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BORANG MELAPUR DIRI (TAMAT PENGAJIAN) REPORT FOR DUTY FORM (COMPLETED STUDIES)
Nama/ Name :________________________________________________________
No. Kad Pengenalan/ IC No. :___________________________________________________ Jawatan/ Position: ___________________________________________________________
Unit Bahagian/ Department: ___________________________________________________
1. KURSUS PENGAJIAN / PROGRAMME OF STUDY :- a. Nama Kursus / Course Name :_________________________________________
b. Pusat Pengajian / Institution :__________________________________________
c. Jenis Tajaan / Type of Sponsorship : Sepenuh Masa / Separuh Masa / Pinjaman
Full time/ Part time/ Loan
d. Keperluan Pembelajaran / Study Programme Requirement : Kerja Kursus/ Coursework Tesis/ Thesis Kerja Kursus dan Tesis / Coursework and Thesis Lain-lain / Others ___________
e. Untuk pembelajaran melalui tesis , sila nyatakan tajuk tesis yang dihantar / For
Thesis study , please state the title of thesis submitted:______________________ ___________________________________________________________________
f. Status Pembelajaran: Tamat / Belum Tamat / Gagal
Completed / Not Completed / Fail
g. Jika pengajian anda belum tamat atau gagal, sila nyatakan sebab/ If your study is not yet complete or fail , please indicate your reason: ________________________ ___________________________________________________________________
h. Jika pengajian anda lulus, nyatakan jenis Ijazah yang diperolehi / If your study is successful, please name the Degree that has been awarded to you :___________________________________________________________________
Gred / Grade: _____________CGPA Akhir/ Final CGPA :______________________
i. Program Luar Negara sahaja/ Oversea Programme only
Tarikh pulang ke Malaysia/ Date of return to Malaysia:_______________________
2. DOKUMEN- DOKUMEN TAMBAHAN YANG PERLU DIKEMUKAKAN:- THE SUPPORTING DOCUMENTS THAT NEED TO BE SUBMITTED
a. 1 Salinan Sijil Ijazah / a copy of Degree
Certi�cate ( )
b. 1 Salinan Transkrip / a copy of Transcript
( )
c. 1 Salinan Tesis atau Disertasi / a copy of Thesis or Dissertation
( )
d. 1 Salinan Surat Pengesahan Tamat
Pengajian/ a copy of Letter of Completed Studies
( )
Semua salinan dokumen-dokumen ini perlu dikemukakan kepada YTM untuk tujuan rekod/ All the supporting documents need to be submitted to YTM for record purposes
3. AKUAN PENERIMAAN (Untuk Urusan YTM sahaja) ACKNOWLEDGEMENT OF RECEIPT ( For YTM use only)
Tandatangan/ Signature :…………………………………………………........
Tandatangan/ Signature :…………………………………………………........
Tarikh/ Date :…………………………………………………........
Nama Pegawai/ O�cer Name :…………………………………………………………..
Jawatan/ Position :………………………………………………………..
Tarikh Terima/ Date of Received:…………………………………………………………