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IGS / RSCH / INTENT / 2017

Institut Pengajian Siswazah NOTIS CADANGAN

PENYERAHAN TESIS

Institute of Graduate Studies NOTICE OF INTENTION

TO SUBMIT THESIS

Arahan kepada pelajar:

1. Pastikan borang ini telah dilengkapkan sepenuhnya dalam tiga (3) salinan sebelum diserahkan kepada Pusat Pengajian Siswazah Fakulti.

Borang yang tidak lengkap tidak akan diproses.

2. Sila lampirkan Abstrak (tidak melebihi 400 patah perkataan), Jadual Kandungan Tesis dan Laporan Ketulenan.

3. Dapatkan pengesahan tesis telah siap 95% dan telah melalui proses saringan plagiat dari Penyelia.

4. Notis ini akan terbatal sekiranya tesis penuh tidak dihantar dalam masa tiga (3) bulan dari tarikh borang ini diserahkan ke Fakulti.

Instructions to candidate:

1. Ensure that the information needed in the form is complete before submission to the Head of Graduate Studies Faculty. Incomplete forms will not be

processed. Completed form must be made in three (3) copies.

2. Please attach Abstract (must not exceed 400 words), Table of Contents of Thesis and Originality Report.

3. Obtain certification by Supervisor that thesis is 95% complete and has been screened for plagiarism.

4. Should the full thesis is not submitted to Faculty within three (3) months from the date of the notice is given; this notice would be considered null and

void.

BAHAGIAN I (Diisi oleh pelajar dengan menggunakan HURUF BESAR) SECTION I (To be filled 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

Female

Peringkat Pengajian: Level of Study

Sarjana Master

Kedoktoran PhD

Mod Pengajian: Mode of Study

Sepenuh Masa Full Time

Separuh Masa Part Time

FLP FLP

Alamat Surat-Menyurat *( ) Mailing Address

Poskod: Postcode

*Jika ada perubahan alamat, sila tandakan ( ) * Please tick () for change of address No. Tel: Tel.No

No. Tel. Bimbit: Mobile Phone No.

E-mel: E-mail

BAHAGIAN II (Sila lengkapkan) SECTION II (Please complete)

Nama Penyelia Utama Name of Main Supervisor

: ......................................................................................................................................................................................................

Nama Penyelia Bersama 1 (jika ada) Name of Co-Supervisor 1 (if any)

: ......................................................................................................................................................................................................

Nama Penyelia Bersama 2 (jika ada) Name of Co-Supervisor 2 (if any)

: ......................................................................................................................................................................................................

Nama Penyelia Bersama 3 (jika ada) Name of Co-Supervisor 3 (if any)

: ......................................................................................................................................................................................................

Nyatakan Badan Tajaan (jika ada): Sponsoring Body (if any):

: ......................................................................................................................................................................................................

(Sila lampirkan sesalinan Surat Tawaran Tajaan) (Please attach a copy of sponsor’s offer letter)

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IGS / RSCH / INTENT / 2017

Tajuk Tesis: Thesis Title:

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

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

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

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

Dimaklumkan bahawa tesis akan diserahkan dalam tempoh tiga (3) bulan dari tarikh penyerahan borang permohonan ini. This is to notify you that I intend to submit my completed thesis within three (3) months from the date of this notice.

…………………………….

Tandatangan Pelajar Student’s Signature

…………….

Tarikh Date

BAHAGIAN III (Pelajar dikehendaki mendapatkan pengesahan daripada pihak berkenaan) SECTION III (Student is required to get endorsement from the following parties)

A. Diluluskan oleh Penyelia Utama Approved by Main Supervisor

B. Disahkan oleh Ketua Pusat Pengajian Siswazah (Fakulti) Endorsed by Head of Graduate Studies (Faculty)

A. CATATAN REMARKS

Saya mengesahkan tesis pelajar siap 95% dan telah melalui proses saringan plagiat dengan I certify that the thesis is 95% complete and has been screened for plagiarism with

……………………………………………………………

……………………………………………………………

……………………………………………………………

……………………………………………………………

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indeks kesamaan:

similarity index of

%

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Tandatangan Signature

…………………………….

Tandatangan Signature

……………………………

Nama dan Cop Rasmi Name and Official Stamp

………………………… Tarikh

Date

……………………………

Nama dan Cop Rasmi Name and Official Stamp

………………………… Tarikh

Date

Institut Pengajian Siswazah (IPSis)

Institute of Graduate Studies (IGS) UNIVERSITI TEKNOLOGI MARA

Block 8, INTEKMA Convention Centre, Persiaran Raja Muda, Section 7,

40000 Shah Alam, Selangor Darul Ehsan, Tel: 03-5522 5334 (Academic), 5338 (Admission), 5572 (Student Affairs),

5244 (Research), 5333 ( Coursework) Faks (Fax): 03-5522 5335

Laman Web (Web Site): http://www.ipsis.uitm.edu.my