PUSAT PENGAJIAN ILMU PENDIDIKAN School of Educational Studies

UNIVERSITI SAINS MALAYSIA

BORANG PEMBENTANGAN KOLOKIUM/PENYELIDIKAN PASCASISWAZAH
Postgraduate Research/Colloqium Presentation Form

PROSPEKTUS 1 salinan borang bersama 4 Salinan prospektus

(PROSPECTUS) 1 copy of form and 4 copies of prospectus

PEMBENTANGAN USUL 1 salinan borang bersama 4 salinan usul

(PROSPOSAL DEFENCE) 1 copy of form and 4 copies of report for Proposal Defense
Colloqium Presentation Form
PRA-VIVA 1 salinan borang bersama 4 salinan pra-viva
(PRE-VIVA) 1 copy of form and 4 copies of report for pre-viva

Nama Calon: Tarikh Daftar: _________________________

(Name) (Date of Registration)

No. Matrik: Doktor Falsafah Sarjana Sastera

(Matric No) (Ph.D.) (M.A.)

Status Pencalonan: Penuh Masa Sambilan

(Candidature Status) (Full time) (Part time)

Tempoh Pencalonan: _____________________________ hingga _________________________________

(Duration of Candidature) (to)

Telefon Bimbit: ___________________________________ Telefon Rumah: ___________________________

(Mobile Phone) (House No.)

Alamat e-mel: _____________________________ Pengkhususan Bidang:_________________________

(Email Address) (Field of Specialization)

Nombor Rujukan PERSILA:

(PERSILA Reference Number)

Tajuk Penyelidikan:
(Research Topic)

Tandatangan Calon: Tarikh:

(Candidate Signature) (Date)

__________________________________________________________________________________________

Untuk diisi oleh Penyelia Utama)

(To be filled by Main Supervisor)

Senarai panel yang dicadangkan oleh penyelia:

(List of panels suggested by supervisor)
Nama (Name) Tandatangan (Signature)

Panel Penilai: 1. _______________________________ _____________________

(Examiner Panels)
2. _______________________________ _____________________

Penyelia Utama: ________________________________ _____________________

(Main supervisor)

Penyelia Bersama: _________________________________ _____________________

(Co-Supervisor)

Cadangan Tarikh: ________________

(Suggestion Date)
1
Untuk diisi oleh Pengerusi Rancangan:
(To be filled by Pragramme Chaiperson)

Komen Pengerusi Rancangan:

(Programme Chairperson’s comment)

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

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Sila tanda 
(Please tick)

Diperakukan: Tidak diperakukan:

(Approved) (Disapproved)

Tandatangan Pengerusi Rancangan: .........................................................................

(Programme Chairperson’s Signature)

Cop Pengerusi Rancangan: .......................................................................................

(Programme Chairperson’s Stamp)