Document 449301

UniKL/AcMD/VSCForm
VERIFICATION OF STUDY COMPLETION STATUS
A. STUDENT'S PROFILE (To be filled by the final semester student)
Important. Please take note that :
1. You are required to complete this form once you have fulfilled the academic requirements for graduation.
2. Student with financial outstanding will not be allowed to attend the convocation event and academic certificate and transcripts will not be
released until the outstanding amount is paid.
3. Print your study plan from the Student's Online Services and get verification from the Programme Coordinator
4. Attach the Study Plan and a copy of NRIC or Passport together with this form.
5. If you are unable to graduate on the expected date indicated below, you must submit a new verification form.
Expected Date of Completion (Please tick
Jan Semester
o
)
June Sem./Short Sem.
o
Sept. Semester
o
Year
____________
STUDENT NAME :
(As in IC / Passport)
IC NUMBER
:
STUDENT ID
:
PROGRAMME :
MAILING ADDRESS (All correspondences will be directed to this address)
HP NO.
:
EMAIL
:
Yes (please correct as
written above)
My data at UniKL e-CITIE
needs to be corrected:
Name
IC. No:
No
Please state the status of the following subjects :
MPW1113 / MPW2113
B. Kebangsaan
MPW1133 / MPW2133
Peng. Malaysia
MPW1143 / MPW2143
Peng. Islam
MPW1153 / MPW2153
Peng. Moral
WCD10101
Co-Curriculum 1
WCD10201
Co-Curriculum 2
Credit Exempted
(please tick)
Semester Taken
(If not exempted)
Grade Obtained
WID39904/WID39908 / WIB39906 / WIB39908 Intra (if
applicable)
Please state the subject codes taken this semester :
Credits Taken This Semester
Total Credits Expected To Gain
Total Credits Gained for the previous Semester
Total Approved Credit Transfer
Total Credits Offered as per Study Plan
CGPA (Previous Semester*)
* To graduate, CGPA ≥ 2.0
* Please attach copy of your IC together with this form
I confirm the above information is true and acknowlege that I do not have any outstanding subjects.
Student's Signature __________________________
Date : _________________
Please return this form to Academic Management Dept. before 24 th December 2014
You may liaise with person below for any enquiries:
INSTITUTES
FAX NO
TEL NO
MIIT
03-21754000
03-21754446
Attention
Pn. Norharyanti Mohsin / Pn. Masitah Monek
B.
PROGRAMME STRUCTURE COMPLETION
(To be filled by the Programme Coordinator)
STUDENT NAME :
STUDENT ID :
Total credits to graduate for this programme :
Achieve Minimum Credits to Graduate?
Yes
No
**Complete all required subjects stated in the programme structure?
(**Please sign as verification on the study plan)
Yes
No
I confirm that the above information is correct and the student is eligible to graduate.
Signature __________________________
Date : _________________________
Name & Position : _____________________________________
FOR OFFICE USE ONLY
C. RECORDS VERIFICATION
(To be filled by Academic Management Unit )
All information is properly filled and the final CGPA is ≥ 2.00
Yes
No
The name is included in the Convocation List for Senate's approval
Yes
No
Signature __________________________
Name & Position : _____________________________________
Date : _________________________
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