IGS FORM / DFT/003 (Pin 2010)

BORANG PENDAFTARAN PASCASISWAZAH Institut Pengajian Siswazah

Arahan kepada pelajar: 1. Sila dapatkan persetujuan dan pengesahan Ketua Program Siswazah Fakulti/Cawangan mengenai jumlah kursus yang hendak diambil dan dapatkan tandatangan Koordinator Program di Bahagian IV. 2. Sila kemukakan slip bayaran bank/kad kredit sebagai bukti pengesahan bayaran yuran seperti yang diminta di Bahagian IV. Instructions to Candidate: 1. Please seek advice from the Facultys Programme Coordinator on the number of courses that should be taken in the current semester. Ensure that the Programme Coordinator place their signature at Section IV on the form. 2. Provide IGS with a copy of the bank/credit card slip as proof of payment for tuition fees as requirement in Section IV.

POSTGRADUATE REGISTRATION FORM Institute of Graduate Studies

3. 4.

Pstikan borang ini telah dilengkapkan sepenuhnya sebelum diserahkan di kaunter Institut Pengajian Siswazah (IPSis) Sekiranya anda gagal menyerahkan borang pendaftaran pada tempoh yang ditetapkan, anda tidak akan didaftrakan sebagai pelajar UiTM. Ensure that the information needed in the form is complete prior to submitting it to the IGS Office. Incomplete form will not be processed. Registration is final if all conditions are met and the deadline is observed.

3. 4.

BAHAGIAN I (Diisi oleh pelajar dengan menggunakan HURUF BESAR) SECTION I ( To be filled up by student in CAPITAL LETTERS) Nama :
Name

No. K.P Baru:

I.C No/Passport No.

Kod Fakulti:
Faculty Code

No. Kad Pelajar:

Student ID No.

Kampus:
Campus

Kod Program:
Programme Code

Semester:
Semester

Jantina:
Gender

Lelaki
Male

Perempuan
Female0

Peringkat Pegajian:
Level of Study

Sarjana
Master

Kedoktoran
PhD

Mod Pengajian:
Mode of Study

Sepenuh Masa
Full Time

Separuh
Part Time

FLP
FLP

Warganegara:
Nationality

Negara Asal :
Country of Origin )

Alamat Surat-Menyurat *(
Mailing Address

Poskod: *Jika ada perubahan alamat, sila tandakan (

* Please tick ( ) for change of address

) No. Tel. Bimbit:

Mobile Phone

Postcode

No. Tel:
Tel.No

E-mel:
E-mail

Biasiswa/Tajaan (jika ada): Scholarship/Funding .

BAHAGIAN II (Diisi oleh pelajar)

SECTION II ( To be filled up by student)

Bil. No. 1. 2. 3. 4. 5. 6.

Kod Kursus Course Code

Nama Kursus Course Name

Jam Kredit Cedit Unit

Tandatangan Pelajar Students Signature

Tarikh Date

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IGS FORM / DFT/003 (Pin 2010)

BAHAGIAN III (PELAJAR LAMA diminta menyemak status dikaunter PSMB sebelum mendaftar)
SECTION III (Returning Student are required to check their status in the iSIS system prior to registration)

Aktif Pengesahan status pelajar dalam system iSIS

Students status in iSIS Active

Tidak Aktif
Not Active

Kerana: ................................................................................................................
Reason

Nama Pegawai: ........................................................................ Tandatangan: .........................................

Name of Officer Signature

Tarikh: ........................
Date

BAHAGIAN IV ( SEMUA PELAJAR diminta mendapatkan pengesahan daripada pihak berkenaan)

SECTION IV ( ALL STUDENTS are required to get approval from the following parties) A. FAKULTI
FACULTY

B. BENDAHARI
BURSAR

C. IPSis
IGS

Pengesahan Ketua Program Siswazah Fakulti/Cawangan Head of Programme

Pengesahan Pegwai Bendahari (sila pastikan status yuran pelajar) Approved by BURSARs Representative (please state fee status of student) Sudah Bayar Paid in full Belum Bayar No payment made

Pengesahan Pegawai IPSis Approved by IGS representative

Tandatangan Signature

Tandatangan Signature

Tandatangan Signature

Nama & Cop Rasmi Official Stamp

Tarikh Date

Nama & Cop Rasmi Official Stamp

Tarikh Date

Nama & Cop Rasmi Official Stamp

Tarikh Date

Untuk Urusan Pejabat IPSis sahaja For IGS Office use only ______________________________ STATUS PENDAFTARAN PELAJAR STUDENT REGISTRATION STATUS Didaftarkan Registered Tidak dapat didaftarkan atas sebab berikut: Unable to register because: Direkod oleh; Recorded by:

........................................................................ ........................................................................ ........................................................................ .....................................................................

Tarikh: Date:

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