80.pu.ps.br02.knv-3.1.11

2
7/27/2019 80.PU.PS.BR02.KNV-3.1.11 http://slidepdf.com/reader/full/80pupsbr02knv-3111 1/2 NO. SEMAKAN : 00 NO. ISU : 02 TARIKH KUATKUASA : 03/01/2011 1 drp. 1 PERKHIDMATAN UTAMA PRASISWAZAH PEJABAT TIMBALAN NAIB CANSELOR (AKADEMIK & ANTARABANGSA) Kod Dokumen: PU/PS/BR02/KNV BORANG MAKLUMAT PAKAIAN AKADEMIK Konvokesyen UPM Ke ____ (SESI 1, 2, 3, 4, 5, 6, 7, 8, 9, 10)  (Loan of academic regalia, the _____ UPM Convocation (Session 1, 2, 3, 4, 5,6, 7, 8, 9, 10)) 1. Maklumat Graduan ( Diploma / Bacelor / Master / Ph.D ) Graduate’s Information (Diploma / Degree / Master/ Ph.D holder) Matrik (Matric)  : ________________________ No. K.Pengenalan (Identity Card No.) : _________________________________________ Nama (Name) : ______________________________________________________________________________________________ Program (Programme) : ______________________________________________________________________________________________ Fakulti (Faculty)  : ______________________________________________________________________________________________ Alamat (  Address)  : ______________________________________________________________________________________________ Telefon (Telephone)  : ______________________________________________________________________________________________ Yuran Graduan Diploma (Diploma) Bacelor (Degree)  Ph.D/Master Ph.D/Master  ) : : : (RM75.00) No. Kupon ________________ (RM100.00) No. Kupon ________________ (RM200.00) No. Kupon ________________ 2. Maklumat Wakil (Sila isi sekiranya anda mewakili graduan dan sertakan surat kuasa) (Representative's information (please attach an authorisation letter)) Matrik (Matric)  : ____________________ No. K.Pengenalan (Identity Card No) : ______________________________________ Nama (Name) : _____________________________________________________________________________________________ Program (Programme) : _____________________________________________________________________________________________ Fakulti (Faculty)  : _____________________________________________________________________________________________ Alamat (Address)  : _____________________________________________________________________________________________ Telefon (Telephone)  : ______________________ *SAIZ JUBAH  / (ROBE SIZE) S M L XL XXL XXXL *Mortar Board (*Mortar board) *2 Kad Jemputan (*2 invitation cards) *sila tandakan (√) dalam kotak berkenaan. (*  please tick (√) whichever applicable.)  WARNA HOOD FAKULTI (Sila lihat warna hood di muka belakang) Faculty hood's colour. (Please refer to the back page) Saya mengaku menerima set pakaian akademik dalam keadaan baik dan bertanggungjawab di atas sebarang kerosakan. (I acknowledge that the academic regalia received is in good condition, and I will be liable to any lost or damaged items) Tandatangan Penerima :____________________ Tarikh :______________ (Signature) (Date) Pengesahan Pegawai Bertugas (Authorisation by the officer in charge) Tandatangan Pegawai :____________________ Tarikh :______________ (Officer's Signature) (Date) Cop Bahagian (Official stamp)

Upload: abdul-hafiz-kamarulzaman-chegu

Post on 14-Apr-2018

226 views

Category:

Documents


0 download

TRANSCRIPT

7/27/2019 80.PU.PS.BR02.KNV-3.1.11

http://slidepdf.com/reader/full/80pupsbr02knv-3111 1/2

NO. SEMAKAN : 00

NO. ISU : 02

TARIKH KUATKUASA : 03/01/2011 1 drp. 1

PERKHIDMATAN UTAMA

PRASISWAZAH

PEJABAT TIMBALAN NAIB CANSELOR

(AKADEMIK & ANTARABANGSA)

Kod Dokumen: PU/PS/BR02/KNV

BORANG MAKLUMAT PAKAIAN AKADEMIK 

Konvokesyen UPM Ke ____ (SESI 1, 2, 3, 4, 5, 6, 7 , 8, 9, 10) (Loan of academic regalia, the _____ UPM Convocation (Session 1, 2, 3, 4, 5,6, 7, 8, 9, 10))

1.  Maklumat Graduan ( Diploma / Bacelor / Master / Ph.D )

Graduate’s Information (Diploma / Degree / Master/ Ph.D  holder) 

Matrik (Matric) 

: ________________________No. K.Pengenalan (Identity Card No.) 

: _________________________________________

Nama (Name) 

: ______________________________________________________________________________________________

Program (Programme) 

: ______________________________________________________________________________________________

Fakulti (Faculty) 

: ______________________________________________________________________________________________

Alamat ( Address) 

: ______________________________________________________________________________________________

Telefon (Telephone) 

: ______________________________________________________________________________________________

Yuran Graduan

Diploma (Diploma) 

Bacelor

(Degree) 

Ph.D/Master

( Ph.D/Master  )

:

:

:

(RM75.00) No. Kupon ________________

(RM100.00) No. Kupon ________________

(RM200.00) No. Kupon ________________ 

2.  Maklumat Wakil (Sila isi sekiranya anda mewakili graduan dan sertakan surat kuasa)(Representative's information (please attach an authorisation letter))

Matrik 

(Matric) : ____________________

No. K.Pengenalan 

(Identity Card No) : ______________________________________

Nama (Name) 

: _____________________________________________________________________________________________

Program (Programme) 

: _____________________________________________________________________________________________

Fakulti (Faculty) 

: _____________________________________________________________________________________________

Alamat (Address) 

: _____________________________________________________________________________________________

Telefon (Telephone) 

: ______________________

*SAIZ JUBAH / (ROBE SIZE) 

S M L

XL XXL XXXL

*Mortar Board (*Mortar board)

*2 Kad Jemputan(*2 invitation cards)

*sila tandakan (√) dalam kotak berkenaan. 

(* please tick (√) whichever applicable.) 

WARNA HOOD FAKULTI

(Sila lihat warna hood di muka belakang)

Faculty hood's colour. (Please refer to the back page)

Saya mengaku menerima set pakaian akademik dalam keadaan

baik dan bertanggungjawab di atas sebarang kerosakan.(I acknowledge that the academic regalia received is in good condition,

and I will be liable to any lost or damaged items)

Tandatangan Penerima :____________________ Tarikh :______________ (Signature) (Date) 

Pengesahan Pegawai Bertugas(Authorisation by the officer in charge)

Tandatangan Pegawai :____________________ Tarikh :______________(Officer's Signature)  (Date)

Cop Bahagian(Official stamp)

7/27/2019 80.PU.PS.BR02.KNV-3.1.11

http://slidepdf.com/reader/full/80pupsbr02knv-3111 2/2

NO. SEMAKAN : 00

NO. ISU : 02

TARIKH KUATKUASA : 03/01/2011 2 drp. 1

Warna Hood 

(Hood's colour) 

Bil.Fakulti 

(Faculty)

Warna(Colour)

1 Fakulti Pertanian Hijau Daun

(Faculty of Agriculture) (Leaf Green)

2 Fakulti Kejuruteraan  Jingga

(Faculty of Engineering) (Bright Orange)

3 Fakulti Perhutanan Coklat Mahogani 

(Faculty of Forestry) (Mahogany Brown)

4 Fakulti Ekologi Manusia Coklat Keemasan

(Faculty of Human Ecology) (Golden Brown)

5 Fakulti Pengajian Pendidikan Biru Air Laut 

(Faculty of Educational Studies) (Sea Blue)

6 Fakulti Pengajian Alam Sekitar Biru Firus

(Faculty of Environmental Studies) (Turquois Blue)

7 Fakulti Perubatan Veterinar Ungu

(Faculty of Veterinary Medicine) (Purple)

8 Fakulti Perubatan & Sains Kesihatan Ungu Kundang

(Faculty of Medicine and Health Sciences) (Light Purple/Lavender)

9 Fakulti Rekabentuk & Senibina Merah Api 

(Faculty of Design and Architecture) (Flame Red)

10 Fakulti Bahasa Moden & Komunikasi Merah Jambu

(Faculty of Modern Languages and Communication) (Pink)

11 Fakulti Sains Komputer & Teknologi Maklumat Kelabu

(Faculty of Computer Science and Information Technology) (Grey)

12 Fakulti Bioteknologi & Sains Biomolekul Platinum

(Faculty of Biotechnology and Biomolecular Sciences) (Platinum)

13 Fakulti Ekonomi & Pengurusan Kuning Gading

(Faculty of Economics and Management) (Ivory Yellow)

14 Fakulti Sains & Teknologi Makanan Kuning Emas

(Faculty of Food Science and Technology) (Gold Yellow)

15 Fakulti Sains Kuning Kunyit 

(Faculty of Science) (Chrome Yellow)

16 Fakulti Sains Pertanian & Makanan (UPMKB) Kuning Air 

(Faculty of Agriculture Science and Food (UPMKB)) (Beige)

17 Sekolah Pengajian Siswazah Kuning Kemerahan

(School of Graduate Studies) (Pearch)

18 Sekolah Pengajian Siswazah Pengurusan Biru Nila

(Graduate School of Management) (Indigo Blue)