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LATE REGISTRATION

INSTRUCTIONS:
All Section
To be completed by the applicant

Completed form should be sent to AHSGS via:


1) At the counter of AHSGS
2) Email at ahsgsservices@uum.edu.my

ONLY COMPLETED FORM WILL BE PROCESSED


Name : KHAIRUDIN BIN ABDUL AZIZ Matric No.: 908201
Mailing Address: 2618 A Perumahan PKINK Telephone No: 0199864064
Jalan Padang Tembak 16100 Pengkalan Chepa Kota Bharu Kelantan IC/Passport No: 830524035355
E-mail: din915k@yahoo..co
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Semester/Year of Study: 1/2024 Current Semester:
program: ED.D (CURRICULUM AND INSTRUCTIONAL) Mode of Study
Full-Time
/ Part-Time

Current Structure of Study:


Coursework Research
Coursework and Dissertation
Semester: First Semester/Second Semester/Third Semester Session: 20 23 / 20 24
COURSES TO BE REGISTERED
No. Course Code Course Name Credit Hours Group Type*
1 SGDA7013 ICT in EDUCATION 3
2 SCLE6014 Academic Writing 4

*Note: Core/Elective/Pre-Requisite/Audit
Reason for late registration: Baru mendapat Surat Tawaran (IPG Besut)

Applicant’s Signature: khairudin aziz Date: 20/1/2024

FOR OFFICE USE ONLY


LATE REGISTRATION
Approved ( ) Rejected ( )
Signature and Stamp :
Recorded Date :

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