APPLICATION FORM MASTER OF EDUCATION (MEd) OPTION (CGS 14) PART A Name Programme Centre IC/Passport Number Intake

Handphone Email : _____________________________________________________________ : _____________________________________________________________ : _____________________________________________________________ : ____________________________ Matric Number : CGS ______________ : ____________________________ Current Semester : ________________ : ________________ : ____________________________________________________________

PART B OPTION 1 25-credit Coursework + 18-credit Dissertation OPTION 2 36-credit Coursework + 6-credit Masters Project

OPTION 3* 42 credit Coursework Concentration*: Select TWO only - Write 1 for 1st choice & 2 for 2nd choice) 1 2 3 4 5 6 7 8 Science Education Mathematics Education Technical and Vocational Education Physical Education Music Education Early Childhood Education Educational Management TESL

Option 3 is only offered in Kuala Lumpur, Kelantan, Terengganu, Pahang (Kuantan), Negeri Sembilan, Sabah (Kota Kinabalu) and Sarawak (Kuching). The concentrations will only be offered if there is sufficient number of applicants of each of the above learning centres. CGS reserves the right to decide on the concentrations to be offered every semester at the centres.

Centre for Graduate Studies, Open University Malaysia, Jalan Tun Ismail, 50480 Kuala Lumpur Email : faznim@oum.edu.my. Web : www.cgs.oum.edu.my Fax : 03-26978848

Please refer to OUM website (http://www.oum.edu.my) and click at Postgraduate link for the list of courses offered under each option. Student Signature: _______________________ Date: __________________

PART C
FOR CGS ONLY

FOR PROGRAMME COORDINATOR ONLY Approved / Not approved (Select one)

I-Campus Updated Endorsed by, __________________________________

(Signature & Stamp) Date : _____________________________

(Signature & Stamp) Date : ________________________________

Centre for Graduate Studies, Open University Malaysia, Jalan Tun Ismail, 50480 Kuala Lumpur Email : faznim@oum.edu.my. Web : www.cgs.oum.edu.my Fax : 03-26978848