APEL.

A PORTFOLIO EVALUATION FORM

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PART 1: PERSONAL DETAILS

FULL NAME Nural Jastiena Bt Jasmi

IC NUMBER 821018085830 (attach a copy of IC)

MOBILE PHONE 013-2696255 jastienajasmi@gmail.com

EMAIL
NUMBER
INTENDED FIELD (Refer to Appendix A)
OF STUDY (for T7
only)
INTENDED
PROGRAMME
LEVEL OF STUDY Diploma (T4) Bachelor (T6) x Master (T7)
PART 2: DETAILS OF LEARNING ACQUIRED (start with the most recent)

a) FORMAL LEARNING
Intentional learning/programme of study delivered within an organisation and structured context (pre-school, primary school,
secondary school, technical college and university) that may lead to formal recognition / a recognised qualification.
COMPETENCIES EVIDENCE OF LEARNING
AWARDING (Please tick ✓) (Refer Appendix C for examples
ACADEMIC YEAR
NO. BODY/ (Refer Appendix B for a list of competencies) of evidence)
QUALIFICATION AWARDED
INSTITUTION 1 2 3 4 5 6 7 8

1. Diploma University 2005 Appendix 2 (Diploma

Technology ✓ certificate)
Malaysia (UTM)
2. SPM Maktab Rendah 1999 Appendix (SPM certificate)
Sains MARA
(MRSM)
3.

4.

5.

Note:
● Line 1 is an example only. Please delete before entering your data.
● Add a line if not enough.
● All evidence must be properly labelled.
b) INFORMAL LEARNING (compulsory) (start with the most recent)
Learning which takes place continuously through life and work experiences (sometimes known as experiential learning). It is often
unintentional learning.
DURATION WHAT I HAVE LEARNT/ACQUIRED
(Please tick √) EVIDENCE OF
NAME OF (MONTH/YEAR) (Refer Appendix B for a list of competencies)
CONTACT POSITION LEARNING
NO. EMPLOYER/
ADDRESS HELD (Refer Appendix C for
SELF-EMPLOYED 3
FROM TO 1 2 4 5 6 7 8 examples of evidence)

2005 Current Executive

1. PERODUA Appendix 3 (Offer
Letter)

2.

3.

4.

5.

Note:
● Line 1 is an example only. Please delete before entering your data.
● Add a line if not enough.
● All evidence must be properly labelled.

OTHER LEARNING ACTIVITIES YEAR EVIDENCE OF LEARNING (if any)

WHAT I HAVE LEARNT/ACQUIRED

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 This may include your hobbies/ sports/ (Please tick ✓)
(Refer Appendix B for a list of competencies)
recreation/ social/ community service/
training given/ consultancy services, or (Refer Appendix C for examples of evidence)
other activities which might be relevant to 1 2 3 4 5 6 7 8
the competencies.
1. Appendix 5
(Certificate of Attendance)

2.

3.

4.

Note:
● Line 1 is an example only. Please delete before entering your data.
● Add a line if not enough.
● All evidence must be properly labelled.

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c) NON-FORMAL LEARNING (start with the most recent)
Learning that takes place alongside the mainstream education and training systems. It may be assessed but does not normally
lead to formal certification.
WHAT I HAVE LEARNT/ACQUIRED EVIDENCE OF
LENGTH (Please tick √) LEARNING
NAME/TITLE OF
ORGANISER (Hours/ (Refer Appendix B for a list of competencies) (if any)
NO. TRAINING OR DATE
/LOCATION Days/ (Refer Appendix C
COURSE
Month) 1 2 3 4 5 6 7 8 for examples of
evidence)
1. 5S Workshop Hotel Eastin, 2nd May 1 Day ✓ Appendix 6
Petaling Jaya 2005 (Certificate of
Attendance)
2.

3.

4.

5.

Note:
● Line 1 is an example only. Please delete before entering your data.
● Add a line if not enough.
● All evidence must be properly labelled.

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d) LANGUAGE COMPETENCY
LEVEL OF COMPETENCE (Please tick ✓)
1: POOR; 2: AVERAGE; 3: GOOD; 4: EXCELLENT
LANGUAGE LISTENING READING SPEAKING WRITING

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

1. e.g Bahasa Malaysia ✓ ✓ ✓ ✓

2.

3.

Note:
● Line 1 is an example only. Please delete before entering your data.
● Add a line if not enough.
● All evidence must be properly labelled.

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e) SELF ASSESSMENT/REFLECTION (Compulsory as answers will be graded for evaluation)
Describe how your prior learning experiences prepare you for the intended level of study (Not
more than 250 words):

1. Why do you want to pursue this intended programme of study?

2. How is your prior learning experience applicable to/related to/relevant to your chosen field of
study?

3. What are your action plans to ensure your programme's successful completion? (Commitment, time
management, financial resources and support etc.).

4. How will the completion of this programme help you in your life?
PART 3: REFEREES (Family members and relatives cannot serve as referees)

NAME
POSITION

ORGANISATION
PHONE NUMBER OFFICE: MOBILE:
(Compulsory)

EMAIL ADDRESS
RELATIONSHIP

NAME
POSITION
ORGANISATION
PHONE NUMBER OFFICE: MOBILE:
(Compulsory)

EMAIL ADDRESS
RELATIONSHIP

PART 4: SELF DECLARATION

I hereby declare that all of the information/documents provided to support this application are
authentic, true and accurate. I fully understand the Terms and Conditions of the application and
agree that my application will be rejected if I have falsified any information in any way.

Signature:

Name:
Date:

This application is subject to the following Terms and Conditions:

a. Documents that are not in English or Malay must be accompanied by a certified full translation
b. OUM is authorised by the applicant to make references and use information or data in this application as
deemed necessary.
c. APEL.A was designed to meet the Malaysian Qualification Agency's (MQA) requirements. Admission to
academic programs that use APEL.A is subject to OUM's Academic Regulations.

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 Appendix A
FIELD OF STUDY BASED ON PROGRAMME at OUM

PROGRAM PENGAJIAN DI OUM BIDANG PENGAJIAN

Master of Facility Management
Master of Quality Management

Master of Project Management

Management and Business
Master of Management

Master of Business Administration

Master of Human Resource Management

Master of English Studies
Master of Education
Education
Master of Instructional Design and Technology

Master of Early Childhood Education

Computer Science / Information
Master of Information Technology
Technology
Master of Islamic Studies Islamic Studies
Master of Corporate Communication Journalism
Master of Occupational Safety and Health Risk
Management Occupational health and safety
Master of Nursing -
Master of Psychology -
Master of Counselling -
 Appendix B

List of competencies based on Malaysian Qualifications Framework Learning Outcome

1. Knowledge and understanding

2. Cognitive skills
3. Functional work skills:
a. Practical skills
b. Interpersonal and communication skills
c. Digital and numeracy skills
d. Leadership, autonomy and responsibility
4. Personal and entrepreneurial skills
5. Ethics and professionalism.
 Appendix C

LIST OF EVIDENCE

Evidence that can be provided for application.

Direct Evidence Indirect Evidence

Certificates Written Records

You can provide copies of your qualification You can provide copies of
● School certificates ● Diaries
● Statement of results ● Records
● Courses completed at work ● Journals
● Articles

Work samples E-mail

You can provide samples of your work You can provide copies of email
● Drawings or photographs communications which verify
● Reports ● Customer feedback
● Written materials ● Work activities
● Projects ● Written skills
● Objects
● Work of arts

Records of workplace activities Supporting letters

You can provide documents that verify your You can provide letters to verify your claim
work activities from
● Notes ● Employers
● Emails ● Community group
● Completed worksheets ● People you have work with (paid
● Workplace agreement and unpaid work)
● Contracts

Documents

You can provide evidence that shows what

you have done in your life
● Media articles
● Meritorious Awards
 Appendix D
APEL.A PROCESS FLOW