UTM'S SONG - UTM - Universiti Teknologi Malaysia

ACADEMIC MANAGEMENT DIVISION
PROCEDURES FOR
GRADUANDS
PARTICIPATING IN AT THE
UTM CONVOCATION
CEREMONY

CHECK LIST
Prior to participating in at the Convocation, please mark (√) in the spaces provided to ensure
that you have taken the appropriate actions:
BIL.
1.
2.
3.
4.
5.
6.
LIST
Have paid the amount stated in the inivitation letter for the
convocation via CIMB BANK.
(Please bring the receipt as proof of bank-in when you collect
your convocation dress).
Have Done:
a) Paid convocation fees.
b) Paid tuition and any outstanding fees to the university.
c) Returned all the books on loan to the library.
d) Filled the online survey form (within the time limit and
subject to the needs at that time).
** Degree/Diploma will be witheld
Have prepared the clothes for the convocation ceremony
according to the specifications given.
Have informed parents/guests on the formal dress code
requirements when participating in at the convocation
ceremony.
Bring the verification of participation slip on the Research
on Tracing Graduates From Institutions of Higher Learning
during the Convocation Ceremony or the Conferral of UTM
Degree/Diploma ceremony or collection of Degree/Diploma
Have received and will bring the invitation card (2
parents/guests) and a car sticker during the rehearsal
ceremony as well the convocation ceremony.
2
ACTION
NOTES

CONTENT
Check List 1
Important Information 4
Procedures and Payment for Graduation 6
Dress Code 7
Parents/Guests and Invitation Cards 10
Research on Tracing Graduates of IPTA/IPTS 11
Graduate’s Transport 12
Booking of Graduation Pictures 13
Information on Collection of Degree/Diploma 14
Other Matters 16
ATTACHMENT (TO BE FILLED BY GRADUATES)
(A) Convocation Attendance Confirmation Form UTM.E/7-2 (amendment 2010)
(B) Permission Form for Representative of Graduate K1 Form (amendment 2010)
(C) Application for Postage of Awards K2 Form (amendment 2010)
(D) Application for Representative of Graduate
to collect the Convocation Dress K3 Form (amendment 2010)
3

1. Rehearsal
IMPORTANT INFORMATION
(a) Rehearsal will be held on the date and time stated in the graduate’s invitation letter.
(b) All graduating students are invited to attend the rehearsal.
(c) Graduates are required to dress smartly and appropriately for the ceremony. Male
graduates must have short hair.
(d) Graduates are not permitted to wear jeans, slippers and t-shirts during the rehearsal.
(e) Graduates must inform their parents/guests to be smartly and neatly dressed for the
formal ceremony.
2. Convocation Ceremony or Conferral of UTM Degree/Diploma
(a) The ceremony will be held on the date and time as stated in the graduate’s invitation
letter.
(b) Registration for Convocation
i) Venue:
Corridor, Level 1, Students’ Association Building, UTM Johor Bahru, Johor
according to the date, time and program listed in Table of The Awarding Session.
ii) Required Information:
� Graduate’s Invitation Letter
� Identity Card/MyKad/Graduate’s Passport
iii) Conditions for Registration:
Graduates without the following documents such as invitation letter/identity
card/MyKad/passport will not be allowed to attend the ceremony.
(c) University reserves the rights to bar a graduate from participating in the ceremony if
he/she has not registered for the convocation ceremony.
(d) You must bring the invitation letter when you collect the convocation dress and
register for the convocation as this will facilitate the administrative procedure.
(e) The Slide Card that has the number/arrangement of rows will be given to each
graduate during registration to guide graduates according to the number given during the
procession. Please follow the instructions given by the officer-in-charge.
(f) Graduates will assemble and proceed from the pathway between Students’ Association
Building (SUB) and the Administration Building according to the program and the
number given.
(g) Graduates who are late and and not dressed appropriately according to the dress
code for the convocation ceremony as listed in the Table of The Awarding Session will
not be permitted to participate in the ceremony.
(h) Graduates are reminded not to be noisy during the convocation ceremony as a sign of
respect.
(i) Graduates are advised not to bring the following personal items such as bag, camera,
handphone, pager etc. into the Sultan Iskandar Hall, Universiti Teknologi Malaysia,
Johor Bahru, Johor.
(j) Graduates with special needs (pregnant, disabled or injured) requiring equipment such
as a wheelchair or an assistant need to inform the university when handing in the
confirmation of attendance or inform the officer on duty during the rehearsal.
(k) Graduates are not permitted to leave the hall during the ceremony.
(l) UNIVERSITY AUTHORITY: Graduates must abide by the procdures and conditions
4

stated above in order to be allowed to participate in the convocation ceremony.
(m) No representative is allowed to represent or replace the graduates during the
conferral of UTM Degree/Diploma
5

A. PROCEDURES AND PAYMENT FOR GRADUATION
1. Application for the convocation ceremony must be done using the Confirmation of
Convocation Attendance Form [UTM.E/7-2 (Amendment 2010) as well as enclosing the
Bank-in Slip. The information must be given to the Registrar’s Office (Academic
Management Division), Universiti Teknologi Malaysia, 81310 UTM Johor Bahru, Johor.
2. Amount of payment for the convocation is as stated in the graduate’s invitation letter.
3. Graduates who are not participating in the convocation ceremony will have to pay the
same amount as the other graduating students who will be recieving their degree/diploma as
stated in the graduate’s invitation letter.
4. Payment for the convocation can be paid at any CIMB BANK branch using the enclosed bank-in
slip.
5. Graduates are required to hand in the following information to the Registrar’s Office
(Academic Management Division), Graduation Sub-Committee no later than the date
stated in the graduate’s invitation letter:
(a) Confirmation of Convocation Attendance Form [ UTM.E/7-2 (Amendment 2010) ]
(b) Copy of the Bank Slip – blue @ UTM’s copy
(c) Copy of the Verification slip for the Research on Tracing Graduates of IPTA
6

B. DRESS CODE
1. Dress Code and Appearance for Male Graduates
(a) Graduates must wear black/dark blue Lounge Suit with a neck tie or a black/dark
blue traditional Malay Costume as well as a black ‘sampin’, black shoe and s socks.
(b) The definition of a Lounge Suit is a black/dark blue black blazer/coat and black/dark
blue trouser, white or light colour long sleeve shirt, black or dark tie, socks and
black shoes.
(c) Diploma graduates must wear a black ‘songkok’ with the Lounge Suit or the
Traditional Malay Costume (‘Baju Melayu’).
(d) Male Sikh graduates are allowed to wear black turban only.
(e) UTM Academic Gown and Bonnet/Mortarboard are provided by the university.
(f) Graduates are not allowed the following:
i) Wear a Bow Tie
ii) Wear ear studs and bracelet
iii) Colour their hair
iv) Have long hair (reaching the shirt collar)
v) Wear sandle or sports shoes
(g) You are required to wear clean black shoes appropriate for a formal ceremony.
2. Dress Code and Appearance for Female Graduates
(a) Female graduates must wear the BAJU KURUNG or A LONG DRESS (MAXI) OF ANY
COLOUR. The length of the skirt/dress should reach the ankle and do not have any
slits on the left, right, back or front of dress. The dress must cover the body and
reach the neck as well as having long sleeves reaching the wrists. Dresses made
from transparent materials are not allowed. (Pants are strictly not allowed).
Graduates who do not follow these instructions will not be allowed to participate in
the ceremony.
(b) Female graduates must wear appropriate shoes covering toes and heels (covered
shoes) whereas slippers or sandals are strictly prohibited.
(d) UTM Academic Gown and Bonnet/Mortarboard are provided by the university.
d) Graduates are not allowed to :
i) Colour their hair
ii) Wear clothings that cover their faces
iii) Wear the following colours -
� Royal Blue
THE GRADUATION COMMITTEE HAS THE RIGHT TO
PREVENT GRADUATES WHO DO NOT FOLLOW THE
INSTRUCTIONS ON DRESS CODE AND APPEARANCE
PRESCRIBED BY THE UNIVERSITY FROM PARTICIPATING
IN THE GRADUATION CEREMONY.
7

3. Academic Dress
Graduates should collect the following academic regalia:-
Qualification Type of Convocation Dress Stripes on the sleeves
Robe/Mortarboard
(a) Doctor of Philoophy i. Robe 2 stripes
ii. Bonnet -
(b) Master Degrees i. Robe 1 stripe
ii. Mortarboard 1 stripe
(c) Post-Degree (Diploma) i. Robe -
ii. Mortarboard 1 stripe
(d) Bachelors i. Robe -
ii. Mortarboard -
(e) Diploma i. Robe -
4. Faculty Colour
Colour of the lapel (Postgraduates & Bachelors)
Each faculty has their own lapel colour which is as follows:
Faculty Lapel Colour
(a) Architecture - Purple
(b) Bioscience & Bioengineering - Light Purple
(c) Civil Engineering - Dark Green
(d) Biomedical Engineering & Health Science - Grey
(e) Electrical Engineering - Orange
(f) Chemical & Natural Resources Engineering - Black
(g) Geoinformation Science & Engineering - Blue
(h) Mechanical Engineering - Red
(i) Education - Sky Blue
(j) Management & Human Resource Development - Light Brown
(k) Science - Dark Green
(l) Computer Science & Information System - Pink
5. Hire of Convocation Dress
(a) A copy of Bank-in slip/receipt of payment/verified payment slip must be presented during
the collection of the convocation dress.
(b) Graduates are required to collect and return the convocation dress early according to the
schedule for collections and returns as given in Table II.
(c) Graduates may ask a representative to collect and return the convocation dress using the
8

provision letter Form K3 (Amendment 2010). The form must be brought by the
representative with a copy of the graduate’s invitation letter and a copy of the bankin
slip during collection of the convocation dress.
(d) However, the representative is only allowed to collect two (2) sets of convocation
dress (inclusive of his/her own convocation dress) at any one time.
6. Duration of Hire of Covocation Dress
(a) The Convocation Dress must be returned after the convocation ceremony or within
five days after receiving the award.
7. Penalty for Late Returns of Convocation Dress
(a) A penalty of RM2.00 (Ringgit Malaysia: RM2.00) per day will be imposed based on
the number of working days if graduates fail to return the dress within the given time.
The charges will be based on the total number of days until the convocation dress is
returned. If payment is not received by the university, the degree/diploma of the
graduate will be withheld until the payment has been made. Please ensure that
collections and returns of convocation dress should be accompanied by the
respective receipts.
8. Alterations/Loss/Damage to the Convocation Dress
(a) Graduates are not allowed to make any alterations (i.e. sewing the sleeves or length of
the dress) on any of the convocation dress. A fine will be imposed for any alterations
made without the university’s permission.
(b) The minimum charge on any alterations made to the convocation dress is RM50.00.
Higher charges will be imposed depending on the extent of the alterations and
damages. Graduates will be required to settle all outstanding bills before collecting their
degree/diploma.
(c) Damages or loss of the Convocation Dress will incur the following costs:
Qualification Dress Bonnet/ Total
Mortarboard
i) Doctor of Philosophy RM780.00 RM300.00 RM1,080.00
ii) Masters RM740.00 RM134.00 RM874.00
iii) Degrees RM700.00 RM112.00 RM812.00
iv) Diploma - Post-degree / RM700.00 RM134.00 RM834.00
Diploma in Education
v) Diploma RM300.00 - RM300.00
* Cost of Faculty Lapel RM250.00
# Cost of Replacement is subject to changes.
9

C. PARENTS/GUESTS & INVITATION CARDS
1. Each graduate will be be given two invitation cards for two parents/guests. The cards are
enclosed.
2. Parents/guests are required to be seated in the hall before 7.30 am (morning session) and
1.45 pm. (afternoon session).
3. Parents/guests are advised to have their breakfast or lunch as well as perform their solat
before participating in at the ceremony. It is anticipated that the ceremony will take a long
time.
4. Parents/guests are required to dress formally according to the following:
(a) Male Guests Dress Code
i) National or
ii) Batik or
iii) Lounge Suit or
iv) Appropriate Formal Dressing (jeans and t-shirts are not allowed)
(b) Female Guests Dress Code
i) National or
ii) Formal dress or suitable dresses (gowns or dresses that are above the knee - short
skirt, sleeveless blouse, t-shirt or trousers are strictly not allowed)
5. During the convocation ceremony, parents/guests are requested to behave themselves and not
make any noise. Parents/guests are also reminded not to leave the hall during the
convocation ceremony.
6. Parents/guests without the invitation cards will not be allowed to enter the hall.
7. Guests under the ages of twelve will not be allowed to enter the hall.
10

D. RESEARCH ON TRACING GRADUATES OF IPTA
1. The Ministry of Higher Education is conducting a research on tracing IPTA/IPTS graduates as
one of the efforts to maintain high quality in terms of servces and the system of higher
education in the country. Thus, graduates are requested to fill the online survey available
at http://graduat.mohe.gov.my
2. Graduates who have participated in the survey are required to print the confirmation of
participation as well as bring the confirmation of convocation attendance and a copy of
the bank-in slips and send them to the Registrar’s Office (Academic Management
Division).
3. Graduates who are not participating in the convocation ceremony must post their
confirmation of convocation attendance slip with the Form K2 (Amendment 2010) if you require
that the degree/diploma be sent to you by post. If a representative has been assigned to collect
the degree/diploma on the graduate’s’ behalf, the confirmation of convocation attendance slip
must be presented at the time of collection.
4. The graduate’s degree/diploma will be withheld if the graduate has not completed the
online survey.
5. The online survey system will be made available four weeks before the date of the
convocation and will be closed after one week from the date of the convocation.
6. Any queries regarding the graduates tracing survey, please contact: Alumni Liaison Unit at 07-
5536085 or 07-5536086 or e-mail: alumni@utm.my
11

E. GRADUATE’S TRANSPORTATION
1. Each graduate will be given one (1) car sticker.
2. The sticker must be exhibited on the front screen of the car during the Rehearsal ceremony
and the Convocation. Only cars with stickers will be allowed into the campus.
3. The vehicle will be parked at the area designated by the University. Please follow the
instructions given by the University Authority.
12

F. BOOKINGS OF CONVOCATION PHOTOGRAPHS
1. The university provides photography facilities for graduates during the convocation ceremony in
the Dewan Sultan Iskandar.
2. Bookings of the photographs can be made after the rehearsal session.
3. For further information, please contact the UTM PhotoCreative Club at 017-7628280 or
Students’ Affairs Office (Students’ Development and Activity Unit) at 07-5530251.
4. Graduates, parents/guests are not allowed to take photographs during the convocation
ceremony. Graduates are reminded to inform their parents/guests about this restriction.
13

1. Collection of Degree/Diploma
G. COLLECTION OF DEGREE/DIPLOMA
(a) Graduates will be given information about the collection of degree/diploma before
the procession into the hall.
(b) Collecting the degree/diploma personally at the counter will require the following:
i) Have returned the Convocation Dress
ii) Have the Confirmation of participation slip of the online tracer survey (if
required)
iii) Bring Identity Card/MyKad/Passport/Matric Card
(without Identity Card/MyKad/Passport/Matric Card: degree/diploma will not be
given to the graduates)
iv) Hand in the return of convocation dress receipt
v) Hand in the bank-in slip (upon request)
(c) Consent for a representative to collect the degree/diploma at the counter. Please do
the following:
i) Fill in the permission form for a representative on behalf of the graduate to
collect the diploma/degree Form K1 (Amendment 2009)
ii) Enclose a copy of the Identity Card/MyKad/Passport/Matric Card
iii) Hand in a copy of Identity Card/MyKad/Passport of the representative
iv) Hand in the return of convocation dress receipt
iv) Hand in confirmation of participationslip of the online tracer survey (if
required)
v) Hand in the bank-in slip (upon request)
** Note: If the Form K1 (Amendment 2010) and copies of Identity Card/ Passport
and Confirmation slip of the online tracer survey are not handed in, the
diploma/degree will not be given to the representative.
(d) Degree/Diploma will only be posted after you have done the following:
i) Fill the forms for requesting the posting of the Degree/Diploma - Form K2
(Amendment 2010)
ii) The forms must be sent to the Registrar’s Office (Academic Management
Department), UTM, Skudai one week after the convocation ceremony.
iii) For full-time graduates:
- The cost of postage RM10.00 will be borne by the graduate. You will have
to buy a postal order or money order to be made out to the ‘Bendahari
UTM’.
- Return Form K2 (Amendment 2009) to the Registrar’s Ofiice (Academic
Management Department) UTM, Skudai.
iv) For part-time graduates (UTMSPACE):
- The cost of postage RM10.00 will be borne by the graduate. You will have
to buy a postal order or money order to be made out to the ‘SPACE UTM’.
- Return Form K2 (Amendment 2010) to the SPACE Ofiice, Skudai.
v) Hand in the Confirmation of participation slip of the online tracer survey
(e) As stated in the invitation letter, graduates who are not participating in at the
convocation ceremony will be required to pay the convocation fees like all the other
graduates who will be conferred their degree/diploma at the ceremony.
14

(f) Uncollected degree/diploma will be kept by the university. However, the university will
not be held responsible for any loss or damage to the degree/diploma.
2. Wihtheld Degree/Diploma
Degree/Diploma will not be given to you if you have not done the following:
(a) Have not paid the convocation fees; or
(b) Have not returned the convocation dress; or
(c) Have not paid the tuition fees or arrears/fines to the university; or
(d) Have not returned library books; or
(e) Have not returned equipment or items belonging to any of the departments in
university; or
(f) Have not completed the online tracing survey of IPTA graduates.
If bank-in or return of items has been made, please bring the clearance letter from the
related Unit/Department as evidence.
15

H. OTHER MATTERS
1. Please bring this guide book during the rehearsal and the convocation ceremony.
2. Information and forms have to be returned within the time given to the following address:-
Registrar’s Office (Academic Management Division)
Universiti Teknologi Malaysia
81310 UTM Johor Bahru
Johor
3. For Graduates of Franchise programs, please contact 07-5530324, 07-5530459, 07-5530351
and 07-5530354 or e-mail: konvo@utm.my or fax: (07) 5581791 or the Franchise Program
Unit UTM at 03-26154883, 03-26154275, 03-26154684.
4. Graduates may visit the convocation website at www.utm.my/convocation
6. The online graduate tracer survey is at http://graduat.mohe.gov.my
16

CONFIRMATION OF CONVOCATION ATTENDANCE FORM
-----------------------------------------------------------------------------------
UTM.E/7-2 (amendment 2010)
I would like to inform you that I, details as listed below ** will/will not attend the Convocation
Ceremony/ Universiti Teknologi Malaysia Degree/Diploma Award Ceremony on the given date according
to the terms and conditions prescribed by the university.
2. I have enclosed the Bank-in Slip as confirmation of bank-in.
Name of Graduate (Capital Letters) : ……………………………..…………………………….
.
Identity Card No. (Old) / : ……………………………………………………..…….
Passport Number
Identity Card No. (New) : ………………….……………………..………………….
Matric No. : ………………….……………………..………………….
Program : ………………….……………………..………………….
Degree/Diploma Awarded : ** Doctor of Philosophy/ Masters/ Post Grad Diploma/
Bachelors/ Diploma
Kelas Penganugerahan : ** Bachelors - Bachelor - 1st. Class/ 2nd. Upper/
2nd. Lower ; Diploma - 1st. Class/ 2nd. Class
Telephone No. : ………………….……………………..………………….
E-mail Address : ………………….……………………..………………….
Employer’s Address (If any) : ………………….……………………..………………….
………………….……………………..………………….
Graduate’s signature : .…..…………………………………………………….…
Date : .…..…………………………………………………….…
** Delete any irrelevant information
For use by the office of Academic Management Division only:
UTM Convocation Ceremony:
UTM Degree/Diploma Award Ceremony:
A copy of the Bank-in Slip:
A copy of the online graduate tracer survey participation slip:
17

BORANG PENGESAHAN KEHADIRAN KONVOKESYEN
------------------------------------------------------------------------------
UTM.E/7-2 (pindaan 2010)
Dengan ini adalah dimaklumkan bahawa saya seperti nama di bawah ** akan/ tidak akan menyertai
Majlis Konvokesyen/Majlis Penyampaian Ijazah/Diploma Universiti Teknologi Malaysia pada tarikh
yang telah ditetapkan sebagaimana peraturan dan syarat-syaratnya yang telah ditetapkan.
1. Disertakan bersama-sama ini Slip Bayaran Bank sebagai pengesahan bayaran.
Nama Graduat (Dengan Huruf Besar) : ……………………………..…………………………….
.
Nombor Kad Pengenalan (Lama)/ : ……………………………………………………..…….
Nombor Passpot
Nombor Kad Pengenalan (Baru) : ………………….……………………..………………….
Nombor Matrik : ………………….……………………..………………….
Program : ………………….……………………..………………….
Ijazah/Diploma yang dianugerahkan : ** Doktor Falsafah/ Sarjana/ Diploma Lepas Ijazah/
Sarjana Muda/ Diploma
Kelas Penganugerahan : ** Sarjana Muda - Kelas Pertama/ 2 Tinggi/ 2 Rendah
; Diploma - Kelas Pertama/ Kelas 2
No. Telefon : ………………….……………………..………………….
Alamat e-mail : ………………….……………………..………………….
Alamat Majikan (jika ada) : ………………….……………………..………………….
………………….……………………..………………….
Tandatangan Graduat : .…..…………………………………………………….…
Tarikh : .…..…………………………………………………….…
** Potong mana yang tidak berkenaan.
Untuk kegunaan pejabat Bahagian Pengurusan Akademik sahaja :
Majlis Konvokesyen UTM:
Majlis Penyampaian Ijazah/Diploma UTM:
Salinan Slip Bank:
Salinan Slip Pengesahan Kajian Pengesanan Graduat:
18

FORM K1 (amendment 2010)
CONSENT FORM FOR THE COLLECTION OF DEGREE/DIPLOMA BY A REPRESENTATIVE OF THE
GRADUATE
--------------------------------------------------------------------------------------
I am aware that Universiti Teknologi Malaysia issues the Degree/Diploma certificate only
once. I hold myself fully responsible for granting this written consent for collection of
degree/diploma by a rePresentative. I acknowledge that Universiti Teknologi Malaysia will not be
held responsible for any claims made by me, should the certificate gets damaged or lost.
Name of Graduate (Capital Letters) : ………….…………………..…………………………..….
Identity Card No. (Old) / : ………….…………………..…………………………..….
Passport No.
Identity Card No. (New) : ………….…………………..…………………………..….
Matric No. : ………………….……………………..………………….
Programme : ………….…………………..…………………………..….
Class Awarded : ………….…………………..…………………………..….
Year of Convocation : ………….…………………..…………………………..….
I hereby authorize the person below to collect my Diploma/Degree.
Name of Representative : ………….…………………..…………………………..….
Identity Card No. : ………….…………………..…………………………..….
Relationship : ………….…………………..…………………………..….
Graduate’s signature : .…..….……………………..………………………….…
Date : .…..…………………………………………………….…
Check List: Please attach the following documents
A copy of graduate’s identity card/passport
A copy of ‘online graduate tracer survey participation slip’
A copy of bank-in slip
19

BORANG K1 (pindaan 2010)
BORANG KEBENARAN WAKIL MENGAMBIL IJAZAH/DIPLOMA BAGI PIHAK GRADUAT
----------------------------------------------------------------------------------------------------------------------------
Saya sedia maklum bahawa pihak Universiti hanya mengeluarkan Ijazah/Diploma sekali sahaja.
Saya mengaku akan bertanggungjawab di atas tindakan memberi kebenaran ini dan tidak akan
membuat sebarang tuntutan terhadap Universiti Teknologi Malaysia sekiranya ijazah/diploma
berkenaan rosak atau hilang.
Nama Graduat (Dengan Huruf Besar) : ………….…………………..…………………………..….
Nombor Kad Pengenalan (Lama)/ : ………….…………………..…………………………..….
Nombor Passpot
Nombor Kad Pengenalan (Baru) : ………………….……………………..………………….
Nombor Matrik : ………………….……………………..………………….
Program : ………….…………………..…………………………..….
Kelas Penganugerahan : ………………………………..…………………………….
Tahun Konvokesyen : …………………………………..…….……………………
Adalah saya dengan ini membenarkan penama di bawah ini untuk mengambil Ijazah/Diploma saya:
Nama Wakil : ………….…………………..…………………………..….
Nombor Kad Pengenalan : …………………..……………………………………...….
Hubungan dengan graduat : …………………………………………………..………….
Tandatangan graduat : .…..…………………………..………………………….…
Tarikh : .…..……………………………………………………...…
Senarai Semakan: maklumat tersebut di bawah adalah diperlukan. Borang ini hendaklah dibawa
oleh wakil semasa mengambil ijazah/diploma
Sesalinan kad pengenalan/ passpot graduat
Sesalinan Slip Pengesahan Kajian Pengesanan Graduat
Sesalinan Slip Bank
20

FORM K2 (amendment 2010)
AUTHORIZATION FORM FOR POSTAGE OF DEGREE/DIPLOMA
---------------------------------------------------------------
I, as the name mentioned below, authorize the University to post my degree/diploma to the address
as stated above. I will be held responsible and acknowledge that the University will not be held
responsible for any loss or damage to my award during postage.
Herewith I enclosed bank-in for the postal charges by money order/postal order no. ……………………
with the amount of Ringgit Malaysia: Ten only.
I am aware that Universiti Teknologi Malaysia issues the Degree/Diploma certificate only once.
I hold myself fully responsible for granting this permission. I am also aware that any claims made by
me, should the certificate gets damaged or lost, will not be entertained by Universiti Teknologi
Malaysia.
Name of Graduate (Capital Letters) : ………….…………………..…………………………..….
Identity Card No. (Old) / : ………….…………………..…………………………..….
Passport No.
Identity Card No. (New) : ………….…………………..…………………………..….
Matric No. : ………………….……………………..………………….
Programme : ………….…………………..…………………………..….
Year of Convocation : ………….…………………..…………………………..….
Address : ………….…………………..…………………………..….
………….…………………..…………………………..….
………….…………………..…………………………..….
………….…………………..…………………………..….
Graduate’s Signature : .…..….……………………..………………………….…
Date : .…..…………………………………………………….…
Check List: Please attach the following documents
A copy of ‘online graduate tracer survey participation slip’
A copy of the bank-in slip
21

BORANG KEBENARAN MENGEPOS IJAZAH/DIPLOMA
------------------------------------------------------------------------------
BORANG K2 (pindaan 2010)
Saya seperti nama di bawah, dengan ini membenarkan pihak Universiti mengepos ijazah/diploma
saya seperti mana alamat yang tertera di atas. Saya berjanji dan mengaku akan bertanggungjawab ke
atas apa jua kemungkinan yang berlaku ke atas sijil saya apabila diposkan oleh pihak Universiti.
2. Bersama ini disertakan bayaran pengeposan berjumlah Ringgit Malaysia : Sepuluh Sahaja
dalam bentuk Kiriman Wang/Wang Pos bernombor ………………………
3. Saya sedia maklum bahawa Universiti hanya mengeluarkan sekali sahaja Ijazah/Diploma.
Saya mengaku akan bertanggungjawab di atas tindakan memberi kebenaran dan tidak akan
membuat sebarang tuntutan terhadap Universiti Teknologi Malaysia sekiranya sijil berkenaan rosak
atau hilang.
Nama Graduat (Dengan Huruf Besar) : ………….…………………..…………………………..….
Nombor Kad Pengenalan (Lama) / : ………….…………………..…………………………..….
Nombor Pasport
Nombor Kad Pengenalan (Baru) : ………………….……………………..………………….
Nombor Matrik : ………………….……………………..………………….
Program : ………….…………………..…………………………..….
Tahun Konvokesyen : ………….…………………..…………………………..….
Alamat : ………….…………………..…………………………..….
………….…………………..…………………………..….
………….…………………..…………………………..….
………….…………………..…………………………..….
Tandatangan Graduat : .…..…………………………..………………………….…
Tarikh : .…..………………………………..…………………….…
Senarai Semakan: maklumat tersebut di bawah adalah diperlukan
Sesalinan Slip Pengesahan Kajian Pengesanan Graduat
Sesalinan Slip Bank
22

23
FORM K3 (amendment 2010)
AUTHORIZATION FORM FOR THE COLLECTION OF CONVOCATION DRESS ON BEHALF OF
THE GRADUATE
---------------------------------------------------------------------------------------------------------------------
Name of Graduate (Capital Letters) : ………….…………………..…………………………..….
Identity Card No. (Old) / : ………….…………………..…………………………..….
Passport No.
Identity Card No. (New) : ………….…………………..…………………………..….
Matric No. : ………………….……………………..………………….
Programme : ………….…………………..…………………………..….
Year of Convocation : ………….…………………..…………………………..….
Dress Size : S ( ), M ( ), L ( ), XL ( ), XXL ( )
{Tick the selected size ( √ ) }
I authorize the person below to collect my convocation dress on my behalf.
Name of Representative : ………………………………………………………………..………………..
Identity Card No. : ………………………………………………………………..………………..
Address : ………………………………………………………………..………………..
………………………………………………………………..………………..
Home Tel. No : ………………………………………………………………………………….
Office Tel. No. : …………………………………………………….……………………………
Relationship : ………………………………………………………………..………………..
Graduate’s signature : .…..….……………………..……………………………………………….…
Date : .…..………………………………………………………………………….…
** Note: i) This form, together with copies of the invitation letter and bank-in slip, should be
brought along by the authorized representative when collecting the convocation
dress.
ii) A representative is allowed to collect only two (2) sets of the convocation dress
(including one for himself) at one time.

24
BORANG K3 (pindaan 2010)
BORANG KEBENARAN WAKIL MENGAMBIL PAKAIAN KONVOKESYEN BAGI PIHAK GRADUAT
--------------------------------------------------------------------------------------------------------------------------------------
Saya seperti nama di bawah: -
Nama Graduat (Dengan Huruf Besar) : ………….…………………..…………………………..….
Nombor Kad Pengenalan (Lama) / : ………….…………………..…………………………..….
Nombor Pasport
Nombor Kad Pengenalan (Baru) : ………………….……………………..………………….
Nombor Kad Matrik : ………………….……………………..………………….
Program : ………….…………………..…………………………..….
Tahun Konvokesyen : …………………………………..…….……………………
Saiz Jubah : S ( ), M ( ), L ( ), XL ( ), XXL ( )
{ Tandakan ( √ ) }
Dengan ini mewakilkan penama di bawah ini untuk mengambil pakaian konvokesyen bagi pihak
saya:
Nama Wakil : …………………………………….………………………….…………..
No. Kad Pengenalan : …………………………………….………………………….…………..
Alamat : …………………………………….………………………….…………..
…………………………………….………………………….…………..
Tel. Rumah : ……………….……………….........................................………..
Tel. Pejabat : ……………………............................................………..……….
Hubungan : …………………………………….………………………….…………..
Tandatangan Graduan : .…..…………………………..…………………….………………….…
Tarikh : .…..…………………………………………………………………….…
** Nota: i) Borang ini hendaklah dibawa oleh wakil bersama sesalinan surat jemputan
dan sesalinan slip bank semasa mengambil pakaian konvokesyen.
ii) Wakil hanya dibenarkan mengambil dua (2) set pakaian konvokesyen
sahaja (termasuk untuk diri sendiri) dalam satu masa.

UTM’S SONG
KEUNGGULAN TERBILANG
BERSAMA KITA MENJULANG
KEUNGGULAN TERBILANG
KE MERCU JAYA KITA USAHA
UTM PUNCAK LETAKNYA
MARTABAT KEILMUAN
CENDIAKAWAN BERIMAN
CEKAL BERSAMA TAKWA
MENARA CITA-CITA
KAMI ANAK KANDUNG
UTM RIMBUN BERNAUNG
USAHA KAMI BUKTI CINTAMU
DIKAU PERSADA ILMU
KEAZAMAN PERJUANGAN
TAKWA DAN IMAN
KE ARAH KECEMERLANGAN
PERUNDINGAN PENULISAN
PENGAJARAN PENYELIDIKAN
PERKHIDMATAN KEPADA WATAN
DI SINI KAMI BERDIRI
SETIA PADA JANJI
BERMARUAH BERBUDI BAHASA
UTM SANJUNGAN BANGSA
UTM SANJUNGAN BANGSA
25