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 : _________________________