The document provides information and forms related to registration for new postgraduate students at the Institute of Postgraduate Studies. It includes: 1. Steps and checklists for registration for research mode and coursework/mixed mode students. 2. Medical examination report forms for international students and accompanying persons for immigration purposes. 3. Various registration forms including confirmation of registration, change of address, and smart card application. 4. Contact details for important offices are also listed.

1. REGISTRATION FOR
NEW POSTGRADUATE STUDENTS
ITEMS PAGE
Steps for Registration – Research Mode Students 1
Steps for Registration – Coursework/Mixed Mode Students 2
Checklist for Registration 3
Medical Examination Report – For Immigration Purpose 4
Medical Examination Report – Copy for USM 9
Confirmation of Registration Form 14
Change of Address Form 16
Smart Card Application Form 17
Important Contact Details 18

2. 1
INSTITUT PENGAJIAN SISWAZAH
INSTITUTE OF POSTGRADUATE STUDIES
STEPS FOR REGISTRATION - RESEARCH MODE STUDENTS
YES
NO
YES
Start
Ensure the required document for registration as listed on Page 3 is ready
Verification of Medical
Report at USM Wellness
Centre (Ensure the original
form is attached with photo
and bring along original lab
reports for verification)
Checking of document at IPS Counter
Make payment for tuition fee at Bursary Counter
Registration confirmation and profile update at IPS Counter
Issuance of Smart Card at Smart Card Counter
i. Activation of official email address
ii. Visit Library to activate Smart Card usage for library services
End
Internation
al student?
Internation
al student?
Submit PASSPORT, copy
of Medical Report and
Student Pass fee to USM
Visa Unit
Smart-card will be hold until
completion of Student Pass
endorsement.
Copy of Student Pass need
to be submitted to IPS for
Smart Card collection.
NO

3. 2
INSTITUT PENGAJIAN SISWAZAH
INSTITUTE OF POSTGRADUATE STUDIES
STEPS FOR REGISTRATION - COURSEWORK MODE / MIXED MODE STUDENTS
NO
NO
YES
YES
Start
Acceptance of Offer
Verification of Medical Report
at USM Wellness Centre
(Ensure the original form is
attached with photo and bring
along original lab reports for
verification)
Registration Fee Payment
Self Enrolment (Student Email Registration)
Self Upload (Smart Card)
Course Registration and Tuition Fee Payment
Self Registration at IPS
Internation
al student?
Internation
al student?
Submit PASSPORT, copy of
Medical Report and Student
Pass fee to USM Visa Unit
Smart-card will be hold until
completion of Student Pass
endorsement.
Copy of Student Pass need to
be submitted to IPS for Smart
Card collection.
Visit Library to activate Smart Card usage for library services
End

4. 3
Checklist for Registration
INSTITUT PENGAJIAN SISWAZAH
INSTITUTE OF POSTGRADUATE STUDIES
Please ( ) at the space provided.
SECTION A (Applicable for both Local and International Student).
Checklist for documents that need to be submitted during registration
1. Confirmation of registration form
2. Medical examination report, X-ray report and all lab reports
(1 set of form marked For USM at top right corner)
3. Copy of payment receipt
4. Change of address form (if necessary)
5. Smart Card application form (if necessary)
6. Copy of scholarship/sponsorship letter of offer (if any)
7. Copy of latest bank statement -1 month prior to registration * applicable for International Student
SECTION B (Applicable for both Local and International Student).
Checklist for original documents that candidate needs to bring during registration
1. Original degree scrolls
2. Original academic transcripts
3. Receipt of payment
4. Scholarship/sponsorship letter of offer (if any)
5. Student pass approval letter from the Malaysian Immigration* applicable for International Student

5. For Immigration purposes
4
/
MEDICAL EXAMINATION REPORT
FOR INTERNATIONAL STUDENT AND
ACCOMPANYING PERSON
(Applicable to international candidate only)
Affix passport
size photo
here
(blue background)
PLEASE USE CAPITAL LETTERS
SECTION 1 (TO BE COMPLETED BY CANDIDATE)
(PART A)
FULL NAME (AS IN PASSPORT)
INTERNATIONAL PASSPORT NO.
NATIONALITY
DATE OF BIRTH AGE CONTACT NO.
D D M M Y Y
ACADEMIC YEAR
GENDER
MALE
FEMALE
MARITAL STATUS
SINGLE
MARRIED
SCHOOL / CENTRE
PROGRAMME
MASTER
DOCTORATE
NEXT OF KIN (RELATIVES)
NEXT OF KIN'S ADDRESS
NEXT OF KIN'S CONTACT NUMBER

6. For Immigration purposes
5
SECTION 1
(PART B) - Please tick ( ) in the relevant box
(Applicable to international candidate only)
Declaration of self and family illness. Explain in full if you or your family has any of the following illness.
• Immediate family refers to father, mother, brothers / sisters
MEDICAL PROBLEMS
SELF IMMEDIATE
FAMILY
If "Yes" please state
Yes No Yes No
1. Congenital or inherited disorder
2. Allergy
3. Mental illness
3. Fits, stroke, other neurological disease
5. Diabetes Mellitus
6. Hypertension
7. Heart or vascular disease
8. Asthma
9. Thyroid disease
10. Kidney disease
11. Cancer
12. Tuberculosis
13. Drug addiction
14. AIDS, HIV
15. History of surgery
16. Other illness
Current medication (Long term)
IMMUNISATION HISTORY
(where applicable) DATE IMMUNISED
1. Yellow Fever
2. BCG*
3. Meningitis (Quadrivalent)*
4. Hepatities B*
5. Others
* Applicable for international candidates only.
I hereby certify that the information given above is true. I understand that my application will be rejected
if there is any false information given.
Date Signature of candidate

7. SECTION 2 - PHYSICAL EXAMINATION
6
only)
To be filled by examining doctor
1. BASIC MEASUREMENT
HEIGHT : m BLOOD PRESURE : mmHg
WEIGHT : kg PULSE RATE : / min
VISION TEST : Unaided : (R) (L)
Aided : (R) (L)
COLOUR VISION TEST :
NORMAL / ABNORMAL
2. GENERAL EXAMINATION
ITEM YES NO COMMENT
a. DEFORMITIES
b. PALLOR
c. CYANOSIS
d. JAUNDICE
e. OEDEMA
f. SKIN DISEASES
3. SYSTEM EXAMINATION
ITEM NORMAL ABNORMAL COMMENT
a. EYES (Including funduscopy)
b. EARS
c. NOSE
d. ORAL CAVITY / THROAT
e NECK
f. HEART
g. LUNGS
h. ABDOMEN / HERNIAL ORIFICES
j. MENTAL CONDITION
k. MUSCULOSKELETAL SYSTEM

8. SECTION 3 - INVESTIGATIONS
7
only)
To be filled by examining doctor.
URINE TEST (Please attach all the original lab report)
ITEM DATE TAKEN RESULT
a. ALBUMIN
b. SUGAR
c. MICROSCOPIC
d. MORPHINE*
e. CANNABIS*
f. AMPHETAMINES TYPE STIMULANT*
* Applicable for international candidates only.
BLOOD TEST (Please attach all the original lab report)
ITEM DATE TAKEN RESULT
a. HEPATITIS Bs ANTIGEN*
b. HEPATITIS C*
c. HIV*
d. VDRL / TPHA*
e. MALARIAL PARASITE*
* Applicable for international candidates only.
CHEST X-RAY INFORMATION
CHEST X-RAY NO.
DATE TAKEN
PLACE TAKEN
REPORT

9. 8
only)
SECTION 4 - CERTIFICATION BY THE EXAMINING DOCTOR
Please tick ( ) in the appropriate box
I certify that I have on this date examined
Mr. / Ms.
Passport No. and found him / her -
IN GOOD HEALTH
HAVING THE FOLLOWING MEDICAL COMPLICATION(S) (Please State)
UNDERGOING TREATMENT FOR: (Please State)
Date Signature of Doctor
Name of Doctor
Qualification
Hospital / Clinic
Registration Number
Official Stamp
Remarks by University / College Official

10. 9
/
)
MEDICAL EXAMINATION REPORT
FOR LOCAL / INTERNATIONAL STUDENT
AND ACCOMPANYING PERSON
Affix passport
size photo here
(blue
background)
PLEASE USE CAPITAL LETTERS
SECTION 1 (TO BE COMPLETED BY CANDIDATE)
(PART A)
FULL NAME (AS IN PASSPORT / IC)
INTERNATIONAL PASSPORT NO.
I/C NO.
NATIONALITY
DATE OF BIRTH AGE CONTACT NO.
D D M M Y Y
ACADEMIC YEAR
GENDER
MALE
FEMALE
MARITAL STATUS
SINGLE
MARRIED
SCHOOL / CENTRE
PROGRAMME
MASTER
DOCTORATE
NEXT OF KIN (RELATIVES)
NEXT OF KIN'S ADDRESS
NEXT OF KIN'S CONTACT NUMBER

11. 10
)
SECTION 1
(PART B) - Please tick ( ) in the relevant box
Declaration of self and family illness. Explain in full if you or your family has any of the following illness.
• Immediate family refers to father, mother, brothers / sisters
MEDICAL PROBLEMS
SELF IMMEDIATE
FAMILY
If "Yes" please state
Yes No Yes No
1. Congenital or inherited disorder
2. Allergy
3. Mental illness
3. Fits, stroke, other neurological disease
5. Diabetes Mellitus
6. Hypertension
7. Heart or vascular disease
8. Asthma
9. Thyroid disease
10. Kidney disease
11. Cancer
12. Tuberculosis
13. Drug addiction
14. AIDS, HIV
15. History of surgery
16. Other illness
Current medication (Long term)
IMMUNISATION HISTORY
(where applicable) DATE IMMUNISED
1. Yellow Fever
2. BCG*
3. Meningitis (Quadrivalent)*
4. Hepatities B*
5. Others
* Applicable for international candidates only.
I hereby certify that the information given above is true. I understand that my application will be rejected
if there is any false information given.
Date Signature of candidate

12. 11
)
SECTION 2 - PHYSICAL EXAMINATION
To be filled by examining doctor
1. BASIC MEASUREMENT
HEIGHT : m BLOOD PRESURE : mmHg
WEIGHT : kg PULSE RATE : / min
VISION TEST : Unaided : (R) (L)
Aided : (R) (L)
COLOUR VISION TEST :
NORMAL / ABNORMAL
2. GENERAL EXAMINATION
ITEM YES NO COMMENT
a. DEFORMITIES
b. PALLOR
c. CYANOSIS
d. JAUNDICE
e. OEDEMA
f. SKIN DISEASES
3. SYSTEM EXAMINATION
ITEM NORMAL ABNORMAL COMMENT
a. EYES (Including funduscopy)
b. EARS
c. NOSE
d. ORAL CAVITY / THROAT
e NECK
f. HEART
g. LUNGS
h. ABDOMEN / HERNIALORIFICES
j. MENTAL CONDITION
k. MUSCULOSKELETAL SYSTEM

13. 12
)
SECTION 3 - INVESTIGATIONS
To be filled by examining doctor.
URINE TEST
ITEM DATE TAKEN RESULT
a. ALBUMIN
b. SUGAR
c. MICROSCOPIC
d. MORPHINE*
e. CANNABIS*
f. AMPHETAMINES TYPE STIMULANT*
* Applicable for international candidates only.
BLOOD TEST (Please attach all the original lab report)
ITEM DATE TAKEN RESULT
a. HEPATITIS Bs ANTIGEN*
b. HEPATITIS C*
c. HIV*
d. VDRL / TPHA*
e. MALARIAL PARASITE*
* Applicable for international candidates only.
CHEST X-RAY INFORMATION
CHEST X-RAY NO.
DATE TAKEN
PLACE TAKEN
REPORT

14. 13
)
SECTION 4 - CERTIFICATION BY THE EXAMINING DOCTOR
Please tick ( ) in the appropriate box
I certify that I have on this date examined
Mr. / Ms.
IC / Passport No. and found him / her :-
IN GOOD HEALTH
HAVING THE FOLLOWING MEDICAL COMPLICATION(S) (Please State)
UNDERGOING TREATMENT FOR: (Please State)
Date Signature of Doctor
Name of Doctor
Qualification
Hospital / Clinic
Registration Number
Official Stamp
Remarks by University / College Official

15. INSTITUT PENGAJIAN SISWAZAH
INSTITUTE OF POSTGRADUATE STUDIES
BORANG PENGESAHAN PENDAFTARAN
(CONFIRMATION OF REGISTRATION FORM)
NAMA PENUH / (FULL NAME):
NO. KAD PENGENALAN / (I/C NO.): NO. PASPORT / (PASSPORT NO.):
PUSAT PENGAJIAN / PUSAT / INSTITUT (SCHOOL / CENTRE / INSTITUTE)
A. IJAZAH (DEGREE)
DOKTOR FALSAFAH / KEDOKTORAN (PhD / Doctoral)
SARJANA (Masters)
B. JENIS PENCALONAN (CANDIDATURE TYPE)
PENUH MASA SAMBILAN TIDAK BERKENAAN
(Full Time) (Part Time) (Not Applicable)
C. PENGAKUAN PELAJAR / (DECLARATION)
Dengan ini saya bersetuju bahawa hakcipta sesuatu tesis adalah hakmilik pelajar. Walau
bagaimanapun, sebagai syarat untuk dianugerahkan sesuatu ijazah, saya dengan ini
memberikan hak tanpa sebarang balasan, secara berterusan, bukan eksklusif dan bebas
royalti untuk Universiti menggunakan kandungan kerja dan/atau tesis tersebut untuk
kegunaan pengajaran, penyelidikan dan tujuan promosi di samping hak bukan eksklusif
kepada Universiti, untuk menyimpan, mengguna, menghasilkan semula, mempamer dan
mengedarkan salinan karya tesis tersebut, bersama-sama dengan hak untuk penerbitan bagi
tujuan penyelidikan masa hadapan dan arkib.
(Iagree that the copyright to a thesis belongs to the student. However, as a condition of being
awarded the degree, I hereby grants to the University, a free, ongoing, non-exclusive right to
use the relevant work and/or thesis for the University's teaching, research and promotional
purposes as well as free and the non-exclusive right to retain, re-produce, display and
distribute a limited number of copies of the thesis, together with the right to require its
publication for further research and archival use).
14

16. INSTITUT PENGAJIAN SISWAZAH
INSTITUTE OF POSTGRADUATE STUDIES
D. GRADUATION REQUIREMENT FOR RESEARCH MODE PROGRAMME
Please be informed that all postgraduate research mode students are compulsory to fulfil the
following publication requirements for graduation. These requirements applies for registered
students starting from Semester 1, Academic Session, 2017/2018 and onwards:-
CLUSTER MASTER DOCTOR OF PHILOSOPHY
Sciences/
Engineering/
Health &
Medical
At least one (1) full length article, accepted
or published in journals indexed by ISI /
SCOPUS
At least two (2) full length articles accepted or
published in journals indexed by ISI / SCOPUS
Arts
At least one (1) full length article, accepted
or published in any categories listed below:
i. Journals indexed by ISI / SCOPUS /
ERA
ii. Journals by the University or listed in
myJurnal (Malaysian Journal
Management System) from MyCite
(Malaysian Citation Centre)
iii. Book chapters published by publishers
listed in the Thomson Reuters Web of
Science (WoS) Master Book List or
Penerbit USM or MAPIM
At least one (1) full length article, accepted or
published in journals indexed by ISI / SCOPUS
/ ERA or
At least two (2) full length articles, accepted or
published in any categories listed below:-
i. Journals by the University or listed in
myJurnal (Malaysian Journal
Management System) from MyCite
(Malaysian Citation Centre)
ii. Book chapters published by publishers
listed in the Thomson Reuters Web of
Science (WoS) Master Book List or
Penerbit USM or MAPIM
Authorship
Publications accepted must be published with the supervisor(s).
The candidate must be the first student author. Only the first student author is allowed to use
this article to fulfil his/her graduation requirement.
Plagiarism Plagiarized article will not be accepted for graduation requirement
Topic of
publications
Publications accepted must be related and conform to the candidate’s current research in
his/her thesis.
Affiliation Publications accepted must carry USM affiliation.
Blacklisted
journals
Publications in the following journals are NOT accepted:
• List of blacklisted journal publishers by Ministry of Higher Education, Malaysia
https://referencephsusm.files.wordpress.com/2013/06/four-4-publishers-not-
recognized-by-malaysia-ministry-of-education.pdf
• Beall’s List of Predatory Publishers
https://clinicallibrarian.wordpress.com/2017/01/23/bealls-list-of-predatory-
publishers/
Date:____________________________ __________________________________
SignatureofCandidate
UNTUKKEGUNAANINSTITUTPENGAJIANSISWAZAH
(ForIPSOfficeUseOnly)
TarikhPendaftaran
PengesahaanStafIPS
15

17. INSTITUT PENGAJIAN SISWAZAH
INSTITUTE OF POSTGRADUATE STUDIES
BORANG MENUKAR ALAMAT
(CHANGE OF ADDRESS)
1. NAMA (DALAM HURUF BESAR) / NAME (IN CAPITAL)
2. NO. MATRIK (MATRIC NO.)
3. NO. KAD PENGENALAN (PASSPORT NO.)
4. ALAMAT SURAT MENYURAT (CORRESPONDENCE ADDRESS)
BANDAR (STATE) NEGARA (COUNTRY)
POSKOD (POSTCODE) NO. TELEFON (TELEPHONE NO.)
5. BUTIR-BUTIR ALAMAT TETAP (PERMANENT ADDRESS)
BANDAR (STATE) NEGARA (COUNTRY)
POSKOD (POSTCODE) NO. TELEFON (TELEPHONE NO.)
Tarikh / (Date):
Tandatangan (Signature)
KEGUNAAN PEJABAT (FOR OFFICE USE ONLY)
Tindakan oleh:
Nama & Tandatangan
16
Tarikh

18. INSTITUT PENGAJIAN SISWAZAH
INSTITUTE OF POSTGRADUATE STUDIES
BORANG PERMOHONAN KAD PINTAR
(SMART CARD APPLICATION FORM)
NAMA PEMOHON / (APPLICANT'S NAME):
NO. MATRIK / (MATRIC NO.):
Tandatangan Pelajar (Signature of Student)
12 huruf sahaja / (12 characters only)
Tarikh / (Date):
KEGUNAAN PEJABAT (FOR OFFICE USE ONLY)
1. PENDAFTARAN DIRI LENGKAP TIDAK LENGKAP
Tandatangan Staf
2. PENGESAHAN SEMULA PERKARA YANG TIDAK LENGKAP
Disahkan oleh
Tarikh
Tarikh
KEGUNAAN PEJABAT (FOR OFFICE USE ONLY)
1. SESI FOTOGRAFI BERJAYA TIDAK BERJAYA
KOD BAR
2. KAD PINTAR DIAMBIL PADA
Disahkan oleh
Tarikh
Sila bawa bersama borang ini semasa mengambil kad pintar
(Please bring along this form during collection of the smart card)
17

19. INSTITUT PENGAJIAN SISWAZAH
INSTITUTE OF POSTGRADUATE STUDIES
IMPORTANT CONTACT DETAILS
UNIT CONTACT NO. E-MAIL
ADMISSION
(Registration matters) &
(Postponement of registration date)
Main Campus
+604 – 653 6027
+604 – 653 2946
+604 – 653 2937
Engineering Campus
+604 – 599 6528
+604 – 599 6527
+604 – 599 6525
Health Campus
+609 – 767 2382
+609 – 767 2383
admission_ips@usm.my
mahani_yusoff@usm.my
siti_hajar@usm.my
farah_man@usm.my
siti.norlaila.ahmad@usm.my
rgmushlehat@usm.my
khairunisa@usm.my
ridhuan@usm.my
srimas@usm.my
BURSARY
(Fees related matters) +604 – 653 2995 norhayaty@usm.my
record_ips@usm.my
FELLOWSHIP
(Financial Assistance) +604 – 653 2983 ynorashikin@usm.my
halizahassan@usm.my
VISA
(Student Pass matters)
Main / Engineering
Campus
+604 – 653 2493
+604 – 653 2774
Health Campus
+609 – 767 2033
visa@usm.my
msidek@usm.my
fadzilla@usm.my
sulbahri@usm.my
ACCOMMODATION Main Campus
+604 – 653 4458
+604 – 653 4455
Health Campus
+609 – 767 1316
+609 – 767 1302
+609 – 767 1346
Engineering Campus
+604 – 599 1063
jayajohan@usm.my
selihan_drani@usm.my
norashiken@usm.my
nliyana@usm.my
dunorzaide@usm.my
18

20. INSTITUT PENGAJIAN SISWAZAH
INSTITUTE OF POSTGRADUATE STUDIES
SCHOOL/CENTRE/INSTITUTE PERSONNEL
MAIN CAMPUS
School of Housing, Building and Planning +604–653 6193 iftitah@usm.my
School of Industrial Technology +604–653 2218 nor_farah@usm.my
Graduate School of Business (GSB) +604–653 2795 fatimahbanu@usm.my
School of Biological Sciences +604–653 4035 ezliza@usm.my
School of Chemical Sciences +604–653 3540 haryani@usm.my
School of Communication +604–653 3600 nur_akmar@usm.my
School of Computer Sciences +604–653 3263 redzuan@usm.my
School of Distance Education +604–653 2302 syahnaz_riza@usm.my
School of Educational Studies +604–653 2049 bfaridah@usm.my
School of Humanities +604–653 3850 haslinda_yusof@usm.my
School of Languages, Literacies and Translation +604–653 4543 rasslene@usm.my
School of Management +604–653 3367 zzh@usm.my
School of Mathematical Sciences +604–653 2629 subrag@usm.my
School of Pharmaceutical Sciences +604–653 4593 faizbadiozaman@usm.my
School of Physics +604–653 3025 naziroh@usm.my
School of Social Sciences +604–653 3362 ahmadzaki@usm.my
School of the Arts +604–653 3620 azimin_dzul@usm.my
Analytical Biochemistry Research Centre (ABrC) +604-653 4696 amiraazman@usm.my
Centre for Chemical Biology +604-653 5513 nurulamira_ali@usm.my
Centre for Drug Research +604-653 3274 hidayahrahman@usm.my
Centre for Global Archaeological Research +604-653 4148 azmandarus@usm.my
Centre for Global Sustainability Studies +604-653 2461 nazira_za@usm.my
Centre for Instructional Technology and Multimedia +604-653 3225 mohdzuki@usm.my
Centre for Islamic Development Management Studies +604-653 4601 mnoridah@usm.my
Centre for Marine and Coastal Studies +604-653 2604 skdef@usm.my
Centre for Policy Research and International Studies +604-653 3385 zuraida@usm.my
Collaborative Microelectronic Design Excellence Centre (CEDEC) +604-653 5628 nuha@usm.my
Institute of Nano Optoelectronics Research and Technology (INOR) +604-653 5646 azraai@usm.my
Institute for Research in Molecular Medicine +604-653 4807 theamsoon@usm.my
National Advanced IPV6 Centre +604-653 3001 malar@usm.my
National Higher Education Research Institute +604-653 5754 azmahani@usm.my
National Poison Centre +604-653 2078 rosilawaty@usm.my
Women’s Development Research Centre +604-653 3433 hasniza@usm.my
HEALTH & BERTAM CAMPUS
Advanced Medical & Dental Institute +604-562 2352 yusmadi@usm.my
Center for Neuroscience Services and Research +609-767 2357 ctsarah@usm.my
School of Dental Sciences +609-767 5522 abghani@usm.my
School of Health Sciences +604-767 7522 ithma@usm.my
School of Medical Sciences +604-767 6052 wnfajrina@usm.my
19

21. INSTITUT PENGAJIAN SISWAZAH
INSTITUTE OF POSTGRADUATE STUDIES
ENGINEERING CAMPUS
River Engineering & Urban Drainage Research Centre +604-599 5464 redac11@usm.my
School of Aerospace Engineering +604-599 5967 zituakmar@usm.my
School of Chemical Engineering +604-599 5880 nrlinda@usm.my
School of Civil Engineering +604-599 6209 rgfarah@usm.my
School of Electrical and Electronic Engineering +604-599 6011 normala@usm.my
School of Materials and Mineral Resources Engineering +604-599 5003 srnorasmah@usm.my
School of Mechanical Engineering +604-599 6305 mdkamal@usm.my
20

22. Version: February 2018
Institute of Postgraduate Studies
Universiti Sains Malaysia
11800 USM
Penang, MALAYSIA.
email : admission_ips@usm.my
www.admissions.usm.my