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    Faisal Abdillah
    This application form summarizes the requirements and steps for applying to study a PhD in Computer Science at UBD. It requires applicants to provide personal details, contact information, educational background, English proficiency qualifications, references, and details about funding sources. Applicants must upload documents like identification cards, academic certificates and transcripts, a security clearance letter, and a permission letter from their employer if applicable. The form also requests a 1000 word essay on why the applicant deserves a graduate research scholarship from UBD. Upon successful submission, applicants will receive a PDF of their application.

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    Form

    Uploaded by

    Faisal Abdillah
    152 views4 pages
    This application form summarizes the requirements and steps for applying to study a PhD in Computer Science at UBD. It requires applicants to provide personal details, contact information, educational background, English proficiency qualifications, references, and details about funding sources. Applicants must upload documents like identification cards, academic certificates and transcripts, a security clearance letter, and a permission letter from their employer if applicable. The form also requests a 1000 word essay on why the applicant deserves a graduate research scholarship from UBD. Upon successful submission, applicants will receive a PDF of their application.

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    This application form summarizes the requirements and steps for applying to study a PhD in Computer Science at UBD. It requires applicants to provide personal details, contact information, educational background, English proficiency qualifications, references, and details about funding sources. Applicants must upload documents like identification cards, academic certificates and transcripts, a security clearance letter, and a permission letter from their employer if applicable. The form also requests a 1000 word essay on why the applicant deserves a graduate research scholarship from UBD. Upon successful submission, applicants will receive a PDF of their application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    152 views4 pages

    Form

    Uploaded by

    Faisal Abdillah
    This application form summarizes the requirements and steps for applying to study a PhD in Computer Science at UBD. It requires applicants to provide personal details, contact information, educational background, English proficiency qualifications, references, and details about funding sources. Applicants must upload documents like identification cards, academic certificates and transcripts, a security clearance letter, and a permission letter from their employer if applicable. The form also requests a 1000 word essay on why the applicant deserves a graduate research scholarship from UBD. Upon successful submission, applicants will receive a PDF of their application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Application

    Important Note :
    1. Please fill in all the mandatory fields marked . you will not be able to save/submit the application if you
    missed them out or incomplete
    2. Please make sure to fill in your email address correctly. After you save/submit this application form,
    notification of your application code will send to the email address you provided.
    3. Electronic documents required to be uploaded with this application includes: - Certified true copy of Brunei identification card or international passport
    - Certified true copies of academic certificates, including university transcripts (where applicable)
    and English proficiency qualification
    - For international applicants, a security clearance letter from letter from the country of origin
    - For in-service applicants working in the private sector, a letter of permission from the employer
    4. You will be able to download a PDF version of your filled application form upon a successful submission.
    5. For Brunei Government employees, printed application forms must be submitted through the respective
    Ministry.

    Programme of Study
    Application Code EF2B68
    First Choice
    Second Choice

    PhD In Computer Science

    Apply for Session 2016 August Intake


    If you have previously applied to study at UBD, please indicate the most recent year you applied :

    Personal Details
    Title
    Name
    Nationality
    Brunei Identification
    Card No

    Master
    MUHAMMAD FAISAL TAMA
    INDONESIA
    Citizenship
    Identification Card
    Colour

    Race
    Gender
    Date of Birth
    Country of Birth
    Passport Number
    Place of Issued
    Country of Issued

    Male
    1983-04-30
    INDONESIA
    A6729757
    INDONESIA
    INDONESIA

    Citizen

    Religion
    Marital Status
    Country of Origin
    Country of Resident

    Muslim
    Single
    INDONESIA
    INDONESIA

    Date of Issued
    Expiry Date

    2013-11-22
    2018-11-22

    Contact Details
    Permanent Address jl.AP.Pettarani no.27 Makassar
    South Sulawesi
    Indonesia
    90232
    Postcode
    Country INDONESIA
    Mailing Address

    jl.AP.Pettarani no.27 Makassar


    South Sulawesi
    Indonesia
    90232
    Postcode
    Country INDONESIA

    Phone No.
    Email
    Skype ID

    085299571767
    [email protected]

    Mobile No 085299571767
    04114668835
    Fax No

    Work Experience / Employment Details


    Employer Name and Address

    Post

    Mode

    From

    To

    Emergency Contact

    Phone No.

    Retno
    Relative
    JL.Racing Centre no.17/39 Makassar
    South Sulawesi
    Indonesia
    Mobile No 081343549850
    081343549850

    Office No.
    Email

    081343549850
    [email protected]

    Name
    Relationship
    Address

    Fax No

    Next Of Kin
    Application Details
    Research and Publication
    Please list completed research and publications, if any (please attach additional sheet if necessary).
    Year

    Title

    Title of Publication (if


    applicable)

    Publications details (volume/edition/page)

    Other Information
    Are you currently Employed ?

    No

    If you are currently employed, will you stay employed while studying in UBD?
    If Yes, please fill in:
    For Brunei Government Employee only :
    Ministry :

    Department :

    Latihan Dalam Perkhidmatan


    (LDP) Status
    For Private Sector
    (Company/Organization)

    Have you previously studied in UBD? No

    Source of Funding
    Please indicate the type of funding
    Fee Paying
    X Scholarship
    Name of the Scholarship Scheme :

    phd asian

    Have you ever been awarded Brunei Government


    Scholarship before?
    No
    X Yes
    If Yes, name of the scholarship :

    Master from Hasanudin University

    No

    Schools / Institutions Attended From Tertiary Onwards


    Name of School / Institution Country

    From

    To

    Highest Qualification Result /


    Earned
    Classification

    English Proficiency Qualification (if applicable)


    Year

    Score/Grade

    2014

    567

    GCE "O" Level


    English Language
    IELTS Score
    TOELF Score
    IGCSE Score
    UBD Bridging English
    Courses

    Mathematics Proficiency Qualification (if applicable)


    Candidates are required to have EITHER a minimum Mathematics qualification of GCE 'O' Level Credit
    6 or one "pass" in a Tertiary Level Mathematics subject.
    a) Please indicate if you have following
    Credit 6 in Mathematics at GCE 'O' Level Examination
    Grade pass in a Subsequent Level Mathematics subject
    Please note : Certified true copies of results / test results must be enclosed/uploaded.

    Extra-Curriculum Activities and Membership in Association

    Referees
    REFEREE1
    Dr. Ing. Faizal Arya Samman, ST
    Name
    Institution Hasanuddin university
    Jl. Perintis Kemerdekaan Km 10, Makassar
    Address
    South Sulawesi
    Indonesia
    Senior Lecturer
    Position
    Phone No (0411) 586200
    Mobile No 411586200
    [email protected]
    0411-585188
    Email
    Fax No

    REFEREE2
    Dr. Muhammad Niswar., ST. MT
    Name
    Institution Hasanuddin University
    Jl. Perintis Kemerdekaan Km 10, Makassar
    Address
    South Sulawesi
    Indonesia
    Senior Lecturer
    Position
    Phone No 411586200
    Mobile No 411586200
    [email protected]
    411-585188
    Email
    Fax No

    UBD Graduate Research Scholarship (GRS)


    a) Are you applying for the UBD Graduate Research Scholarship

    Yes

    b) Where / How did you hear about the UBD Graduate Research Scholarship (you may tick more
    than one)?
    Friends
    Advertisement
    X Website
    Others
    (Please specify)

    c) Have you been awarded with this scholarship or other scholarship in the past?
    If "Yes", please provide further details of scholarships

    Yes

    Master
    Name of Scholarship :
    Hasanuddin university
    Awarded by :
    Name of programme of study : Technic Electro
    2014
    Academic Year :
    d) Candidates are required to submit an original essay of not more than 1000 words describing why
    you apply for the GRS, why you deserve to be selected for the GRS, and what you intended to do to
    give back to Brunei Darussalam after you have completed your studies in UBD. (Please attach
    additional sheets if necessary).
    WITH ALL MY HOPES TO BE BEST LECTURER IN MY UNIVERSITY AND TO IMPROVE MY
    PROFESSION AS LECTURER, I TRY TO GET THIS SCHOLARSHIP.
    AND I SHALL OBEY ALL REGULATIONS FROM BRUNEI GOVERNMENT RELATED TO THIS
    PROGRAM.
    AS AN INDONESIAN CITIZEN AND MUSLIM,I REALLY EXPECT THE BRUNEI GOVERNMENT
    CONSIDER MY APPLICATION.
    AS REPRESENTATIVE OF MY COUNTRY AS GENERALLY AND ESPECIALLY MY CAMPUS, I HOPE
    RELATIONSHIP BETWEEN INDONESIA AND BRUNEI WILL BE SUPPORTED TO EACH OTHER. THANK
    YOU

    Declaration
    X Agree to the Terms
    I hereby confirm all the information provided by me is correct and true to the best of my knowledge. I agree to
    inform Universiti Brunei Darussalam (UBD) if there is any change to the information provided in this
    application while I am studying at UBD. I also certify that UBD reserves the right to vary or reverse any
    decision pertaining to my admission to UBD if the information given by myself is incorrect and untrue. I also
    consent to the collection, processing and retention by UBD of my personal data under the terms of UBD.

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