Application Form

for
The Education and Research Collaboration Between
National Science and Technology Development Agency (NSTDA) and
Asian Institute of Technology (AIT)
Academic Year 2022

Application Type of student:  HMK’s Scholarship – Doctoral Degree

 RTG Fellowship – Doctoral Degree
 RTG Fellowship – Master’s Degree

1. Student

1.1. Student Name:

(Thai, if any):

1.2. Academic Program of Study:

School:
Department:
Program of Study:

1.3. Education Background related to the Thesis (Research topic in this application form):

2. AIT Faculty Member (Advisor)

2.1. Name (English):

(Thai, if any):
2.2. Academic Title:  Lecturer  Assistant Professor  Associate Professor  Other …Please
specify…
2.3. Contact
School:
Phone: Mobile Phone:
Fax: E-mail:
2.4. Research Expertise/Interests:

2.5. Academic and Research Profile

………….Please complete the form as provided in the Attachment 2………….

1|Page
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to
Mr. Samuch Oupala, E-mail: [email protected]
3. NSTDA Researcher (Co-advisor)

3.1. Name (English):

(Thai, if any):

3.2. Position:  Researcher  Lab Head  Research Group Director

 Other …………(Please Specify)

3.3. Contact
Research / Focus Center:
Phone: Mobile Phone:
Fax: E-mail:

2.4 Research Expertise/Interests

2.5. Academic and Research Profile

…………..Please complete the form as provided in the Attachment 2……………

2.6. Collaboration between AIT and NSTDA in this proposed Project (Please describe how
researcher(s)/faculty member(s) from both sides (AIT & NSTDA) will collaborate in conducting
the Project)

2.7. Expertise of AIT Faculty Member and NSTDA Researcher that would contribute to the
success of student’s research and in supervising and mentoring of the student. (Please explain)

2.8. Collaboration with Other Institutes (International/National) which relate to the research of
NSTDA /AIT in this proposal, please advise (if any).

4. Research Proposal

4.1. Main Research by NSTDA / NSTDA & AIT (NSTDA researcher and AIT faculty member)
(For the student research topic mostly be parted of this main research, required information
is in item 4.2)
4.1.1. Project Title (Main Research): __________________________________
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
……………………………………………………

4.1.2 Research Planning and Scope (Main Research Project at NSTDA)

Year Objective Research Scope or Activity

2|Page
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to
Mr. Samuch Oupala, E-mail: [email protected]
 Year Objective Research Scope or Activity

4.1.3 Research Funds

Main Project by  NSTDA  NSTDA & AIT  AIT
Duration (Year, from –
Funding Agency Total Budget (THB)
to)

*Fill in all sources

4.2 Thesis / Research Project by “Student”

4.2.1 Thesis (Research) Topic:

4.2.2 Abstract and Keywords

4.2.3 Research Area (can select more than one area - if the thesis & research is related
to)
 1. Energy: Sustainable Energy e.g., Renewable Energy
 2. Biochemicals & Bio-based Materials: including Biorefinery
 3. Digital Services & Smart Electronics: AI for Agriculture, Health and Environment,
Applications of
Data Science and AI, IoT and Sensor Systems and Automation
 4. Modern Agriculture: Smart Farming, Remote Sensing and Geographic Information
System (RSGIS)
Applications, Farming Maps, Forecasting and Water Management, Aqua Culture
 5. Sustainable Food & Ingredients
 6. Circular and Green Economy: Environment and Materials, Industrial, Plastic Waste
Management,
Micro Plastic Origin (Water, Air), Sensor Systems  7. Med Device & Digital Health
 8. Medical Devices & Digital Health
 9. Medicine & Pharmaceuticals

4.2.4 Research Problem and Its Significance

4.2.5 Literature Review

3|Page
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to
Mr. Samuch Oupala, E-mail: [email protected]
 4.2.6 Methodology

4.3 Scope of Research to be Conducted by Student

4.4 Expected Research Outcomes by Student

Document Type Expected Impact
Title
(Publication, Patent…)

* Required information and acknowledgment (Please complete all documents)

1. Application Form
2. Academic and Research Profile (Attachment 2)
3. Check list (Attachment 3)
4. Acknowledgment of the Data Protection Policy (Attachment 4)

Applicant (Student)

( )
Date:

Signature of AIT Faculty Member Signature of NSTDA Researcher

( ) ( )
Date: Date:

4|Page
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to
Mr. Samuch Oupala, E-mail: [email protected]
 Attachment

5|Page
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to
Mr. Samuch Oupala, E-mail: [email protected]
 Attachment 1: The Qualification of AIT Faculty / NSTDA Researcher / Student (Candidate)

Type 1: HMK-
PhD AIT NSTDA Stude
Faculty Researcher nt
1.Having outstanding education record in
1.Full-time faculty 1. Be employed by NSTDA as a full-time 4-year
Undergraduate Program and 2-year Master
member researcher Program from
accredited institution in related
2.Having research with patent or published fields;
2. Having filed or granted patents or published
research
5 years inwithin
International Journal as indicated researchlisted
journals in in Scopus or Web of Science
below;
• Nature (Science
Citation Index Expanded: least Paper within 2.CGPA of Bachelor’s degree not less than 3.0 and
Index
• IEEE Xplore Digital Library/ACM Digital SCIE) atHaving publication in the
years. 3 international
5 Master’s
degree not less than
Library
(IEEE/ACM Transactions/ Journals) or International
publication
which related to the research topic not less than 5 3.5
Journal
• International Journal with impact papers
would be highly
factor
• considered.
SCOPUS
3. Having experience as a project leader of
3.English score of IELTS not less than 6.0
3.Having experience in being main advisor of PhD Research
Development and Engineering (RDE) project which
(overallbands)
writing and or AIT EET not less
students related
to the research area of student’s
than 6
thesis.
4.Faculty receiving external research funding 4. Having intensive experience and expertise in the 4.Having research proposal relevant to AIT-
especially
from Industrial sector would be highly field of
student’s research NSTDA
experti
considered area/project. se
5. Having a high potential to be a professional
advisor
could who
give guidance, advice and support that
5.Applicants having research articles published in
enable
students to conduct their research progressively.
Scopus
indexed publications would be highly
Having experience
proven a in supervising completed
considered.
graduate
student(s) would be highly
considered.
6. Having received external research funding
6.Applicants receiving awards from academic
from the
Government or Industrial partner(s) would be
competitions
would be highly
highly
considere
considered.
d.

6|Page
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to Mr. Samuch Oupala, E-mail:
[email protected]
 Attachment 1: The Qualification of AIT Faculty / NSTDA Researcher / Student (Candidate)

Type 2: RTG-
PhD AIT NSTDA Stude
Faculty Researcher nt
1.Having outstanding education record in
1.Full-time faculty 1. Be employed by NSTDA as a full-time 4-year
Undergraduate Program and 2-year Master
member researcher Program from
accredited institution in related
fields;
2.Having research with patent or published
2. Having filed or granted patents or published
research
5 years inwithin
International Journal as indicated
researchlisted
journals in in Scopus or Web of Science
below;
• Nature
(Science
Citation Index Expanded: least Paper within 2.CGPA of Bachelor’s degree not less than 3.0 and
Index
• IEEE Xplore Digital Library/ACM Digital
SCIE) atHaving publication in the
years. 3 international
5 Master’s
degree not less than
Library
(IEEE/ACM Transactions/ Journals) or International
publication
which related to the research topic not less than 5 3.5
Journal
• International Journal with impact
papers
would be highly
factor
•
considered.
SCOPUS
3. Having experience as a project leader of
3.English score of IELTS not less than 5.5
3.Having experience in being main advisor of PhD Research
Development and Engineering (RDE) project which
(overallbands)
writing and or AIT EET not less
students related
to the research area of student’s
than 5.5
thesis.
4.Faculty receiving external research funding 4. Having intensive experience and expertise in the 4.Having research proposal relevant to AIT-
especially
from Industrial sector would be highly field of
student’s research NSTDA
experti
considered area/project. se
5. Having a high potential to be a professional
advisor who
could give guidance, advice and support that
5.Applicants having research articles published in
enable
students to conduct their research progressively.
Scopus
indexed publications would be highly
Having experience
proven a in supervising completed
considered.
graduate
student(s) would be highly
considered.
6. Having received external research funding
6.Applicants receiving awards from academic
from the
Government or Industrial partner(s) would be
competitions
would be highly
highly
considere
considered.
d.

7|Page
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to Mr. Samuch Oupala, E-mail:
[email protected]
 Attachment 1: The Qualification of AIT Faculty / NSTDA Researcher / Student (Candidate)

Type 3: RTG- Master

Degree AIT NSTDA Stude
Faculty Researcher nt
1.Having very good education record in
1.Full-time faculty 1. Be employed by NSTDA as a full-time
4-year
Undergraduate
member researcher
2.Having research with patent or published Program
2. Having filed or granted patents or published
research
5 years inwithin
International Journal as indicated
researchlisted
journals in in Scopus or Web of Science
below;
• Nature
(Science
Citation Index Expanded: SCIE) east 1 within
Index
• IEEE Xplore Digital Library/ACM Digital 2.CGPA of Bachelor’s degree not less
at l
years. Having publication in thePaper
international5
Library
(IEEE/ACM Transactions/ Journals) or International than 3.0.
publication
which related to the research topic not less than 5
Journal
• International Journal with impact
papers
would be highly
factor
•
considered.
SCOPUS
3. Having experience as a project leader of
3.English score of IELTS not less than 5.0
3.Having experience in being main advisor of PhD Research
Development and Engineering (RDE) project which
(overall and
writing bands) or AIT EET not less than
students related
to the research area of student’s
5.0.
thesis.
4.Faculty receiving external research funding 4. Having intensive experience and expertise in the 4.Having research proposal relevant to AIT-
especially
from Industrial sector would be highly field of
student’s research NSTDA
experti
considered area/project. se
5. Having a high potential to be a professional
advisor who
could give guidance, advice and support that
5.Applicants having research articles published in
enable
students to conduct their research progressively.
Scopus
indexed publications would be highly
Having experience
proven a in supervising completed
considered.
graduate
student(s) would be highly
considered.
6. Having received external research funding
6.Applicants receiving awards from academic
from the
Government or Industrial partner(s) would be
competitions
would be highly
highly
considered.

8|Page
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to Mr. Samuch Oupala, E-mail:
[email protected]
Attachment 2
Academic and Research Profile

1. Name (English):
2. Name (Thai, if any):
3. Current Academic Title or Position:
4. Contact (Address/Phone/Mobile Phone/Fax/E-mail):
5. Education Background and Fellowship in reverse chronological order:
6. International Publications, Patents and others in the past 5 years in reverse chronological
order
(please attach relevant documents and specify impact factor scores or percentile ranks):
7. Student / Others Supervision Experience:

Number of Student
Others
Doctoral Degree Master’s Degree e.g., Research
Assistant
Principal
supervisor
Completed
In-progress
Co-principal
supervisor
Completed
In-progress

8. Research Grants:
Project Title Funding Total Duratio Responsibili Status
(You can leave it Agency Budget n ty (PI or Co- (Completed
blank if the title is (THB) (Year, PI) or In-
confidential) from – progress)
to)
1.
2.

For NSTDA researcher, please specify your experiences as a PI of development and

engineering project(s) and please attach relevant documents.

9. Research and Professional Experience:

10. Awards and Distinctions:

Please select (Faculty / Researcher /  Student)

( )
Date:

9|Page
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to
Mr. Samuch Oupala, E-mail: [email protected]
Attachment 3: Check list (Please complete the check list and submit with the application form)
Qualification Checklist for Type 1: His Majesty the King’s scholarship – PhD

AIT Faculty Member NSTDA Researcher Student (who will be

Information and nominated in the next
Information Works and Experiences Works and experiences
Experience round)
 Have experience in being In past 5 years (2016 –
Name: main advisor of PhD Name: 2020): Name:
Students
 Be a full-time lecturer Status: Patent & Publication:  Have outstanding
In past 5 years (2015 – Be employed by NSTDA as education record in 4-year
 Previously receive 2019): Have full-time researcher  (number) patent, Undergraduate Program
external research funding  Yes  No and 2-year Master
especially from Industrial  (number) patents Experience:  (number) published Program from accredited
sector Experience in being head of research in journals listed in institution in related fields
 (number) published research, development and Scopus or Web of Science
research in Nature Index engineering (Science Citation Index CGPA of Bachelor’s degree
Journals  Yes  No Expanded: SCIE) at least 3 _____
Having a proven experience Paper within 5 years). CGPA of Master’s degree
 ___ (number) in supervising completed ______
published research in IEEE graduate student(s) would  (number) published  Have research articles
Xplore Digital Library/ACM be highly considered. (in the international published in Scopus
Digital Library (IEEE/ACM  Yes  No publication which related to indexed publications
Transactions/ Journals) or (Please fill the detail in the the research topic not less  Receive awards from
International Journal application form) than 5 papers would be academic competitions
Funding Support: highly considered)  IELTS score , or
 ___ (number) Having received external  AIT EET score
published research in research funding from the  Have research proposal
International Journal with Government or Industrial *Please attach the relevant to AIT-NSTDA
impact factor partner(s). document with the expertise
 Yes  No application form*
If Yes: Please identify the *I declare that I am qualified
*I declare that I am qualified as as program criteria said. The
sources:
program criteria said. The *I declare that I am qualified as information contained in the
information contained in the Organization: program criteria said. The application form, in the
application form, in the ……………………… information contained in the curriculum vitae and in the
curriculum vitae and in the Funding: ……...baht. application form, in the enclosed documents is true
enclosed documents is true and Duration: ……to …. (……… curriculum vitae and in the and I undertake to provide
I undertake to provide years) enclosed documents is true and documentary evidence, if
documentary evidence, if I undertake to provide required.
required. documentary evidence, if
required.
Signature:

10 | P a g e
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to Mr. Samuch Oupala, E-mail:
[email protected]
 Signature:
Signature:
*Please complete the check list and submit with the application form.

Qualification Checklist for Type 2: Royal Thai Government scholarship – PhD

AIT Faculty Member NSTDA Researcher Student (who will be
Works and Works and nominated in the
Information Information
Experiences experiences next round)

Name:  Have experience in Name: In past 5 years (2016 – Name:

being main advisor of Status: 2020):
 Be a full-time lecturer PhD Students Be employed by NSTDA  Have very good
 Previously receive In past 5 years (2015 – as full-time researcher Patent & Publication: education record in 4-
external research 2019): Have  Yes  No  (number) patent, year Undergraduate
funding especially from  (number) Experience: Program and 2-year
Industrial sector patents Experience in being  (number) Master Program from
 (number) head of research, published ( accredited institution in
published research in development and published research in related fields
Nature Index Journals engineering journals listed in Scopus CGPA of Bachelor’s
___ (number) published  Yes  No or Web of Science degree _____
research in IEEE Xplore Having a proven (Science Citation Index CGPA of Master’s
Digital Library/ACM experience in Expanded: SCIE) at degree ______
Digital Library (IEEE/ACM supervising completed least 3 Paper within 5  Have research
Transactions/ Journals) graduate student(s) years). articles published in
or International Journal would be highly Scopus indexed
___ (number) published considered.  (number) publications
research in International  Yes  No published (in the  Receive awards from
Journal with impact (Please fill the detail in international publication academic competitions
factor the application form) which related to the  IELTS score
Funding Support: research topic not less , or
Having received external than 5 papers would  AIT EET score
research funding from be highly considered)
the Government or *Please attach the  Have research
Industrial partner(s). document with the proposal relevant to
 Yes  No application form* AIT-NSTDA expertise
*I declare that I am If Yes: Please identify
qualified as program the sources:
criteria said. The Organization:
information contained in ……………………… *I declare that I am
the application form, in Funding: ……...baht. *I declare that I am qualified as program
the curriculum vitae and Duration: …to ... (… qualified as program criteria said. The

11 | P a g e
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to Mr. Samuch Oupala, E-mail:
[email protected]
 in the enclosed years) criteria said. The information contained in
documents is true and I information contained in the application form, in
undertake to provide the application form, in the curriculum vitae and
documentary evidence, if the curriculum vitae and in the enclosed
required. in the enclosed documents is true and I
documents is true and I undertake to provide
undertake to provide documentary evidence,
Signature: documentary evidence, if if required.
required.
Signature:

Signature:
*Please complete the check list and submit with the application form.

Qualification Checklist for Type 3: Royal Thai Government scholarship – Master Degree

AIT Faculty Member NSTDA Researcher Student (who will be

nominated in the next
Information Works and Experiences Information Works and experiences
round)
In past 5 years (2016 –
Name:  Have experience in being Name: 2020): Name:
 Be a full-time main supervisor of Master’s
lecturer students whom already Status: Patent & Publication: CGPA of Bachelor’s degree
Academic Rank: graduated Be employed by NSTDA as  (number) patent, _____
 Assistant Professor In past 5 years (2015 – full-time researcher  Have research articles
 Associate Professor 2019):  Yes  No  (number) published published in Scopus
 Professor  Have academic research Experience: ( indexed publications
 Hold a PhD excluding from thesis. The Experience in being head of published research in  Receive awards from
 Previously receive academic research must be research, development and journals listed in Scopus or academic competitions
external research funding published and disseminated engineering Web of Science (Science  IELTS score , or
especially from Industrial in according to criteria of  Yes  No Citation Index Expanded:  AIT EET score
sector appointing. Having a proven experience SCIE) at least 1 Paper
in supervising completed within 5 years).
graduate student(s) would
be highly considered.  (number) published
 Yes  No (in the international
(Please fill the detail in the publication which related to
application form) the research topic not less *I declare that I am qualified
Funding Support: than 5 papers would be as program criteria said. The
Having received external highly considered) information contained in the
*Please attach the application form, in the
research funding from the
curriculum vitae and in the
*I declare that I am qualified as Government or Industrial document with the
enclosed documents is true
program criteria said. The partner(s). application form* and I undertake to provide
12 | P a g e
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to Mr. Samuch Oupala, E-mail:
[email protected]
 information contained in the  Yes  No documentary evidence, if
application form, in the If Yes: Please identify the *I declare that I am qualified as required.
curriculum vitae and in the sources: program criteria said. The
enclosed documents is true and information contained in the
Organization:
I undertake to provide application form, in the
documentary evidence, if ………………………
curriculum vitae and in the Signature:
required. Funding: ……………baht. enclosed documents is true and
Duration: …to … (…years) I undertake to provide
documentary evidence, if
required.
Signature:

Signature:
*Please complete the check list and submit with the application form.

13 | P a g e
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to Mr. Samuch Oupala, E-mail:
[email protected]
Attachment 4 : Acknowledgement of the Data Protection

This section provides information about the use of personal information while you are applying
for a Education collaboration in the Master and Doctoral Degree between Asian Institute of
Technology ( AIT ) and National Science and Technology Development Agency (NSTDA) :
Scholarship Program.

What is ‘personal information’?

‘Personal information’ means any information which relates to or identifies you as an individual.

How does this Scholarship program relate to other information about data
protection?

When you applied to scholarship program AIT and NSTDA would use your personal information
to process your application and for relate purposes .

Who will process my personal information?

The information provided here applies to the use, sharing and disclosure of your
personal information by AIT in relation to your application for this Scholarship Program.

What personal information will be processed?

AIT will keep a record of the details you provided on your application form for admission to the
scholarship program, any supporting documents requested a part of the admission process, any
additional details provided by referees and recorded following any interview process and any
additional information provided by you as part of the application process.

Your personal information is created, stored and transmitted securely in a variety of paper and
electronic formats, including a database. Access to your personal information is limited to AIT
staff who have a legitimate interest in it for the purpose of carrying out their contractual duties.
The use of your personal information will not be excessive.

What is the purpose and legal basis of the processing?

We will process the personal information provided on your application for a Scholarship program
(which forms part of your application for admission and funding to AIT) and the other
information referred to above for the purposes of identifying you, processing your application,
verifying the information provided, deciding whether to offer you a scholarship, and
communicating that outcome.

We may also use or disclose the information provided for the following statutory or public
interest purposes such as :

 To prevent or detect fraud.

 To provide statutory returns required by applicable legislation.

 For research and statistical purposes, but no information which could identify you will be
published.

We consider the processing of your personal information for the above purposes to be either
necessary for us to take steps with a view to creating a contractual relationship with you (e.g. to
assess your application for a Scholarship Program), or necessary for compliance with a legal
obligation (e.g. equal opportunities monitoring), or necessary for the performance of tasks we
carry out related to our work (e.g. reporting). We require you to provide us with the disclosable
information we ask for during the application process in order to assess your application
properly.

Who will my personal information be shared with?

14 | P a g e
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to
Mr. Samuch Oupala, E-mail: [email protected]
As described above, your personal information (including photographs of you) is shared with
relevant staff at AIT as required. In addition, it is shared as permitted or required by law, on a
considered and confidential basis, including the funding provider (NSTDA).

Other than as set out above, we will not normally publish or disclose any personal information
about you to other external enquirers or organizations unless you have requested it or
consented to it, or unless it is in your vital interest to do so (e.g. in an emergency situation).

How is my personal information used if I am offered a scholarship?

We may publish details of all our successful scholars on AIT or NSTDA website. This information
may consists of your name, nationality, degree, subject, College, matriculation year, your
biographical details and a photo. You may opt out of this at any time by contacting us using the
details below. We do not publish any details of applicants who were not successful in getting the
scholarship.

How can I access my personal information?

You have the right to access the personal information that is held about you by AIT. You also
have the right to be Informed, right to Rectification, right to Erasure, Right to Restriction of
Processing, right to Data Portability, right to Object, right on Automated Individual Decision-
Making, including Profiling.

How long is my information kept?

We store and process your information for the duration of being the students and alumni status.
In addition, the applicants data who may not be considered for the scholarship will be also kept
for reporting and related to this scholarship’s purposes as anonymous information.

How do I complain?

AIT will take any request, comment or complaint about data protection seriously and will make
every effort to find the best solution and comply with legislation and your wishes. In the first
instance we ask that you contact us (details below) so we can aim to resolve the issue. But if
you are not happy with the way your information is being handled, or with the response
received from us, you have the right to lodge a complaint with Office of Thailand Affairs, Ms.
Saranya Tangwongkit, email: [email protected]

Who can I contact?

If you have any questions about how your personal information is used, or wish to exercise any
of your rights, please contact: Office of Thailand Affairs, Ms. Saranya Tangwongkit, email:
[email protected]

Applicant (Student)

( )
Date:

Signature of AIT Faculty Member Signature of NSTDA Researcher

15 | P a g e
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to
Mr. Samuch Oupala, E-mail: [email protected]
 ( ) ( )
Date: Date:

16 | P a g e
**Please submit the completed application form with attachment 2,3,4 within 30 June 2022 to
Mr. Samuch Oupala, E-mail: [email protected]