Copies of Qualification Certificates Must Be Enclosed with This Form

UTHM/PP/UPS-05 (BI)/2013

REMINDER TO APPLICANTS

Copies of Qualification Certificates must be enclosed with this form

GUIDELINES TO FILL

Part A: To be completed by Applicant

Part B: To be completed by Former Employer

Part C: Approval by the Dean

Please provide attachment if necessary

PARTA :To be completed by Applicant

1. Personal Details

2. KELULUSAN

a) Academic Qualification

Institution/ Country / Year / Level / Grade/
CGPA / Field of Study / Accreditationby PSD (JPA)
Yes/No*
Start / Award

Please refer to”

3. FIELD OF EXPERTISE

i)MAJOR: ………………………………………………………………………..

………………………………………………………………………..

ii)MINOR: ………………………………………………………………………..

………………………………………………………………………..

4. PROFESSIONALS QUALIFICATION

Institute / Professional Body / Membership
No. / Fields / Level (National/ International) / Status / Expired Date

5. DETAILS OF SUBJECTS THAT WILL BE TAUGHT

Course / Code*Diploma/Degree / IntegrationTimeDepartment

i) ………………………………… ………………………………………… ………………..……………….

ii) ………………………………… ………………………………………… ………………..……………….

iii) ……………………………….. ………………………………………… ………………..……………….

iv) ……………………………….. ………………………………………… ………………..……………….

* Please check with the relevant faculty

6. APPLICANT DECLARATION

I hereby solemnly and declare that:

a) I do not have any criminal record

b) I am not a drug addict and have never been convicted and found guilty by the court under any law relating to drugs

I hereby declare that the information given in this application from is true and correct. University Tun Hussein Onn Malaysia has the right to terminate my service if the information given is found to be false.

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

PARTB :To be completed by Employer

(If the candidate is not UTHM staff)

Part C: Approval by the Dean

Appointment and Payment Conditions For Part Time Academic Lectures Are Subjected To Regulations as Follows: -

a)Payment only eligible to appointed Temporary Lecturer to deliver academic lectures in a field of study to students.

b)Part-time Lecturers shall be appointed from among qualified External Lecturers. Appointments can be made from among public sector employees with the necessary academic qualifications to deliver academic lectures outside of office hours and do not affect the official duties of the officer.

c)External lecturers / officers appointed as Part-time Lecturers require the approval of the Head of Department and they are also required to submit a report to the Head of the Department in relation to payments received as Temporary Academic Staff

d)There post vacancies exist due to the incumbent lecturer on leave for a prolonged period such as sabbatical, on maternity, study or on leave to perform the Haj.

e)Post vacancies for lecturer or the incumbent for a prolonged period and not covered by a part time lecturer or another appointed staff.

f)Task as a Part Time Lecturer is considered as additional duties besides from their core duty posts.