Borang Cadangan SV PSM

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PSM_SV1

APPLICATION TO APPOINT FINAL YEAR PROJECT (PSM) SUPERVISOR


FACULTY OF ELECTRICAL & ELECTRONIC ENGINEERING

PART A : STUDENT INFORMATION

Name : ……………………………………………………………………………………
Matrix :……………………………… Session/Semester : ……………………………......
Handphone :……………........................... Email: ……………………………………………
Project Title : ……………………………………………………………………………………
……………………………………………………………………………………
……………………………………………………………………………………
Proposed Supervisor : ……………………………………………………………………………………
Department :…………………………………………………………………………………….

Signature: ……………....................... Date: …………………………

PART B : DECLARATION BY PROPOSED SUPERVISOR

I hereby agree to be appointed as a supervisor to the student above and accept all the responsibilities of a
supervisor for Final Year Project (PSM).

Date: ……………........ Signature: ………………………….


Official Stamp:

PART C : FOR PSM COORDINATOR USE

The application is accepted/rejected.

Remarks:………………………………………………………………………………………………………

………………………………………………………………………………………………………………

……………………………………………………………………………………………………………….

Date: ……………........ Signature: ………………………….


Official Stamp:

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