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Appointment Change of Supervisor New 9.10.2016 1

This document is an application form for graduate students to request the appointment, change, or removal of their main or co-supervisor. It contains sections for the student to provide their details, program of study, and justification for the request. The current and proposed supervisors are to indicate their agreement or disagreement. The faculty postgraduate committee and deputy dean must also approve the request. The School of Graduate Studies will make the final decision and update the student's records accordingly.

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Devi Willieam Anggara
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103 views2 pages

Appointment Change of Supervisor New 9.10.2016 1

This document is an application form for graduate students to request the appointment, change, or removal of their main or co-supervisor. It contains sections for the student to provide their details, program of study, and justification for the request. The current and proposed supervisors are to indicate their agreement or disagreement. The faculty postgraduate committee and deputy dean must also approve the request. The School of Graduate Studies will make the final decision and update the student's records accordingly.

Uploaded by

Devi Willieam Anggara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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UTM.SPS.B (AKAD)/04/2015 – Pind.

0/2015

SEKOLAH PENGAJIAN SISWAZAH / SCHOOL OF GRADUATE STUDIES


Blok F54, 81310 UTM Johor Bahru
Johor Darul Takzim.

PERMOHONAN PERLANTIKAN / PERTUKARAN PENYELIA UTAMA / BERSAMA


APPLICATION FOR APPOINTMENT / CHANGE OF MAIN / CO-SUPERVISOR
Pertukaran Penyelia Utama * Pertukaran Penyelia Bersama * Pelantikan Penyelia Bersama*
(Change of Main Supervisor * Change of Co-Supervisor * Appointment of Co-Supervisor)

Bahagian I (Diisikan Oleh Pelajar) /Section I (To be completed by Student)

Nama Penuh :
Full Name

No. KP/ISID NO :
IC No./ISID Number

No Matrik : contoh/e.g : PKE163001


Matric No.

Program Pengajian : contoh/e.g : PKEEA3AJA


Programme of Study :

Fakulti :
Faculty

Ijazah /Degree programme:


contoh/e.g : Sarjana Sains (Perancangan Pengangkutan)/Master of Science (Transportation Planning)

Sila tandakan (√) di dalam petak yang berkenaan.


Please tick (√) in appropriate boxes.

1. Perlantikan Penyelia Utama / Appointment of Main Supervisor

2. Pertukaran Penyelia Utama/ Change of Main Supervisor

3. Perlantikan Penyelia Bersama / Appointment of Co-Supervisor

4. Pertukaran Penyelia Bersama / Change of Co-supervisor

5. Pengguguran Penyelia Bersama/ Remove of Co-supervisor

Justifikasi Pelajar:
Student’s Justification

Tandatangan Pelajar/ Student’s Signature : Tarikh/Date:

Penyelia Semasa (Current Supervisor) :

Disokong (Recommended) Tidak Disokong (Not Recommended)

Jika Tidak Disokong, sila beri sebab (If Not Recommended, please state reason)

Nama Penyelia/ Supervisor’s Name:

Jabatan/Fakulti :
Department/Faculty

Tandatangan/Signature : Tarikh/Date:
1
Penyelia Yang Dicadangkan:
Proposed Supervisor :

Nama penuh :
Full name

Jabatan/Fakulti :
Department/Faculty

Setuju (Agree) Tidak Setuju (Disagree)

Ulasan/Comments:

Tandatangan : Tarikh :
Signature Date

Ulasan & Kelulusan Jawatankuasa Pengajian Siswazah Fakulti :


Comments & Approval from Faculty Post Graduate Committee:

Diluluskan (Approved) Tidak Diluluskan (Not Approved)

Tandatangan dan Cop Rasmi Timbalan Dekan (Akademik) :


Signature and Official Stamp of Deputy Dean (Academic) :

Tarikh :
Date

Kegunaan Sekolah Pengajian Siswazah

Keputusan : Diluluskan Tidak diluluskan

Mulai semester :

Ulasan :

Tandatangan :

Tarikh :

Cop Rasmi :

Disemak & kemaskini rekod oleh :

Tarikh :

Peringatan / Reminder :-
*Sila kemukakan borang yang telah lengkap ke Sekolah Pengajian Siswazah dengan dokumen sokongan (Jika Berkaitan).
*Please submit completed form with supporting documents to the School of Graduate Studies (If Related).

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