BORANG UMK A/1

UMK(B01.02.04) (1-19) PIND 1/2019 Tarikh Kuatkuasa : Effective Date

16 Januari 2019 16 January 2019

PENDAFTARAN KURSUS / COURSE REGISTRATION

Semester: September / Februari 20___ / 20___

NOTA/ NOTES

1. Borang ini digunakan oleh pelajar yang gagal membuat Pra Pendaftaran (secara atas talian pada minggu ke-14 semester semasa). This form is for students who failed to do Pre Registration (online registration during week 14th of the current semester).

2. Pelajar akan dikenakan denda RM50.00 bagi setiap kursus. Students will be penalized RM50.00 for every course. 3. Sila rujuk struktur kurikulum program untuk mendapatkan maklumat kursus. Please refer to the programme course structure

for course informations. 4. Pelajar perlu melengkapkan Bahagian A, Bahagian B dan Bahagian C borang ini sebelum dihantar ke Pejabat Pentadbiran

Fakulti. Pihak Fakulti berhak menolak borang permohonan yang tidak lengkap. Students are required to complete Section A, Section B and Section C before submitting to the Faculty Administration’s Office. The Faculty reserves the right to reject incomplete form.

5. Pembayaran denda hendaklah dibuat selepas semakan oleh pihak Fakulti dan dikepilkan bersama resit pembayaran. Payment of penalty must be made after checking by the Faculty and to be attached together with the payment receipt.

A. MAKLUMAT PELAJAR/ STUDENT’S INFORMATION

Nama/ Name

No. Kad Pengenalan@ Pasport Identity Card No./ Passport

No. Matrik/ Matric No.

No. Telefon / Telephone No. Emel/ E-mail

Fakulti/ Faculty PNGS/ GPA PNGK/ CGPA

Program/ Programme

Semester/ Semester

Tandatangan Pelajar/ Student’s signature

Tarikh/ Date

B. MAKLUMAT KURSUS/ COURSE’S INFORMATION

Saya memohon mendaftar kursus berikut/ I wish to register the course/s as below: (Untuk kegunaan

pejabat/ For office use)

Bil./ No.

Kod Kursus/ Course Code

Kumpulan/ Section

Kredit/ Credit

*Status/ Status

Semakan Kapasiti/

Capacity Review

1

2

3

4

5

6

7

8

9

10

11

JUMLAH KREDIT/ TOTAL CREDITS

BORANG UMK A/1

C. SOKONGAN/ RECOMMENDATIONS

PENASIHAT AKADEMIK/ ACADEMIC ADVISOR TIMBALAN DEKAN AKADEMIK/ DEPUTY DEAN OF ACADEMIC

Ulasan/ Comments:

Disahkan Setuju/ Tidak Setuju (Verified Agree/ Disagree)

Ulasan/ Comments:

Disahkan Setuju/ Tidak Setuju (Verified Agree/ Disagree)

(Tandatangan/ Sign)

(Tandatangan/ Sign) Cop Rasmi/ Official Stamp: Tarikh/ Date :

Cop Rasmi/ Official Stamp: Tarikh/ Date:

D. KELULUSAN DEKAN/ DEAN’S APPROVAL

Ulasan/ Comments:

Diluluskan/ Tidak Diluluskan Approved/ Not Approved

___________________________ (Tandatangan/ Sign)

Cop Rasmi/ Official Stamp: Tarikh/ Date:

E. PEJABAT PENTADBIRAN FAKULTI/ FACULTY’S ADMINISTRATION OFFICE

Permohonan pelajar telah dikemaskini/

Student’s application has been updated

__________________________

(Tandatangan/ Sign)

Cop Rasmi/ Official Stamp: Tarikh/ Date:

Catatan/ Notes:

Catatan/ Notes:

Salinan Pertama/ First Copy – Fakulti/ Faculty Salinan Kedua/ Second Copy – Pelajar/ Students (Pelajar bertanggungjawab untuk membuat simpanan sendiri/

Students are responsible to make own copy)

A MAKLUMAT PELAJAR STUDENTS INFORMATION: Nama Name: No Kad Pengenalan Pasport Identity Card No Passport: No Matrik Matric No: No Telefon Telephone No: Emel Email: Fakulti Faculty: PNGS GPA: PNGK CGPA: Program Programme: Semester Semester: Tandatangan Pelajar Students signature: Tarikh Date: B MAKLUMAT KURSUS COURSES INFORMATION: 1: Kod Kursus Course Code1: Kod Kursus Course Code1_2: Kumpulan Section1: Kredit Credit1: Status Status1: Semakan Kapasiti Capacity Review1: 2: Kod Kursus Course Code2: Kod Kursus Course Code2_2: Kumpulan Section2: Kredit Credit2: Status Status2: Semakan Kapasiti Capacity Review2: 3: Kod Kursus Course Code3: Kod Kursus Course Code3_2: Kumpulan Section3: Kredit Credit3: Status Status3: Semakan Kapasiti Capacity Review3: 4: Kod Kursus Course Code4: Kod Kursus Course Code4_2: Kumpulan Section4: Kredit Credit4: Status Status4: Semakan Kapasiti Capacity Review4: 5: Kod Kursus Course Code5: Kod Kursus Course Code5_2: Kumpulan Section5: Kredit Credit5: Status Status5: Semakan Kapasiti Capacity Review5: 6: Kod Kursus Course Code6: Kod Kursus Course Code6_2: Kumpulan Section6: Kredit Credit6: Status Status6: Semakan Kapasiti Capacity Review6: 7: Kod Kursus Course Code7: Kod Kursus Course Code7_2: Kumpulan Section7: Kredit Credit7: Status Status7: Semakan Kapasiti Capacity Review7: 8: Kod Kursus Course Code8: Kod Kursus Course Code8_2: Kumpulan Section8: Kredit Credit8: Status Status8: Semakan Kapasiti Capacity Review8: 9: Kod Kursus Course Code9: Kod Kursus Course Code9_2: Kumpulan Section9: Kredit Credit9: Status Status9: Semakan Kapasiti Capacity Review9: 10: Kod Kursus Course Code10: Kod Kursus Course Code10_2: Kumpulan Section10: Kredit Credit10: Status Status10: Semakan Kapasiti Capacity Review10: 11: Kod Kursus Course Code11: Kod Kursus Course Code11_2: Kumpulan Section11: Kredit Credit11: Status Status11: Semakan Kapasiti Capacity Review11: 11Row1: JUMLAH KREDIT TOTAL CREDITS: C SOKONGAN RECOMMENDATIONS: PENASIHAT AKADEMIK ACADEMIC ADVISOR: Tandatangan Sign: Tandatangan Sign_2: D KELULUSAN DEKAN DEANS APPROVAL: Ulasan Comments: Tandatangan Sign_3: undefined: Catatan Notes: Tandatangan Sign_4: