STRG Form

Science & Technology Research Grant (STRG)

Particulars of Researcher

Full Name :

Malaysian Identity Card No. (NRIC No.) :

Title:
(eg. Assoc., Prof, Dr, Mr, Ms )

Age :

Gender :

Email :

Office:

Mobile:

Present Position/Faculty/Department:

Particular of Recommending University/Institution

Name:

Others:

Address:

Name & Designation of Authorised Representative:

Address of Authorised Representative:

Email:

Office:

Particulars of Research Project

Title of the Research Project:

Proposed Grant Amount:

Breakdown:

1) Cost Of Equipment

2) Consumables

3) Other Expenditure

Upload Endorsed Application Form:
Rename the file name before upload.
e.g. STRG_cindylee_USM_2019

Particulars of Group Members (Max 2 Members)

*Please check the contents thoroughly before submitting online, as any alteration or re-submission thereafter will be rejected in total.