Hp No :…………………………………………………….

UTM(PS) – 07/96
Lampiran IV (a)

Email :………………………………………………………

UNIVERSITI TEKNOLOGI MALAYSIA

School of Graduate Studies
Official Student Registration

Name :……………………………………………………………………………..................

IC / Passport No :………………………………………………………………...............................

Matric No:……………………………………. Programme Code: ……………………………….

I take note of the following regulations and understand that:

 I shall register all required subjects beginning of each semester, otherwise the
University will terminate my study as stipulated in Postgraduate Studies
Academic Regulations

 I shall make the full payments for the study as stipulated in Bursar’s Circular No
2/2009

 I shall notify the University (Graduate School/Faculty/Institute) of any changes

in the correspondence address during my study

 Other remarks

………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………….

I hereby acknowledge and take note of these regulations.

………………………… ………………………….
Student’s Signature Date

FOR OFFICE USE ONLY

Officer’s Name : ……………………………………..

Officer’s Signature : ……………………………………… Date:..……………….

First Copy – For SPS

A:\BORANG96\0796.DOC 07-07-00
Lampiran IV (b) UTM(PS) – 07/96

UNIVERSITI TEKNOLOGI MALAYSIA

School of Graduate Studies
Official Student Registration

Name :……………………………………………………………………………..................

IC / Passport No :………………………………………………………………...............................

Matric No:……………………………………. Programme Code: ……………………………….

I take note of the following regulations and understand that:

 I shall register all required subjects beginning of each semester, otherwise the
University will terminate my study as stipulated in Postgraduate Studies
Academic Regulations

 I shall make the full payments for the study as stipulated in Bursar’s Circular No
2/2009

 I shall notify the University (Graduate School/Faculty/School Office and

Institute) of any changes in the correspondence address during my study

 Others remarks

………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………….

I hereby acknowledge and take note of these regulations.

………………………… ………………………….
Student’s Signature Date

FOR OFFICE USE ONLY

Officer’s Name : ………………………………………

Officer’s Signature : ……………………………………… Date:..……………….

Second Copy – For Student

A:\BORANG96\0796.DOC 07-07-00