HEA (B) - 06 Borang Pertukaran Program Pengajian

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PANDUAN / GUIDELINES :

1. Borang ini adalah bagi tujuan permohonan pertukaran program pengajian sama ada di dalam Pusat
Pengajian/Fakulti yang sama atau ke Pusat Pengajian/Fakulti lain.

The purpose of this form is for the application to change programme of study either in the same School /
Faculty or to the other School / Faculty.

2. Permohonan pertukaran program pengajian mestilah tidak melewati dua(2) semester pertama
pengajian di UniMAP. Permohonan pertukaran program pengajian boleh dilakukan mulai semester 1.
Sekiranya permohonan diluluskan pelajar akan mengikuti program baharu pada semester yang
berikutnya.

Students who are interested in transferring into another degree programme must do so within their first
two semesters of enrolment at UniMAP. Application of transfer could be done in the first semester while
the date of commencement would be in the coming semester upon approval.

3. Pelajar hendaklah memenuhi syarat kemasukan bagi program yang dipohon.

Students must meet the admission requirements for the applied programme.

4. Bagi pelajar yang mendapat penajaan, pelajar mestilah memaklum dan mendapatkan kelulusan
daripada penaja masing-masing terlebih dahulu sebelum membuat pemohonan.

For students who receive sponsorship, students must inform and obtain approval from their sponsors
before making the application.

5. Borang permohonan mestilah disertakan dengan /The application form must be attached to:

a. Salinan keputusan peperiksaan peringkat SPM/ STPM/ Matrikulasi/ Diploma/setaraf; / Copy of the
SPM/STPM/Matriculation/Diploma/equivalent results;
b. Slip keputusan peperiksaan semester yang lepas (sekiranya memohon pada semester ke-2) /Results
slip of previous semester examination (if applying in 2nd semester).
c. Surat kebenaran daripada penaja/Authorization letter from the sponsor.

6. Kebenaran untuk pertukaran program pengajian adalah tertakluk kepada perakuan Dekan Pusat
Pengajian/Fakulti asal dan persetujuan Dekan Pusat Pengajian/Fakulti yang, perakuan Dekan
Pengurusan Akademik serta kelulusan Naib Canselor atau Timbalan Naib Canselor (Akademik dan
Antarabangsa.)

Authorization to change programme of study is subject to the recommendation of the initial School /
Faculty Dean and approval from the new School / Faculty Dean, recommendation from Dean of
Academic Affairs as well as the approval from the Vice-Chancellor or the Deputy Vice-Chancellor
(Academic and International)

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HEA (B) -06
Dahulunya HEA-12

BORANG PERMOHONAN PERTUKARAN PROGRAM PENGAJIAN


Change Programme of Study Application Form

A, BUTIRAN DIRI PELAJAR / Student Details

Nama Penuh/Full Name :

No. Matrik/Matric No. : No. KP/Passport Number :

Ijazah/Degree Diploma/Diploma No. Tel. Bimbit/ H/phone No.

B. BUTIRAN PROGRAM PENGAJIAN Academic Programme Details

Jenis Permohonan Pertukaran/ Dalam Pusat Pengajian/Fakulti yang sama Pusat Pengajian/Fakulti lain
Type of Change Programme : In the same School/Faculty Other School/Faculty

Program Pengajian Semasa Program Pengajian Dipohon


Current Academic Programme Applied Academic Programme
Pusat Pengajian/Fakulti
School/Faculty

Nama Program Pengajian


Name of Programme

Kod Program Pengajian


Code of Programme

Semester & Sidang Akademik


Semester & Academic Session

PNGK Kemasukan
Admission CGPA / Grade

PNGK Semasa
Current CGPA

Sebab-sebab memohon / Reason for application :

_______________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

Maklumat Penaja (jika ada) / Sponsorship Details (if any) :


(pelajar dimohon memaklum dan mendapat kebenaran penaja terlebih dahulu sebelum membuat permohonan)
(please inform and get permission from the sponsor regarding this application)

_______________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

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

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C. PERAKUAN PUSAT PENGAJIAN/FAKULTI ASAL / Verification by Current School/Faculty

Rakan Pendamping Siswa /Pengerusi Rancangan


Dekan /Dean :
Academic Advisor/Programme Chairman :
Permohonan Pelajar untuk pertukaran program Permohonan Pelajar untuk pertukaran program
Application for Change of programme : Application for Change of programme :

a) Dalam Pusat Pengajian/Fakulti yang sama a) Dalam Pusat Pengajian/Fakulti yang sama
In the same School/Faculty In the same School/Faculty

Disokong / Supported Diperakukan / Recommended

Tidak Disokong / Not Supported Tidak Diperakukan / Not Recommended

b) Ke Pusat Pengajian/Fakulti Lain b) Ke Pusat Pengajian/Fakulti Lain


To the other School/Faculty To the other School/Faculty

Disokong / Supported Disokong / Supported

Tidak Disokong / Not Supported Tidak Disokong / Not Supported

Ulasan/Comment : Ulasan / Comment :

Tandatangan dan Cop/ Tandatangan dan Cop/


Signature and Stamp : Signature and Stamp :

Tarikh / Date : Tarikh / Date :

D. PERAKUAN PUSAT PENGAJIAN/FAKULTI BARU/ Verification by New School/Faculty

Pengerusi Rancangan /Programme Chairman : Dekan /Dean :

Semakan permohonan mendapati bahawa pelajar Permohonan Pelajar untuk pertukaran program
Application reviewed and found that student : Application for Change of programme :

Layak dan Permohonan Disokong /


Qualified and Application Supported Disokong / Supported

Tidak layak dan Permohonan Tidak Disokong / Tidak Disokong/Not Supported


Not Qualified and Application Not Supported

Ulasan/Comment : Ulasan / Comment :

Tandatangan dan Cop/ Tandatangan dan Cop/


Signature and Stamp : Signature and Stamp :

Tarikh / Date : Tarikh / Date :

*untuk permohonan dalaman, setelah perakuan dan kelulusan Pusat Pengajian/Fakulti,, borang ini perlu dikemukakan kepada Unit
Kemasukan dan Rekod Pelajar (UKRP), Bahagian Pengurusan Akademik, Jabatan Pendaftar untuk proses selanjutnya.
Bagi permohonan antara Pusat Pengajian/Fakulti, sila kemukakan kepada Pusat Pengajian/Fakulti yang baru untuk perakuan
terlebih dahulu sebelum dikemukakan kepada UKRP untuk proses selanjutnya.
*For internal application, after certification and approval by the School / Faculty, this form must be submitted to the Student
Admissions and Records Unit, Academic Management Division, Registry for further processing.
For the application to the School / Faculty, please submit it to the new School / Faculty for credential before submitting it to Student
Admissions and Records Unit for further processing.

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E. PERAKUAN DEKAN PENGURUSAN AKADEMIK / Verification by Dean of Academic Affairs

Diperakukan / Recommended

Tidak diperakukan / Not Recommended

Ulasan / Comment : ________________________________________


Tandatangan dan Cop Rasmi/
Signature and Official Stamp

Tarikh/Date :

F. KELULUSAN NAIB CANSELOR/ TIMBALAN NAIB CANSELOR (A&A)/ Approval by Vice Chancellor/Deputy

Diluluskan / Approved

Tidak Diluluskan / Not Approved

________________________________________
Ulasan / Comment :
Tandatangan dan Cop Rasmi/
Signature and Official Stamp

Tarikh/Date :

G. UNTUK KEGUNAAN UNIT KEMASUKAN DAN REKOD PELAJAR/For Student Admissions and Records Unit use

Tarikh kuatkuasa pertukaran program Semester & Sidang Akademik /


The effective date of re-change Semester & Academic Session

Sistem maklumat pelajar telah dikemaskini Tarikh kemaskini


Updated student’s information system Date of update

Surat rasmi kepada pelajar telah dikeluarkan Tarikh surat


An official letter has been issued to students Date of letter

________________________________________________ _____________________________
Tandatangan Penolong Pendaftar dan Cop Rasmi/ Tarikh/Date
Signature and Official Stamp

Tarikh kuatkuasa/ Effective Date : : 4 Sept. 2017

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