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PUSAT PENGAJIAN ILMU PENDIDIKAN

School of Educational Studies

SUBMISSION OF FINAL COPIES OF DISSERTATION

Section 1 (To be completed by Student)


(Please tick (√) where applicable)

Dean
School of Educational Studies
Universiti Sains Malaysia
11800 Penang

I ,.……………………………………………………………………………………… (name) hereby submit:


Final copies of my dissertation for the degree of Master of Arts (Education).

Title of Dissertation:

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

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

........................................................................................................................................................................

Translation:

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

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

..........................................................................................................................................................................

Please insert the Area of Specialisation for the Academic Transcript Records.

Area of Specialisation (English): ……………………………………………………………………………………..

Area of Specialisation (Malay): ……………………………………………………………………………………..

Submit herewith the following documentation:

(i) Three (3) copies of the dissertation

(ii) One (1) CD of the dissertation

I hereby declare that my dissertation is my original work and has been reviewed by my Supervisor and
Dean/Deputy Dean of the School of Educational Studies and the comments are as stated in Section 2 and
Section 4 respectively (page 2).

………………………………………… ……. …………………………………….


(Signature of Student) (Date)

1
ENDORSEMENT BY SUPERVISOR

Section 2 (To be completed by Supervisor)

Supervisor’s Name: ..........................................................................................................................................


School: …………………………………………………………………………………………………………………...
I have examined the dissertation of Mr./Mrs./Ms.: ............................................................................................
I hereby confirm that all corrections and amendments made to the dissertation have been rectified by the
student.

……………………………………………….. …………………………………..
(Signature of Supervisor & Stamp) (Date)

_____________________________________________________________________________

LKM 100 REGISTRATION

Section 3 (To be completed by School)

LKM 100 registration (for international students only) /Minimum passing grade is C:
Completed: Yes / No Grade: …………………..
Note: …………………………………………………………………………………………………………………...
_____________________________________________________________________________

ENDORSEMENT BY DEAN / DEPUTY DEAN

Section 4 (To be completed by Dean / Deputy Dean)

I, ………………………………………………………………………………………………………. Dean / Deputy


Dean of the School of Educational Studies hereby:
(i) Endorse the recommendations made by the Supervisor as stipulated in Section 2 above.

(ii) Confirm that I am pleased that all corrections and amendments to the dissertation have been
rectified by the student as recommended by the Dissertation Examination Panel.

………………………………………………….. …………………………………..
(Signature of Dean / Deputy Dean & Stamp) (Date)

_____________________________________________________________________________

FOR OFFICE USE ONLY

CONFIRMATION OF RECEIVING THREE (3) FINAL COPIES OF THE DISSERTATION AND


ONE (1) CD OF THE DISSERTATION

Signature of staff: …………………………………………………………………………………………..

Name of staff: ………………………………………………………………………………………………

Date: ………………………