Scribd
Upload
8 views1 page

AMD Course Registration Form

The document is a course registration form for a student named Md Jubayer Islam for the academic session 2024/25. It includes personal details, course codes, sections, statuses, and requires signatures from the student and academic advisor. The form also outlines the process for registering for more than 12 courses and includes a section for approval from the Dean or Deputy Dean if necessary.

Uploaded by

musafirbro27
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
8 views1 page

AMD Course Registration Form

The document is a course registration form for a student named Md Jubayer Islam for the academic session 2024/25. It includes personal details, course codes, sections, statuses, and requires signatures from the student and academic advisor. The form also outlines the process for registering for more than 12 courses and includes a section for approval from the Dean or Deputy Dean if necessary.

Uploaded by

musafirbro27
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

COURSE REGISTRATION FORM UTM.

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

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

Matric Card No. : A 2 3 M J 4 0 0 7 Session/Semester : 2 0 2 4 / 2 5 - 2

Identity Card/ : A 0 0 9 5 7 3 6 9 Total Credit Transferred :


Passport No.

Year/Program :
2SECJH [Link]@[Link]
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. S C S T 1 2 2 3 1 5 0 3
2. S E C J 2 1 5 4 1 5 0 4
3. S E C R 2 0 4 3 1 5 0 3
4. S E C J 2 2 5 3 1 5 0 3
5. U L R F 2 * * 2 9 0 0 2
6.
7.
8.
9.
10.
11.
12.
Total Credit (Exclusive of ‘HS’ courses) 1 5

Mailing
Address :
B l o c k B , K S J , U T M K L

Postcode 5 4 1 0 0 Town or State K u a l a L u m p u r

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


J u b a y e r
______________________________________ ______________________________________
(Student’s Signature) (Academic Advisor’s or Supervisor’s Signature)

01162166248
Mobile Phone No : _______________________ Name: ________________________________
Tel. Extension: ________________________
17 03 2025
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)

You might also like