UTHM/PPA/2007/7 Pin.

UNIVERSITI TUN HUSSEIN ONN MALAYSIA

BORANG PENDAFTARAN KURSUS
COURSE REGISTRATION FORM

Nama Pelajar : _______________________________________________________________________________________________________________________

Name of Student (Mengikut ejaan dalam kad pengenalan) / (As per the spelling in your Identity Card)

Fakulti : ____________________________________________________________________________________________________________________________
Faculty

No. Kad Pengenalan : Tahun/Program :

Identity Card No. Year / Programme E.g.: 1 BFA

No. Pasport : Sesi/Semester :

Passport No. Session/Semester / E.g.: 1011/1

No. Kad Matrik : Jumlah Perpindahan Kredit :

Matriculation Card No. Total Credit Transfers

Sila isikan petak-petak di bawah ini dengan terang dan betul. Jika melebihi 12 kursus hendaklah menggunakan dua borang. Isikan kod UK pada petak status bagi kursus ULANGAN.
HW bagi kursus HADIR WAJIB, HS bagi kursus HADIR SAHAJA dan HWUK bagi kursus HADIR WAJIB ULANG KURSUS dan TB bagi MEMBAIKI GRED kursus.
Please fill in the boxes below clearly and accurately. If you are registering more than 12 courses, please use two forms. Write UK in the status column for REPEAT courses, HW for
COMPULSORY ATTENDANCE courses, HS for AUDIT courses, HWUK for COMPULSORY ATTENDANCE REPEAT courses and TB for UPGRADE courses.

BIL SEKSYEN T/TANGAN PENSYARAH

KOD KURSUS STATUS KREDIT
NO. SECTION STATUS SIGNATURE OF
COURSE CODE CREDITS
LECTURER
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

Jumlah Kredit (Tidak Termasuk Kursus HS)

Total Credits (excluding HS courses)

Nombor Rumah dan Jalan / House Number and Street Name

Alamat surat- :
menyurat
(Semasa)
Mailing address
(Current)

Poskod / Postcode Bandar / Town Negeri / State

No.
Telefon Bimbit : CPA : GPA :
Handphone No CPA GPA

Saya ingin mendaftar kursus yang tersebut di atas. Disahkan Setuju/Tidak Setuju
I would like to register the above courses. Recommended/Not Recommended

___________________________________________________________
(Tanda tangan dan cop Penasihat Akademik)
(Signature and Official Stamp of Academic Advisor)

_______________________________________________ Staff No. : ________________________________________

(Tanda tangan Pelajar) / (Signature of Student) Staff No.

_______________________________________________ Samb. Tel.: ________________________________________

(Nama Penuh) / (Full Name) Tel. Extn.
Ulasan : ________________________________________
Comment
__________________________________________________

Tarikh: ______________________________________________ Tarikh : ________________________________________

Date Date
Sila dapatkan kelulusan Dekan Fakulti sekiranya pendaftaran kursus melebihi 18 kredit ataupun Penasihat Akademik tidak bersetuju dengan pendaftaran kursus pelajar.
Please obtain the approval of the Faculty Dean if the courses registered exceed a total of 18 credits or if the Academic Advisor does not recommend the students course registrations.

DILULUSKAN / TIDAK DILULUSKAN

APPROVED / NOT APPROVED

_____________________________________
(Tanda tangan dan cop Dekan Fakulti)
(Signature and Official Stamp of Faculty Dean) Tarikh : ______________
Date

(Salinan Pertama Untuk Fakulti)

(First Copy for the Faculty)