APPENDIX A

FASSRP01 FORM

RESEARCH AND PROJECT MANAGEMENT UNIT

(RPMU)

NOMINATION OF SUPERVISOR FOR PROJECT PAPER

PART A TO BE COMPLETED BY STUDENT

Name : ___________________________________________

Programme : ___________________________________________

Learning Centre : ___________________________________________

IC/Passport Number : ___________________________________________

Matric Number : ___________________________________________

Intake : ___________________________________________

Nomination for Semester : JAN MAY SEP Year ________

Postal Address : ___________________________________________

___________________________________________

Telephone No. : ____________________H/P: ___________________

Email : ___________________________________________

TITLE OF RESEARCH (use BLOCK LETTERS)

__________________ ____________________
Signature of Student Date

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PART B TO BE COMPLETED BY SUPERVISOR (S)

DETAILS OF SUPERVISOR 1

Name of Supervisor* : _________________________________________________

Specialization : _________________________________________________

Institution & Address : __________________________________________________

___________________________________________________

Telephone : (O) _____________________ (H/P) _____________________

_____________________ _____________________
Signature of Supervisor Date

* Please attach supervisor CV.

______________________________________________________________________

PART C FOR OFFICE USE

FOR PROGRAMME COORDINATOR ONLY FOR RPMU ONLY

Approved/Not approved I-Campus Updated

Endorsed by:

________________________ _______________________
(Signature & Stamp) (Signature & Stamp)

Date: _____________ Date: _____________

Remarks (if any): _______________________________________________________

_______________________________________________________

________________________________________________________

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 APPENDIX B

CV FORMAT

TO BE FILLED BY CANDIDATE FOR PROJECT PAPER SUPERVISOR

Name : ………………………………………………………………………………………………..

Institutions: ………………………………………………………………………............................

Date of Birth: ……………………………………………………………………………………….

Address: …………………………………………………………………………….................…

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Telephone No.: Off:…………………………………….H/P: ……………………………………

Email: ……………………………………………….

Areas of Specialization:……………………………………………………………………….

Academic and professional qualifications:

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List of previous publications (journal/books/conference papers):

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Any other relevant information:

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Number of research degree students supervised: ……………………………………………

Currently supervising: ……………………………………………………………………………..

Previously supervised to successful completion: ……………………………………………

_____________________ _____________________
Signature of Supervisor Date