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Course Registration Form

The document is a course registration form for a student named Alexander Ronny Anak Michael Densy for the academic session 2024-2025. It includes fields for personal information, course codes, credit details, and signatures from the student and academic advisor. The form also outlines the procedure for registering for courses and the approval process by the Dean or Deputy Dean if there is a disagreement.

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Alexander Michael
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17 views1 page

Course Registration Form

The document is a course registration form for a student named Alexander Ronny Anak Michael Densy for the academic session 2024-2025. It includes fields for personal information, course codes, credit details, and signatures from the student and academic advisor. The form also outlines the procedure for registering for courses and the approval process by the Dean or Deputy Dean if there is a disagreement.

Uploaded by

Alexander Michael
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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COURSE REGISTRATION FORM UTM.

E/3-1
PLEASE READ CAREFULLY, REFER TO THE GUIDELINES (Amendment 1/08)

ALEXANDER RONNY ANAK MICHAEL DENSY


Student’s Name : _____________________________________________________________________________
(In BLOCK letters and as stated in Identity Card/Passport)

Matric Card No. : Session/Semester : 2 0 2 4 2 0 2 5 0 1


Identity Card/ : 8 1 0 1 0 7 1 3 5 5 2 5 Total Credit Transferred :
Passport No.

Year/Program : [email protected]
Email : ______________________________________________________

Please fill in the boxes clearly and correctly. If you are registering for more than 12 courses, please use two forms. Fill the code
‘UM’ in the status column for Repeat Course, ‘HW’ for the Compulsory Attendance ‘HS’ for Attendance Only ‘HWUM’ Compulsory
Attendance Repeat Course.

NO. COURSE CODE SECTION STATUS CREDIT LECTURER’S SIGNATURE

1. M B E T 1 5 0 4 0 4
2. M B E T 1 5 1 4 0 4
3. M B E T 1 5 2 4 0 4
4.
5.
6.
7.
8.
9.
10.
11.
12.
Total Credit (Exclusive of ‘HS’ courses)

Mailing
Address : J A B A T A N T A N A H D A N S U R V E I
S A R A W A K , M E N A R A P E L I T A ,
Postcode 9 3 1 5 0 Town or State K U C H I N G S A R A W A K

I intend to register for the courses above. Agree/Disagree

______________________________________ ______________________________________
(Student’s Signature) (Academic Advisor’s or Supervisor’s Signature)
014 5880961
Mobile Phone No : _______________________ Name: ________________________________
Tel. Extension: ________________________
21 10 2024
Date: ______/________/__________ Date: _________/_________/__________

IF THE ACADEMIC ADVISOR OR SUPERVISOR DISAGREE

Dean’s/Deputy Dean’s of Academic Decision Approved/Not Approved


(First Copy – Faculty’s Use)
Signature _______________________ Date ______/_______/_____

(1st copy – Faculty Office, 2nd copy – Academic Advisor, 3rd copy – Student)

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