UTHM/PPA/2007/7 Pin.

UNIVERSITI TUN HUSSEIN ONN MALAYSIA

BORANG PENDAFTARAN KURSUS
COURSE REGISTRATION FORM

Nama Pelajar :
Name of Student (Mengikut ejaan dalam kad pengenalan) / (As per the spelling in your Identity Card)

Fakulti : Fakulti Sains Gunaan dan Teknologi (FAST)

Faculty

No. Kad Pengenalan :

Identity Card No. 1 4 0 1 0 2 0 3 0 4 0 2 0 0 0 1 Tahun/Program
Year / Programme
: 2 B WA E.g.: 1 BFA

No. Pasport
Passport No.
:
1 4 0 1 0 2 0 3 0 4 0 2 Sesi/Semester
Session/Semester
:
2 3 2 4 /1 E.g.: 1011/1

No. Kad Matrik : Jumlah Perpindahan Kredit :

Matriculation Card No. JW 2 3 0 0 0 3 Total Credit Transfers 0 0 3
Sila isikan petak-petak di bawah ini dengan terang dan betul. Jika melebihi 12 kursus hendaklah menggunakan dua borang. Isikan kod ‘UK’ pada petak ‘status’ bagi kursus ULANGAN.
‘HW’ bagi kursus HADIR WAJIB, ‘HS’ bagi kursus HADIR SAHAJA dan ‘HWUK’ bagi kursus HADIR WAJIB ULANG KURSUS dan ‘TB’ bagi MEMBAIKI GRED kursus.
Please fill in the boxes below clearly and accurately. If you are registering more than 12 courses, please use two forms. Write ‘UK’ in the ‘status’ column for REPEAT courses, ‘HW’ for
COMPULSORY ATTENDANCE courses, ‘HS’ for AUDIT courses, ‘HWUK’ for COMPULSORY ATTENDANCE REPEAT courses and ‘TB’ for UPGRADE courses.

BIL SEKSYEN T/TANGAN PENSYARAH

KOD KURSUS STATUS KREDIT
NO. SECTION STATUS SIGNATURE OF
COURSE CODE CREDITS
LECTURER
1.
B W A 2 1 5 0 3 0 1 H W 0 3
2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

Jumlah Kredit (Tidak Termasuk Kursus “HS”)

Total Credits (excluding ‘HS’ courses) 0 3
Nombor Rumah dan Jalan / House Number and Street Name
Alamat surat-:
menyurat UN I VER S I T AS PAHLA WAN TUANKU T AMBU S A I
(Semasa)
Mailing address
(Current)
I NDO NE S IA
2 8 4 6 1 K AM P A R
I NDONE S I A
Poskod / Postcode Bandar / Town Negeri / State

No.
Telefon Bimbit :
Handphone No
0 8 2 2 6 8 6 5 3 0 8 2 CPA
CPA : GPA :
GPA

Saya ingin mendaftar kursus yang tersebut di atas. Disahkan Setuju/Tidak Setuju
I would like to register the above courses. Recommended/Not Recommended

(Tanda tangan dan cop Penasihat Akademik)

(Signature and Official Stamp of Academic Advisor)

Staff No. : 01466

(Tanda tangan Pelajar) / (Signature of Student) Staff No.

Samb. Tel.:
06-9742125
(Nama Penuh) / (Full Name) Tel. Extn.
Ulasan : Disokong
Comment

Tarikh: 9 /10 / 2023 Tarikh : 9/10/2023

Date Date
Sila dapatkan kelulusan Dekan Fakulti sekiranya pendaftaran kursus melebihi 18 kredit ataupun Penasihat Akademik tidak bersetuju dengan pendaftaran kursus pelajar.
Please obtain the approval of the Faculty Dean if the courses registered exceed a total of 18 credits or if the Academic Advisor does not recommend the student’s course registrations.

DILULUSKAN / TIDAK DILULUSKAN

APPROVED / NOT APPROVED

(Tanda tangan dan cop Dekan Fakulti)

(Signature and Official Stamp of Faculty Dean) Tarikh :
Date

(Salinan Pertama – Untuk Fakulti)

(First Copy – for the Faculty)