wth fundng from Malaysan Techncal Cooperaton Programme (MTCP), 20 scholarshps, 0 for each unversty are avalable for nomnated government offcers from the CPS member countres. The USM offers post graduate programmes, at Master level n varous feld hosted by School of Socal Scences whle the UPM, known for ts expertse n agrcultural studes offers Master degree n agrculture and agrculture-related felds such as botechnology. Thrdly, the CPS has establshed an understandng wth the nternatonal slamc Unversty of Malaysa (UM), n whch, the unversty wll offer 0 students the opportunty to pursue ther Master degree n scence and arts streams. The CPS expects ts frst batch of scholars to begn ther post graduate programme at the unversty n md The CPS wll endeavour to expand ths programme so that many more tertary educaton opportuntes wll be avalable for ts developng and least developed member countres.

8 Programme for Prvate Sector Development (PPSD) The Programme for Prvate Sector Development (PPSD), establshed n 995, provdes short-term tranng programmes and workshops for the development of the prvate sector. The focus of PPSD s on capacty buldng of small and medum enterprses (SMEs), whch n many economes drve economc growth and create employment opportuntes for a large segment of the labour force. The Programme`s scope covers technology transfer, SME development, busness management and sharng of best practces, World Trade Organzaton, productvty and trade ssues and ndustralzaton polcy. PPSD also plays an mportant role n promotng a busness frendly envronment through buldng up of capacty of those relevant government offcers who are responsble to put n place supportng nsttutons, laws and polces as well as regulatons whch affect the prvate sector. To obtan the best outcomes for these programmes, PPSD collaborates wth member governments and ther centres of excellence to mplement the programmes. Our current partner agences are Korea nternatonal Cooperaton Agency (KOCA), Malaysa Productvty Centre (MPC), CMC Ltd under the ndan Mllennum Fund, Asa Productvty Organzaton (APO) and Sngapore Cooperaton Programme (SCP). Snce ncepton n 995, Korea has been contrbutng to the PPSD programmes. More than,000 partcpants have benefted from ths tranng. n 2009, PPSD traned total partcpants of 22 through tranng programmes. For year 200 PPSD has scheduled 5 tranng programmes for 226 total number of partcpants are expected to be traned by those programmes. Drug Advsory Programme (DAP) The Colombo Plan Drug Advsory Programme, establshed n 973, was the frst n the Asa Pacfc regonal programme to address the drug problem. From ts ncepton, DAP has been contrbutng to the development of human resources n member countres by enhancng the capabltes of offcals n government and non-governmental organzatons nvolved n drug demand and supply reducton. DAP has played an nstrumental role n the establshment of natonal drug focal agency n member countres. Respondng to the changng needs of member countres, whch are facng mult-faceted problems due to llct drug producton, traffckng and abuse, the DAP has embarked on several nnovatve strateges ncludng fath-based approach to drug demand reducton, establshment of outreach and drop n centres and

9 ntroducton of lfe sklls to youths. DAP also moblzes communty n ts drug demand reducton actvtes, as well as provde advsory servces and capacty buldng to member countres. n front-lne countres lke Afghanstan and Pakstan, four (4) outreach and drop n centres were establshed n 2005 whch contnue to be supported by CPDAP. n the specal programme for Afghanstan, fve (5) treatment centres and transt shelter for women were set up n June DAP s operatng the only Treatment Centre for women n Kabul, Afghanstan. UNVERSTY SCENCE MALAYSA Unversty Scence Malaysa (USM) was establshed n 969, n response to the need for a conducve academc envronment, approprate to the future needs of Malaysa. Today, t has become a leadng research unversty wth a hgh reputaton for provdng excellent postgraduate programmes. Snce ncepton, USM has mplemented a school system. The unqueness of the school system s that each school could fulfl the needs of a focused degree n the chosen area of study. USM has three campuses. The Man Campus s located n the sland of Penang whle the Engneerng Campus s located n the manland sde of the state of Penang. The thrd campus, whch houses three-health related programmes (Medcne, Health and Dentstry) s n the State of Kelantan--on the east coast of Pennsular Malaysa. Presently, the unversty has a graduate student populaton of 6,687 students, whch consttutes more than 20% of ts total student populaton. Foregn student populaton s,424. These students are enrolled n the areas of Medcne, Scence and Technology, Engneerng and Arts and are workng towards ther Masters or Doctorate degrees. COLOMBO PLAN UNVERSTY SCENCE MALAYSA (USM)LONG TERM SCHOLARSHP PROGRAMME General The Colombo Plan began ts collaboraton wth the USM n The programme s hosted by the School of Socal Scences of the Unversty. Snce 2008, 3 scholars have been graduated and currently, the CPS s sponsorng the second batch of 6 post-graduate scholars from Bhutan, ndonesa, Maldves, Myanmar and Sr Lanka. The scholarshp offered for ths programme s for 2-8 months study perod. nterested canddates are requested to choose mx mode/course work courses only, whch combne course work and dssertaton.

10 The lst of courses s as follow: Degree: MASTER OF PUBLC ADMNSTRATON (MPA) MASTER OF NTERNATONAL STUDES (EUROPEAN STUDES) MASTER OF SOCAL WORK (MSW) MASTER OF ECONOMC MANAGEMENT (MEM) MASTER OF SOCAL SCENCE (ASAN STUDES) MASTER OF SOCAL SCENCE (SLAMC DEVELOPMENT MANAGEMENT) Areas of Specalzaton. Publc Admnstraton. Economc Management. European Studes v. Asan Studes v. Socal Work v. slamc Development Management Entry Requrements Canddates for the degrees offered above must possess a Bachelor Degree and should provde evdence of suffcent knowledge of ther respectve felds of specalzaton. Canddates wth academc backgrounds other than n the area for whch they are applyng for may be requred to successfully complete ther undergraduate level courses, after beng admtted to the programme. Requrements Canddates should:. be nomnated by ther respectve Governments. have a Bachelor degree n the area of specalzaton (2nd Class Upper Dvson or CGPA of above 2.75 s preferred). have a mnmum of 5 years experence n the publc sector v. meet Englsh Language requrement v. have a clear dea about the area of research

11 Englsh Language Requrements Canddates must demonstrate a capacty to pursue a graduate level course n Englsh by submttng 550 scores of TOEFL or 6 band of ELTS scores. Canddates who pursued ther frst degrees n Englsh medum are exempted from these requrements. Perod of Study The programme wll be conducted on a full-tme bass, startng n July 200. t requres one year of course work n resdence. Duraton of the programmes wll be 8 months or three academc semesters. The fnal semester s for students to complete ther dssertatons. Medcal Certfcate Applcant must be n good health to study n abroad for one year. Pregnancy durng the perod of applcaton and selecton wll dsqualfy the applcant. Language Requrements The programmes wll be taught n Englsh. However, as a matter of polcy, all foregn students are requred to pass LKM 00 to satsfy Bahasa Malaysa (natonal language of Malaysa) language requrement. Student Evaluaton Students wll be assessed on the followng general crtera, whch are appled n all the academc courses: a. Attendance b. Class partcpaton, submsson of term papers, assgnments etc.. c. St-n examnatons and oral examnatons d. Thess.

12 Grades Grades n the programme range from A (4.0), A- (3.67), B+ (3.33), B (3.0), B- (2.67), C (2.0), C- (.67), D+ (.33), D (.0), D (0.67) and F (0). Numercal equvalents for the grades are gven n brackets. Degree Requrements Students wll be conferred the Master degree accordng to the feld enrolled after they have successfully accumulated 44 unts from the core and electve courses at the School of Socal Scences. To graduate, students must obtan a mnmum CGPA of Research Project wll also be graded accordng to ths system. nvted Countres All developng member countres of the Colombo Plan are nvted to send nomnatons. Number of Scholarshps Ten (0) scholarshps wll be awarded under the Colombo Plan - USM Scholarshp Programme. Scholarshp Award The scholarshp wll cover the followng: a. Economy class ar tcket from the closest nternatonal arport to Penang, Malaysa, at the begnnng of the programme and after completon of the degree programme. b. Local tranng costs c. Accommodaton at the USM hostel d. Lvng allowance of RM,000 per month (US$ = RM 3.4) e. *Book allowance of US$ 35 f. *Thess allowance of US$ 205 * To be pad n local currency, based on current rate

13 Accommodaton Accommodaton for the students s at one of the halls of resdence of the Unversty. Lmted numbers of marred housng facltes are avalable wthn the campus. Please be nformed that the students are allowed to be accompaned by ther famles to Penang, Malaysa, after obtanng the necessary approval from the authortes. However, all expenses wth regard to the cost of lvng of the famly, wll not be borne by the Colombo Plan or the Unversty. Vsa Requrements Applcants need to obtan vsas from the Malaysan Embassy or Malaysan Hgh Commsson n ther countres or other countres nearby before ther arrval n Malaysa. Partcpatng governments are kndly requested to bear the cost of vsa applcaton for ther partcpants. Vsa expenses wll not be borne by the Colombo Plan Secretarat. Medcal Treatment Expenses for medcal and dental treatment n Government hosptals or clncs wll be borne by the government of Malaysa. Dental treatment s restrcted to extracton and fllng only. Member Country s Nomnaton Each member country s nvted to nomnate through the natonal focal pont two canddates, one prmary and a reserve. The duly accomplshed nomnaton forms (two sets) should be forwarded not later than 0 Aprl 200 to the Colombo Plan Secretarat at the followng addresses: Secretary General The Colombo Plan Secretarat P.O.Box 596 No.3, Wjerama Mawatha Colombo 7 Sr Lanka Attenton To Mr.Mohd. Khuzad Harun, Drector for Publc Admnstraton & Envronment Tel: Fax: E-mal: khuzad@colombo-plan.org

14 For more nformaton, you can contact; Ms. Savn Srkumara, Programme Offcer for Publc Admnstraton & Envronment, Emal: Canddates are advsed to apply for the course on lne by vstng concurrently. Please be nformed that the Colombo Plan Secretarat requres the orgnal applcatons of canddates for the fnal selecton. Therefore, member countres are requested to send the orgnal applcatons to the Colombo Plan Secretarat by regstered post or through ther dplomatc mssons n Sr Lanka. Selecton Selectons for the MASTER programme wll be jontly conducted by the CPS and USM. Successful canddates wll be notfed through ther natonal focal ponts. The CPS wll also nform students drectly through e-mal. Therefore, canddates are hghly advsed to fll up ther form clearly to ensure the smooth process of ther applcaton.

15 ~p~ ~ - Applcaton Form 2 MOHE ''3s)MTCP 200, [ MAlAYSRll TECHNlCAl COOPEBllTON PROGMMME [MTCP APPLlCATlON Of SCHOUlRSHlP FOR POSTGRADUATE STUDES lwmlllllyslll'! '.. (n trplcate) Please affx j Passport sze Photograph 3 copes) Rrrference nth.: APPLCATON FORM (to be wrlen by hand - block letters or word processed) / Checked: Name of the unversty n Malavsa: 3 Masters j, : Proposed date of ~,-,, 8, ~,,.!,,,,,!! commencement: L ~ 7-. PARTCULARS OF APPLCANT Fam~ly name (surname) (underlne name by whch fomally addressed): ';., l..,,,, ', :,,!!, j. F~rst Name. Other names: ~. ~.~.. :! Cty and country of brth- ; : 8 - ',,, Passport No: 8 /,, #, # 8, ' " Exp~ry date of passport ~ / Arport of departure to Maaysa : : l ~ L ~,., Date of b~rth. -, Day Moqth ' Yea:, u LJLP' Natonaty (ctzenshp) : - ~ r - Gender: Male!,,, - Femae : - u- ' : Marta statcs Smge Marr~ed :' Dvorced Wldowed (mark X: -, L Y -! Number of chldren : Relgon: /, 2. MALNG AND COMMUNCATON ADDRESS Appl~cant's offce name Postal address App,zant s Postal Address C~ty Country cqf Country '\ Offce telephone. TrlmnEEEE Country Area Number Telefax: UuEKDK Country Area Number Home telephone: Country Area Number / Emal: MOHE (6s) MTCP 2007 :

16 Person rc be contacted n case of emergency. name telephone and address: 3. EDUCATON (l~sr n order of lme, startng wth ast nsttuton attended) Name of nsttuton and place of study s -. - l -- - Major feld of study Years of study: from - to * ' Degree ":" ~ : ~! l -$! 4. ACADEMC AND FNANCAL AWARDS je.g onours, dst~ncon. book przes, scholarsh~p won n the last 3 years.?lease bs! n chronolop,ca! arde: and subm! copes ofdocurneltary evdence! Year : Type of Award (for scholarshp obtaned, please ndcate tenure and value of award) 8 5. OlTER ACTVTES (nvolvement! ~ j!! : bte : Duraton Bref Descrpton j Poston Held ~ r MOHE (BS) MTCP

17 .~ PREVlOUS RESDENCE N FOREGN COUNTRY p-p-.-.-p-.- ~! 7 2' ~ Cosr;:ry Year Length of s:ay PA P, - yo?: oanc~pared n any tranng programme v vla,aysa before? NO YES-= ~ r..< - * ,~ Name of programme, orgawer, $ear! ; : Have you panc~pated n an), MTCP trantng programme n Malays~a before?! :- '7 NO, - YES ', Name of programme, orsanzer. year P.7er graduatng, arc vou gomg ro return home to you8- ptesent job? YES r. NO L- f not, what 05 wl "ob 5e aong; -, '! 7. FELD Of STUDY e brefly the reasons for applyng to thts cog-se, your man felds of nterest wthn the programme and how yoo hope to beneft from the programme: Please contnue to ssupplementa~pages f necessary L 8. RESEARCH PROJECT Ttle:,....., ,.,.,,, Descrpton Abstract (not more than 200 words) - (Please attach) L- MOUE (BS) MTCP

18 ~ WORK EXPERENCE EMPLOYMENT RECORD p k mportant to gwe campbte mformatron For eac oravlde detasoyarrcutm andmlevanf wffcrert... Current JobtPost. 9aLes From. -- Descr~pt~on of your work ~ncludng your personal - Responsbltes.., :e '3 your post., ~ ~ ~ t )... ',, ' : / ype of organratlon. Fjrvae - Governrnen! 5e :.~Govemmsnf d -. -,,.,! Nameofemployer: '! ~!!, ~ Address of employer: ',,,,!,, ' ' Prevous post: -. ~ Dates From: r?, - To:... Type of 0rganzato: Prvate Government a Sem-Governmen? 4,, Lp - --, Proflc~ency n Languages ' (a) Englsh (b) Bahasa Malays~a (Malay languaye) (c) Mother-tongue. Wrtten Spoken Wrltten Very good Far t( Recommendaton from the Employer Dean of Faculty: ' ' Name of organzaton:! L- MOHE (BS) MTCP ZOO7.J

19 ~ ~ 8 - $3. DECLARATGN Have you ever be3n conv4eted by s Court of Caw of any country 7 -- Yes -- f yes., ase grre bnef detats: certfy tha: my statemsns n answer tc the foregong quesbons are lrde complete and carre3 to the oes! of!my / ~nowedge and beef. f accepred for a trantng award. undertake to: (aj car,^ out suc' ~nstructons and ahde Sy such mnd~fons as may be stprlaed by both the nomnatng government and the host government n respect of th~s cou-se otranng. h! Follow the course of study or!ranng, and abae Dy the ules of the Unversty or other nstftut~on or estabshment ln whch undertake to study or tran: (c;: Rera~: from engag~ng n pohcat acfrvrtres, orany form of employrne! for prot: ogaln: jd) Subrnrf any pngress reporls whch may be prescrbed: and (ej Return to my home countly promptly upon the completon of my course of study or tranng. l a!so fully understand that f am granted a schoarshlp award t may be subsequently wthdrawn f fal to make adequate progress or for other suffcen: cause determned by tne host Government. NG,, Sgnature of canddate: Name: Date:... OFFCAL DECLARATON (to be completed by the nomnatng government) ! The Government of: luor,na!e' (name of aopcant! ; Fcn %e scholarshp (Academc Year ) under The Malaystan Techncal Cooperatlor Progcamme an3 cetfes that. (a) a!l ~norrnat~on suppl~ed by the nomnee s complete and correct;! b) the nomnee had adequate knowedge, approprate'y tested of hs/her Engsh Language whch can be used for selecton purposes n the proposed host country, (Name) --- (Sgrlature oresposrke Government ofec;al] -- Address of Department / Mn~stry,...! Cf?,cal Seal Sa,mp:.... ~ Cfce Telephone number:,..> Oce Fax number,----., --T----,.~- --r --_ ' L _ l -. - L, ~ L Cam:? Area Number -- E mal: FT Date:,_l_2!.~-~~~! rr--r;~~q -7 7 L-A~-L!..-L.~L 7 7 -:,! -~ ~.- Please note: Ths appcaton form nus be du)~ ccmpeted and e~dorsed by the Mn!strf of Fore~gn f,yars c': the rrslfan! ;?ancy c-sponshe for the MTCF Scholarshp n your cosntfy L~CO~~PLETE AND/OR OdENDORSED FORMS CANNOT 3E PRC,CESSED -- WOHE (RS) MTCP 2 F7 j. - -

20 Applcaton form () The CPS-USM SCHOLARSHP PROGRAMME 200/20 Photograph j (3 Photos) MASTER DEGREE PROGRAMME N USM Recent (Applcaton need to be sent to the Colombo Plan Secretarat on or before 0 Aprl 200), FORWARDED BY THE GOVERNMENT OF! Area of S~ecalzaton: ; nsttuton: Unversty Scence Malaysa 800 USM, Penang Malaysa. PERSONAL NFORMATON Full Name as gven nthe passport (Underlne the surname / last name): Date of Brth Date of Expry: Home Address: Place of 6th No. of Chldren Sex - Martal Status,! / Natonalty: Relgon: Ma!?/ Female* Sngle/ Marred / -- - Tel. Number:

21 Appcator; form () 2. PRESENT EMPLOYMENT _. Desgnaton ----.! -: : Offce Address Telephone Number ~ Fax Number E-mal Address Date of appontment to the present poston / / Name of Employer Employer's Address Fax/ E-mall Telephone Number 3. EMPLOYMENT RECORD (please show most recent posts frst) Ttles of Posts held Present Post Dates of Servce Name and Address of Employer Type of Job ttle and bref Organsaton descrpton of your dutes ~ ndcatng ar:y pe;.sxa : responsbl'cy ~- - Prevous Post Prevous Post

22 Applcaton form () 4. EDUCATON RECORD (Must attached the Copes of Academc Transcrpts) - Educatonal Locaton Years Attended nsttuton From ( To r. -:, ~! j Degrees, Dplomas / Subjects or and Certfcates ( Specal felds receved of-study 5. PUBLCATONS RESEARCH EXPERENCE?se lst vo~r publcatons or research experax? a?.?

23 Applcaton form () 6. ADMSSON ESSAY.w- --:2 On a separate sheet of p~r;lrwrlk an essay that outlnes yo~~:;)cl-ona and career goals, your desre to do graduate studes and commtment to attend the yearlong ntensve MA programme. t should also ndcate your reasons for applyng for ths course. Ths essay should be typewrtten and not more than one page long. 7. ENGLSH LANGUAGE PROFCENCY (Copes of TOFEL & ELTS s a must) -- - Test Date Taken Score! Grade 4 TOEFL ELTS fther (Pease specfy) :! -_~-d (Please attach a copy of the certfcate). (b) Mother tongue: 8. REFEREES Erst Referee ham.e. Second Referee Name: 32s: Post: Uaress: Address: 0

24 Appcaton form () ::.3, Address: *fbhe and Address of a Reat*z.O:-prmrj n Malaysa (f any) Name: Name and Address~f.pe:mn n an emergency Name: Address: to be not~fed-,.~-, Telephone: Telephone: hereby apply for admsson to the USM/Colombo Plan Master of Socal Scence. p >.,.,~.. f xrntted agree to abde by ts rules and rejulatons. rsrf:.. that to the best of my knowledge the statements made by me above are true and correct. Date Sgnature Recommendatons from Nomnatng Agency (Sgnature of certfyng government offcer) Seal of Nomnatng Agency Name: Desgnaton: Agency:

25 ~ ~ A;$cacm form () CPS - US4 SCHOLARSHP PROGRAMME j 200 MASTER DEGREE PROGRAMME APPLCANT RECOMMENDAnON Applcant Name: Date: The zt::ve applcant has appled for admsson to the as9ve programme, and h2s cjven yar name as a reerencc. We would apprecate your evaux3~ 3: tk applcant's persona and academc qualtes. n partcu!~, we were nterested n knowng, whether n your judgement, the applcant s suffcently prepared to pursue graduate work n the feld of nternatonal studes. The fo~wng prefer, attach a separate letter..? check st s ntended to facltate your assessment. "o: ;.3.!, :.!nl: ' Personal Trats ) ntellectual a- --- Excellent Analytcal abty Motvaton and dlgence Orgnalty and ntatve j Judgement!! Ablty n wrtten Very good Good Average Below Average, Consderng ths applcant wth hs/her peers, how would you rate ths applcant. TOP 5% Top 0% Top 25%! Top half Lower F,a-; ~ expresson Ablty n oral expresson j ~.~ Emotonal stablty! ntegrty ---.~. ~

26 Pease amplfy your estmate of the applcant regardng hs/her general ntellectual ablty. Sgnature: Name: Thank you for your assstance. Please seal ths recommendaton n an envelope, sgn across the flap and return t to the applcant. The applcant has been nstructed to submt ths recommendaton together wth the rest of hs/her a~gcaton.

27 Applcaton form!?) MEDCAL REPORT ON STUDENT APPLYNG FOR ADMSSON TO FULL TME COURSE N MALAYSA. Name of Applcant A Personal Hstory: Detals of mportant llness, accdent or operaton svud be gven together wth subsequent treatment partcular should be made concernng any form of tuberculoss, rheumatc fever, cholera, fever, dyspepsa, eplepsy; dabetes, nervous or mental llness and known a!lerges. 5. Present Condton: a. Heght b. Weght c. Physque d. Vaccnaton e. Tuberculn test result f. Blood group 6. Respratory System: a. Nose d. Pharynx b. Chest Expanson e. Lungs (R & L) c. Complete X - ray Report of the chest Flm No: Hospta: Date: 7. Crculatory System: a. Pulse b. Blood Pressure c. Heart

28 Appcabon form () 8. Almentary System: a. Appette b. Bowels c. Tongue d. Lver e. Haemorrhods 9. Nervous System: a. Temperament b. Hearng 0. Reproductve System: a. Varcose b. Gtmorrhoea f. Dgeston g. Teeth h. Spleen. Rupture c. Reflexes d. Sght c, Syphls. Urnary System: a. Specfc Gravty b. Sugar c. Albumn 2. s the canddate at present: a. Undergong a treatment b. Recevng medcal attenton c. Requrng medcal attenton: f so please gve detals.> +.L LL- : :.,,cl L h above ~ canddate s medcaly ft to underhke 2 co-rse n balavs?~. Sgnature of Physcan: Date: Name:... Address: Certfcaton from Nomnatng Agency: certfy that the canddate has been medcally examned by a qualfed and regstered medcal practtoner. Sgnature:... Name:... Rank/ Ttle: Agency:...

29 Seal of the Nomnatng A~ency: Note: n completng ths form, partcular attenton should be pad to the followng pmrs: a. X-ray of chest to rule out any tuberculoss or chronc pulmonary dsease, where the flm s entrely normal b. Kdneys - no evdence of renal leson should be present. c. Eyesght - Severe errors of refracton should not be passed as these shoud only gve troube durng the years of tranng. d. Hesr!ng - deafness should be consdered of defnte bar.

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