POLITEKNIK SULTAN IDRIS SHAHKEMENTERIAN PENDIDIKAN MALAYSIA

DEPARTMENT OF INFORMATION & COMMUNICATION TECHNOLOGY

PROJECT REGISTRATION FORM (FN521)

PROJECT TEAM

MATRIX NO. NAME EMAIL TELEPHONE NO.

PROJECT INFORMATION

PROJECT TITLE

PROJECT CATEGORY

EMERGING NETWORK TECHNOLOGY NETWORK SECURITY WIRELESS TECHNOLOGY

NETWORK APPLICATION NETWORK ARCHITECTURESERVICE TO ANOTHER NETWORK & RELATED

AREAProject Purpose:

(Please attach a separate sheet if space is not sufficient)

Project Objective:

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Project Scope:

(Please attach a separate sheet if space is not sufficient)

STUDENT DECLARATION :We will comply with the title that we propose and the implementation timeframe of this project.We also understand that failure to comply the project will result an action taken against us.

(Students Signature)

POLITEKNIK SULTAN IDRIS SHAHKEMENTERIAN PENDIDIKAN MALAYSIA

Proposed title of this :

Supported as a Supervisor Revised

SUPERVISOR AND COORDINATOR DECLARATION

I hereby agree to be student’s supervisor for this semester. I hereby approved the student’s application to register this course.

(Supervisor Signature and Official Stamp) (Coordinator Signature and Official Stamp)Date : Date :

……………………………………… FOR PROJECT PANEL USE ….………………………………

Panel Review :

Results Proposed title:

Accept Accept with correction Reject

Proposed Supervisor:

YES NO