p05-ak08-02 penyerahan tesis untuk pemeriksaan · ukm/ppps/c/p05/ak08/06 tarikh kuatkuasa...
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UKM/PPPS/C/P05/AK08/02 Tarikh Kuatkuasa 01-03-2010
PUSAT PENGURUSAN SISWAZAH PENYERAHAN TESIS/DISERTASI UNTUK PEMERIKSAAN
Centre for Graduate Studies Submission of Thesis/Dissertation for Examination
Bahagian A: Maklumat Diri Pelajar Part A: Student’s Details Peringatan : Sila kemukakan 7 salinan tesis kepada Fakulti. Reminder: Please submit 7 copies of your thesis to the Faculty.
Nama (Name)
No. Pendaftaran (Registration Number)
Alamat tetap (Permanent Address)
No. Telefon (Telephone number)
Alamat surat menyurat (Correspondence address)
No. Telefon Waris/Jiran/Kawan (Telephone number of nearest relative/friends/neighbour)
No. Faksimili (Fax. No.)
Mel – e (E-mail)
Program pengajian (Program) : Sarjana / Doktor Falsafah* (Masters / Doctor of Philosophy) Bentuk pendaftaran(Type of registration) : Sepenuh Masa / Separuh Masa* (Full time / Part time) Pusat pengajian/Jabatan : ______________________________________________ (School/Department) Fakulti (Faculty) : ______________________________________________ Tajuk tesis (Title of thesis) : _________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Tandatangan :_______________________________ Tarikh: ____________________________________ (Signature) (Date) [*Potong yang tidak berkenaan (* Delete where not applicable)]
UKM/PPPS/C/P05/AK08/02 Tarikh Kuatkuasa 01-03-2010
Bahagian B: Perakuan Penyelia Utama / Pengerusi Jawatankuasa Siswazah / Penyelia Bersama Part B: Main Supervisor’s/Chairperson of the supervision committee’s/Co-Supervisors Approval
Tandakan (√) pada kotak yang berkenaan. ADA BELUM ADA NAMA PEMERIKSA LUAR NAMA PEMERIKSA DALAM
Nama Diperakukan untuk pemeriksaan Tandatangan
1. ____________________________________ Ya/Tidak* ________________________ 2. ____________________________________ Ya/Tidak* ________________________ 3. ____________________________________ Ya/Tidak* ________________________ [*Potong yang tidak berkenaan] Bahagian C: Perakuan Pengerusi Jawatankuasa Pengajian Siswazah Fakulti / Ketua Jabatan, Pengerusi Pusat Pengajian Tandatangan: ___________________________ Tarikh: _______________ Cop Rasmi : Bahagian D: Perakuan Dekan Fakulti / Pensyarah Tandatangan: ___________________________ Tarikh: _______________ Cop Rasmi :
PEMBAYARAN YURAN PEMERIKSAAN TESIS PAYMENT FOR THESIS SUBMISSION
A. MAKLUMAT PELAJAR/STUDENT DETAILS
Nama/Name
No. Pendaftaran Registration No.
Jabatan Department
Fakulti/Institut Faculty/Institute
Program Pengajian Program of Study
Sarjana / Doktor Falsafah │ Masters / Doctor of Philosophy
Mel-e/Email: No. Telefon/Tel.No:
B. PEMBAYARAN YURAN/ FEES PAYMENT
YURAN (FEES) JUMLAH BAYARAN (RM) [TOTAL PAYMENT (RM)]
Pemeriksaan Tesis (Thesis Examination) Doktor Falsafah (PhD) : RM2000.00 Sarjana (Masters) : RM1300.00
Pemeriksaan Semula Tesis (Thesis re-examination) Doktor Falsafah (PhD) : RM800.00 Sarjana (Masters) : RM750.00
Semak Semula Keputusan Peperiksaan (Appeal to recheck and remark examination paper)
Tandatangan: Signature
Tarikh : Date
Cop Rasmi: Official Stamp
C. UNTUK KEGUNAAN BENDAHARI/ FOR BURSARY USE ONLY
No. Resit: No. of Receipt
Jumlah: Total
Tandatangan: Signature
Tarikh: Date
UKM/PPPS/C/P05/AK06/05 Tarikh Kuatkuasa: 13-02-2017
UKM/PPPS/C/P05/AK08/06 Tarikh Kuatkuasa 01-03-2010
PUSAT PENGURUSAN SISWAZAH (Centre for Graduate Management)
PERAKUAN PENERIMAAN TESIS UNTUK PEMERIKSAAN Sila isi dalam 2 salinan.
(Acknowledgement of Acceptance of the Thesis/Dissertation for Examination) Please fill-in in duplicate.
Nama Pelajar (Student’s Name)
No. Pendaftaran (Registration Number)
Jabatan/Pusat Pengajian (Department/School)
Fakulti (Faculty)
Saya telah menerima _______ tesis/disertasi tuan/puan untuk pemeriksaan pada I have received_______________copies of your thesis/dissertation for examination on______________________
Untuk makluman tuan/puan, peperiksaan lisan tuan/puan akan diadakan selepas Fakulti/Institut/Pusat menerima laporan penilaian tesis daripada Pemeriksa Luar dan/atauPemeriksa Dalam. For your information, your viva-voce will be arranged after the Faculty/Institute/Centre has received the reports from your external and/or internal examiners. Tandatangan Penerima: _____________________________________________ (Nama : ) Tarikh : ____________________________________.
UKM/PPPS/C/P05/AK08/06 Tarikh Kuatkuasa 01-03-2010
PUSAT PENGURUSAN SISWAZAH (Centre for Graduate Management)
PERAKUAN PENERIMAAN TESIS UNTUK PEMERIKSAAN Sila isi dalam 2 salinan.
(Acknowledgement of Acceptance of the Thesis/Dissertation for Examination) Please fill-in in duplicate.
Nama Pelajar (Student’s Name)
No. Pendaftaran (Registration Number)
Jabatan/Pusat Pengajian (Department/School)
Fakulti (Faculty)
Saya telah menerima _______ tesis/disertasi tuan/puan untuk pemeriksaan pada I have received_______________copies of your thesis/dissertation for examination on______________________
Untuk makluman tuan/puan, peperiksaan lisan tuan/puan akan diadakan selepas Fakulti/Institut/Pusat menerima laporan penilaian tesis daripada Pemeriksa Luar dan/atauPemeriksa Dalam. For your information, your viva-voce will be arranged after the Faculty/Institute/Centre has received the reports from your external and/or internal examiners. Tandatangan Penerima: _____________________________________________ (Nama : ) Tarikh : ____________________________________.
Program Sarjana dan Kedoktoran
BORANG PENGESAHAN BEBAS PLAGIAT (NON-‐PLAGIARISM VERIFICATION FORM)
BAHAGIAN A: (Maklumat calon/Candidate Information)
NAMA NAME
NOMBOR MATRIK MATRIC NUMBER
PROGRAM PENGAJIAN PROGRAM OF STUDY
SARJANA / MASTER KEDOKTORAN / DOCTORAL
TAJUK TESIS/ DISERTASI THESIS/DISSERTATION TITLE
PUSAT PENGAJIAN /JABATAN SCHOOL/DEPARTMENT
FAKULTI / INSTITUT FACULTY/INSTITUTE
NOMBOR TELEFON/ TELEPHONE NUMBER
E-‐MEL/E-‐MAIL
BAHAGIAN B: (Maklumat Penyelia Utama/Main Supervisor Information)
NAMA / NAME
UKM PER
NOMBOR TELEFON / TELEPHONE NUMBER
E-‐MEL/E-‐MAIL
Program Sarjana dan Kedoktoran
BAHAGIAN C: (Maklumat laporan Perisian Semakan Bebas Plagiat/Plagiarism Checker Software Report Information)
Indeks Kesamaan/ Similarity Index
(%)
Komen Penyelia (Wajib jika Indeks Kesamaan > 30%) Supervisor’s Comment (Compulsory for Similarity Index >30%)
Nota: Sila cetak dan lampirkan laporan Perisian Semakan Bebas Plagiat Note: Please print and submit the Plagiarism Checker Software Report BAHAGIAN D: (Pengesahan Penyelia Utama/Main Supervisior Verification) Berdasarkan laporan yang dihasilkan oleh Perisian Semakan Bebas Plagiat, saya akui bahawa saya *berpuas hati / tidak berpuas hati dengan keaslian tesis/disertasi yang dikemukakan oleh pelajar saya. Based on the Plagiarism Checker Software Report, I am *satisfied/not satisfied with the origanility of the thesis/dissertation of my student . Tandatangan/Signature _______________________ NAMA/NAME: TARIKH/DATE:
Program Sarjana dan Kedoktoran
UNTUK KEGUNAAN PEJABAT SAHAJA/FOR OFFICE USE ONLY
Tarikh penerimaan laporan /Report receipt date _________________________ Laporan diterima oleh/Report received by __________________________ Tandatangan/Signarure: Cop Fakulti/Institut Stamp Faculty/Institute: _____________________
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