URCE 2015 UniKL

APPLICATION FORMUndergraduate Research, Competition & Exhibition MICET 2015

(URCE 2015)

Notes:I. This competition is open to all final year undergraduate students only.II. Please make sure that all information is complete withouterrors. Incorrect completed entries will be

disqualified.III. Each team can be represented with maximum of 2 members.IV. The application form has to be sent via e-mail to the organizing committee. Details are provided

below.

A. PARTICULARS OF COMPETITION

1. Participating Individual and Student ID Number.

Name StudentIDFaculty/School Name

1.

2.

C.PROJECT INFORMATION

1. Project Title:

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B.CONTACT PERSON PARTICULARS

1. Contact Person:

2. Address:

3. Handphone No. (Mandatory):

4. OfficeTel. (If available):

5. E-mail Address (Mandatory):

URCE 2015 UniKL

2. Project Summary:

(Please provide the information below in the attachment)

i) Backgroundii) Objectiveiii) Methodsiv) Outcome

3. The importance and the Benefits of the Project:

D. SUPPORTING DOCUMENT

Please attach any relevant document such as:Diagrams, Photos, Graphs, Etc.

E. DECLARATION

I, _____________________representing my team members (if applicable) have checked and confirmed

that all details above are true and the form has been thoroughly completed before submitting this

application. I understand that any false statement(s) will result in my entry being disqualified.

Signature:

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1stParticipant:Date:

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2nd Participant:CLOSING DATEPlease submit a scanned copy of the Competition Application Form by 1stof August 2015 to Dr. Kelly Yong Tau Len (kytlen@unikl.edu.my)

ENQUIRIES: Please contactDr. Kelly Yong Tau Len/ Madam. FaridahbintiGhafar/ Mr. MohdEdyazuanbin AzniTel: 06-551 2000 ext. 2051, ext. 2032 and ext. 2121E-mail:kytlen@unikl.edu.my / faridahg@unikl.edu.my / edyazuan@unikl.edu.my

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