UNIVERSITI SELANGORBORANG AUDIT TAMAT PENGAJIAN(AUDIT GRADUATION FORM)

1.Borang ini untuk diisi oleh pelajar semester akhir pengajian sahaja.

(This form is to be filled by the student in final semester only)

2.Sila lampirkan satu salinan slip keputusan peperiksaan setiap semester

(please attached with one copy of examination result slip for each semester)

3. Sila lampirkan satu salinan slip keputusan Malaysian University English Test (MUET)

(Please attached with one copy of MUET result slip)

4. Sila lampirkan satu salinan Sijil Pelajaran Malaysia (SPM) atau GCE 0-LEVELS

(Please attached with one copy Sijil Pelajaran Malaysia (SPM) OR GCE 0-LEVELS)

NAMA:

(NAME)

NO. MATRIK:

(MATRIC NO.

ALAMAT TETAP

PERMANENT ADDRESS

ALAMAT SURAT MENYURAT

(POSTAL ADDRESS)

TELEFON

(TELEPHONE)

TEL BIMBIT

(MOBILE PHONE)

PINJAMAN BIASISWA

(LOAN/SCHOLARSHIP)

FAKULTI FAKULTI PERNIAGAAN/FACULTY OF BUSINESS(FACULTY)

KURSUS

(COURSE)

TARAF PENCALONAN SEPENUH MASA SEPARUH MASA

(CANDIDATURE) (FULL-TIME) (PART-TIME)

SESI KEMASUKAN

(INTAKE SESSION) / /

SESI TAMAT PENGAJIAN / /(GRADUATION SESSION)

PERNAH TANGGUH PENGAJIAN? TIDAK YA

(HAVE YOU DEFERRED ALONG YOUR STUDY?) (NO) (YES)

JUMLAH SEMESTER DIAMBIL TERMASUK TANGGUH/GANTUNG SEMESTER

(TOTAL SUBJECTS HAD BEEN TAKEN) (INCLUDED SEMESTER WHERE DEFERRED/SUSPEND)

CGPA TERKINI

(LATEST CGPA)

JUMLAH MATA PELAJARAN YANG TELAH DIAMBIL JUMLAH KREDIT LULUS

(TOTAL SUBKECTS HAD BEEN TAKEN) (TOTAL CREDIT EARNED)

JUMLAH MATA PELAJARAN YANG GAGAL (JIKA ADA)

(TOTAL SUBJECT FAILED-IF ANY)

JUMLAH KREDIT PENGECUALIAN /PEMINDAHAN (JIKA ADA)

(TOTAL EXEMPTION/TRANSFER CREDIT-IF ANY)

SIJIL PELAJARAN MALAYSIA (SPM) TAHUN BAHASA MELAYU(GCE 0-LEVELS) (YEAR)

MALAYSIAN UNIVERSITY ENGLISH TEST (MUET) TAHUN BAND(YEAR)

BUTIRAN PELAJAR

MAKLUMAT AKADEMIK

SAYA MENGAKU BAHAWA SEMUA KETERANGAN YANG SAYA BERIKAN DI ATAS ADALAH TEPAT DAN BENAR.(I hereby declare that all information stated above are complete, true and accurate)

TANDATANGAN PELAJAR: TARIKH:(STUDENT'S SIGNATURE) (DATE)

SAYA TELAH MENYEMAK SEMUA DOKUMEN DAN DENGAN INI MENGESAHKAN PELAJAR INI TELAH MENAMATKANPENGAJIAN DAN LAYAK BERGRADUAT. SILA RUJUK LAMPIRAN A. (I HAVE ADDED ALL THE DOCUMENTS AND VERIFY THE ABOVE STUDENT IS QUALIFIED TO GRADUATE AND HADCOMPLETED HIS/HER STUDY. PLEASE REFER APPENDIX A)

CATATAN(NOTES)

TANDATANGAN KETUAPROGRAM COP:(HEAD OF PROGRAM'S SIGNATURE) (CHOP)

TARIKH(DATE)

PELAJAR DI ATAS DIPERAKUI LAYAK BERGRADUAT.(THE ABOVE STUDENT IS RECOGNIZE TO QUALIFIED FOR GRADUATION)

CATATAN(NOTES)

TANDATANGAN DEKAN COP:(DEAN'S SIGNATURE) (CHOP)

TARIKH:(DATE)

PEJABAT UNIT REKOD AKADEMIK (ACADEMIC RECORD UNIT OFFICE)

CATATAN(NOTES)

STATUS PERMOHONAN LAYAK BERGRADUAT TIDAK LAYAK BERGRADUAT(APPLICATION STATUS) (QUALIFIED TO GRADUATE) (UNQUALIFIED TO GRADUATE)

TANDATANGAN TARIKH(SIGNATURE) (DATE)

PERAKUAN (DECLARATION)

PENGESAHAN PENASIHAT AKADEMIK (VERIFICATION BY ACADEMIC ADVISOR)

PENGESAHAN OLEH DEKAN (ENDORSEMENT BY DEAN)

KEGUNAAN PEJABAT (OFFICE USE ONLY)

SEMAKAN KEPUTUSAN PEPERIKSAAN DAN KIRAAN HIMPUNAN PURATA NILAI GRED(CHECKLIST OF EXAMINATION RESULT AND GRADEPOINT AVERAGE)

BIL KREDIT GRED MATA NILAIAN(CREDIT) (GRADE) (GRADE POINT)

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KOD MATA PELAJARAN(SUBJECT CODE)

NAMA SUBJEK(NAME OF SUBJECT)

NAMA PELAJAR (STUDENT'S NAME):

NO KAD PENGENALAN (BARU) (NEW IC NO.)

FAKULTI(FACULTY)

PROGRAM(PROGRAM)

KURSUS(COURSE)

SESI KEMASUKAN / /(INTAKE SESSION)

SESI GRADUAT / /(GRADUATION SESSION)

JUMLAH KREDIT DITERIMA(TOTAL CREDIT EARNED)

JUMLAH NILAI GRED .(TOTAL GRADE POINT)

HIMPUNAN PURATA NILAI GRED .(CUMULATIVE GRADE POINT AVERAGE (CGPA)

MUET: BAND TAHUN:

SPM:BAHASA MELAYU TAHUN:

DISEMAK OLEH:

TANDATANGAN KETUA PROGRAM:NAMA:TARIKH:

COP:

DISAHKAN OLEH:

TANDATANGAN DEKAN:NAMA:TARIKH: