Our Ref :

MINI SOCIAL RESEARCH GRANTAPPLICATION FORM
This form must be submitted to the
Research & Publications Department
Malaysian Technology Development Corporation Sdn Bhd
Level 9, Menara Yayasan Tun Razak,
Jalan Bukit Bintang,
55100 Kuala Lumpur
(Incomplete forms will be rejected)
A / TITLE OF PROPOSED RESEARCH:
B / PROJECT LEADER’S DETAILS
B(i) / Name of Project Leader: Identity card/Passport No.:
B (ii) / Position (please tick):
Professor Associate Professor Lecturer Others
(please specify)
….…………………….
B(iii) / Institution/Faculty/School/Centre/Unit (please provide full address):
B(iv) / Office Telephone No.: Mobile Phone No.:
B(v) / E-mail Address:
C / RESEARCH INFORMATION
C(i) / Duration of this research (maximum: 24 months):
Duration : ______
From : ______
To : ______
C(ii) / Co-researchers:
(Please include the CVs of all researchers involved)
No / Name / IC/Passport No / Institution/Faculty/School
Centre/Unit / Academic Qualification/
Designation / Signature
1.
2.
3.
4.
5.
C(iii) / Research projects that have been completed or are on-going by the Project Leader for the last three (3) years. Please provide the title of the research projects, duration, years of commencement and date of completion. You may add rows and columns if necessary.
Title of research / Commencement date / Completion date / Output
C(iv) / Please furnish information on academic publications that have been published by the Project Leader in the last five (5) years. (Example: Journals, Books, Chapters in books, etc.). You may addrows and columns if necessary.
Title of publication / Name of journals/articles/books / Year publish
Declaration by applicant
(Please tick (√)):
I hereby certify that:

This form is submitted as an application for funding under the MTDC Mini Social Research Grant
Date: Applicant’s Signature: ______
C(v) / Executive summary of Research Proposal (maximum 300 words): -
(please include clearly the background of research, problem statement, literature reviews, objectives, research methodology and expected outcome of the research project)
C(vi) / Detailed proposal of the research project:
a)Research background (including problem statement, hypothesis/research questions and literature review)
b)Objective(s) of the Research
Example:
This study embarks on the following objectives:
1. To investigate…..
2. To assess……
3. To analyze…..
4. To develop hypothesis……
c)Methodology
Please provide the following:
  1. Description of the Methodology
  2. Flow Chart of the Research Activities (please enclose in the Appendix)
  3. Gantt Chart of the Research Activities (please enclose in the Appendix)
  4. Milestones and Dates
d)Expected Results/Benefits
  1. Novel theories/New findings/Knowledge
  2. Research Publications
  3. Number of PhD or Masters (by research) Students

D / BUDGET
Please indicate your estimated budget for this research and provide full details of theproposed expenditure according to the guidelines attached.
Budget details / Amount requested by the applicant / Amount recommended by MTDC Research Committee / Amount approved by MTDC CEO
Year 1
(RM) / Year 2
(RM) / Total
(RM)
D(i) / Vote 11000-Wages and Allowances for Temporary and Contract Personnel
D(ii) / Vote 21000-Travelling Expenses and Subsistence
D(iii) / Vote 23000- Communication and Utilities (Phone, Fax,Postage etc.)
D(iv) / Vote 24000-Rental
Budget details / Amount requested by the applicant / Amount recommended by MTDC Research Committee / Amount approved by MTDC CEO
Year 1
(RM) / Year 2
(RM) / Total
(RM)
D(v) / Vote 26000- Research Materials & Supplies
D(vi) / Vote 28000-Minor Modifications and Repairs
D(vii) / Vote 29000- Professional Services
D(viii) / Vote 35000- Research and accessories
TOTAL AMOUNT
E / MTDC Research Committee’s Comment and Recommendation
Please tick (√)
Research Committee’sRecommendation:
  1. Recommended
  1. Not Recommended (please specify reason)
Comments:
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Name: Signature:
Date:
F / MTDC CEO’s DECISION
Decision

Approved
Rejected
Comments:
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Signature: Date:
YBhg. Dato’ Norhalim Yunus
Chief Executive Officer
Malaysian Technology Development Corporation Sdn Bhd

Note: APPLICATIONS SUBMITTED WILL BE TREATED IN FULL CONFIDENCE. THE DECISION OF THE MTDC

RESEARCH COMMITTEE AND THE CEO IS FINAL.