UPSI/IPS-3/BO33

Pind : 03 m/s: 1/1

INSTITUT PENGAJIAN SISWAZAH / INSTITUTE OF GRADUTE STUDIES BORANG

CADANGAN KAJIAN DAN PENYELIA – MOD KERJA KURSUS, MOD PENYELIDIKAN
DAN KERJA KURSUS & DOKTOR PENDIDIKAN
PROPOSED RESEARCH AND SUPERVISOR FORM – COURSE WORK MODE, MIXED
MODE & DOCTOR OF EDUCATION

Lengkapkan borang (bahagian A – C) sebelum dihantar ke Pej. Am Fakulti dan selewat – lewatnya dua(2) bulan dari tarikh pendaftaran
Disertasi.
Fill up the form (part A- C) before submitting to the Faculty and at least two (2) months before registration date

A . BUTIR-BUTIR PERIBADI / PERSONAL DETAILS

Nama/Name : HEMA RAJA DORAI

No. Matrik/Matric’s No. : M20201000105 Semester: 2

Alamat Surat – Menyurat / Corresponding Address :

No 11, Jalan Pekerti 25/133C, Taman Mutiara Bukit Kemuning,Shah Alam, Selangor.

No. Telefon/Phone No: 0163530724 E-mel/E-mail : hemarajadorai@gmail.com

B. BUTIR-BUTIR AKADEMIK / ACADEMIC DETAILS

Bidang/Field: Psikologi Pendidikan

Bilangan Kursus Yang Telah Diambil/ No. of Courses Taken : 3 PNGK/CGPA : 3.92

Cadangan Tajuk Kajian /Proposed Research Title: DIFFCULTIES IN CONSTRUCTING SIMPLE SENTENCES STRUCUTE BY

PRIMARY

ke

Cadangan Penyelia ( sekurang-kurangnya satu orang) /Proposed Supervisor (at least one name)

1. Associate Professor Dr. Azlina Binti Abu Bakar@Mohd

2.
C. PERAKUAN / DECLARATION
Dengan ini saya mengaku mematuhi peraturan program pengajian yang telah ditetapkan oleh Universiti. / With this, I
declare that all rules and regulations stated by the University are followed.

HEMA
26/4/2021

Ta

ndatangan Pelajar / Student’s Signature Tarikh/Date

D. CADANGAN FAKULTI / FACULTY’S RECOMENDATION

Nama Penyelia :
Supervisor’s Name

Tandatangan Dekan/Timbalan Dekan & Cop Rasmi Tarikh

Signature & Official Stamp of the Dean/Deputy Dean Date