{"id":17288,"date":"2023-08-01T10:10:56","date_gmt":"2023-08-01T02:10:56","guid":{"rendered":"https:\/\/bsm.upsi.edu.my\/?page_id=17288"},"modified":"2026-03-13T10:03:13","modified_gmt":"2026-03-13T02:03:13","slug":"form","status":"publish","type":"page","link":"https:\/\/bsm.upsi.edu.my\/ms\/form\/","title":{"rendered":"Borang"},"content":{"rendered":"
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t<\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\tUnit Perjawatan<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Senarai Borang Unit Kebajikan Staf<\/span><\/h1><\/div>
  1. Permohonan Skim Tabung Kebajikan Staf & Insurans Berkelompok UPSI\u00a0(.pdf)<\/a><\/li>
  2. Borang Makluman Kematian Suami\/Isteri\/Ibu\/Bapa\/Anak\u00a0(.pdf)<\/a><\/li>
  3. Borang Permohonan Tuntutan Elaun Masuk Wad\u00a0(.pdf)<\/a><\/li>
  4. Borang Bantuan Bencana Alam dan Kebakaran\u00a0(.pdf)<\/a><\/li>
  5. Borang Aduan Bagi Pengubahsuaian Pakaian Seragam\u00a0(.pdf)<\/a><\/li>
  6. Borang Perubatan 1\/09 (Sara Ubat)\u00a0(.pdf)<\/a><\/li>
  7. Borang Tuntutan Bayaran Balik Premium Perlindungan Insurans Perjalanan\u00a0(.pdf)<\/a>
    **Ceraian SR.2.4.1 \u2013 Kemudahan Perlindungan Insurans Perjalanan Bagi Pegawai Perkhidmatan Awam Ke Luar Negara Atas Urusan Persendirian\u00a0    (.pdf)<\/a><\/li>
  8. Borang Permohonan Bayaran Skim Ex-Gratia Bencana Kerja (.pdf)<\/a><\/li>
  9. Borang Pengemaskinian Maklumat Perubatan Anak Staf Di Bawah SSPA (.pdf)<\/a><\/li>
  10. Borang Permohonan Pinjaman Tanpa Faedah Dengan Potongan Gaji Secara Ansuran (.pdf)<\/a><\/li>
  11. Borang Permohonan Pinjaman Perubatan. (.pdf)<\/a><\/li><\/ol><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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    \n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tUnit Teknologi Maklumat<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

    Senarai Borang Unit Teknologi Maklumat<\/span><\/h1><\/div>
    1. Borang Permohonan Akses sistem dan Penetapan Kata Laluan (JSM-IT-1)\u00a0(.pdf)<\/a><\/li>
    2. Borang Permohonan Hebahan (Laman Web) (JSM-IT-2)\u00a0(.pdf)<\/a><\/li>
    3. Borang Permohonan Akaun Portal dan Emel (JSM-IT-3)\u00a0(.pdf)<\/a><\/li>
    4. Borang Permohonan Data dan Laporan Baru (JSM-IT-4)\u00a0(.pdf)<\/a><\/li>
    5. Borang Aduan Aplikasi HRMIS (JSM-IT-5)\u00a0(.pdf)<\/a><\/li><\/ol><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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      \n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tUnit Pentadbiran & Kewangan<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

      Senarai Borang Unit Pentadbiran & Kewangan<\/span><\/h1><\/div>
      1. Borang Penghantaran Mel Universiti\u00a0(.pdf)<\/a>\u00a0(.doc)<\/a><\/li>
      2. Borang Tuntutan Panjar Wang Runcit (Untuk kegunaan Bahagian Sumber Manusia sahaja)\u00a0(.pdf)<\/a>\u00a0(.doc)<\/a><\/li>
      3. Borang Perolehan Bahagian Sumber Manusia (Untuk kegunaan Bahagian Sumber Manusia sahaja)
        \u00a0** Perlu dicetak dengan menggunakan kertas berwarna biru\u00a0        (.pdf)<\/a>\u00a0(.doc)<\/a><\/li>
      4. Borang Tempahan Jamuan Bahagian Sumber Manusia (Untuk Kegunaan Bahagian Sumber Manusia sahaja)\u00a0(.pdf)<\/a>\u00a0(.doc)<\/a><\/li>
      5. Borang Permohonan Jubah Universiti\u00a0(.pdf)<\/a>\u00a0<\/li>
      6. Borang Kebenaran Pulang Awal Satu Jam kepada Pegawai Wanita Mengandung (Lampiran A)\u00a0(.pdf)<\/a>
        a) Carta Alir Pelaksanaan\u00a0<\/em>        (.pdf)<\/a>
        b) Garis Panduan\u00a0<\/em>        (.pdf)<\/a><\/li>
      7. Borang Kebenaran Pulang Awal Satu Jam kepada Pegawai Lelaki yang bekerja di lokasi berdekatan dengan Pegawai Wanita (Isteri) yang mengandung. (Lampiran B)\u00a0(.pdf)<\/a><\/li>
      8. Borang Pemilihan Waktu Peringkat (WP)\u00a0(.pdf)<\/a><\/li>
      9. Borang Pemilihan Bekerja Dari Rumah \/ Work From Home (WFH) Sempena Hari Lahir \/ Ulang Tahun Perkahwinan.(.pdf)<\/a>\u00a0
        a) Laporan Harian Bekerja Dari Rumah \/ WFH.        (.doc)<\/a>\u00a0<\/li>
      10. Borang Pemilihan Bekerja Dari Rumah \/ WFH\u00a0(.pdf)<\/a>\u00a0
        a) Laporan Harian Bekerja Dari Rumah (WFH)\u00a0        (.doc)<\/a>\u00a0<\/li>
      11. Borang Permohonan Pembatalan Cuti Rehat (Untuk kegunaan Bahagian Sumber Manusia sahaja)\u00a0(.pdf)<\/a><\/li>
      12. Borang Pemilihan Waktu Peringkat (WP) Bagi Bulan Ramadhan\u00a0(.pdf)<\/a><\/li>
      13. Nota Serah Tugas\u00a0(.doc)<\/a>\u00a0<\/li><\/ol>

        Pelupusan Fail<\/strong><\/p>

        1. Arkib_1_08\u00a0(.doc)<\/a><\/li>
        2. Arkib_2_08\u00a0(.doc)<\/a><\/li>
        3. Arkib_3_08\u00a0(.doc)<\/a><\/li>
        4. Arkib_5_08\u00a0(.doc)<\/a><\/li>
        5. Arkib_6_08\u00a0(.doc)<\/a><\/li>
        6. Arkib_7_08\u00a0(.doc)<\/a><\/li>
        7. Arkib_8_08\u00a0(.doc)<\/a><\/li>
        8. Arkib_9_08\u00a0(.doc)<\/a><\/li>
        9. Arkib_10_08\u00a0(.doc)<\/a><\/li>
        10. Arkib_11_08\u00a0(.doc)<\/a><\/li>
        11. Arkib_12_08\u00a0(.doc)<\/a><\/li>
        12. Kewangan_Arkib4_08\u00a0(.doc)<\/a><\/li>
        13. Kewangan_Arkib13_08\u00a0(.doc)<\/a><\/li>
        14. Jadual Pelupusan Rekod AM-ARKIB\u00a0(.pdf)<\/a><\/li>
        15. Jadual Pelupusan Rekod Kewangan Dan Perakaunan\u00a0(.pdf)<\/a><\/li><\/ol><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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          Senarai Borang Unit Perkhidmatan<\/span><\/h1><\/div>
          1. Borang Permohonan Cuti Tanpa Rekod. (UPSI\/BSM\/P04\/B05) (PINDAAN 00) (Mohon kerjasama untuk mencetak dikertas berwarna HIJAU)\u00a0(.pdf)<\/a><\/li>
          2. Borang Permohonan Cuti Rehat (BSM\/SM2\/B\/CUTI-01)\u00a0(.pdf)<\/a><\/li>
          3. Borang Kelulusan Cuti Sakit Tibi, Kusta dan Barah. (UPSI\/BSM\/P04\/B06)(PINDAAN 01)\u00a0(.doc)<\/a><\/li>
          4. a) Borang Permohonan Melakukan Pekerjaan Luar Di Bawah Jadual Kedua (Seksyen 5), Peraturan-peraturan Tatatertib Badan-badan Berkanun, Akta Badan-badan Berkanun (Tatatertib dan Surcaj) 2000 (Akta 605)\u00a0(.pdf)<\/a>
            b) Borang Pengesahan Kelulusan Ketua Jabatan Bagi Tugas Berkaitan Penjanaan Kewangan Universiti, Aktiviti Pengkomersilan Dan Perundingan Yang Diluluskan Oleh Universiti\u00a0            (.pdf)<\/a>
            ** Garis Panduan Mengenai Peraturan Melaksanakan Pekerjaan Luar Universiti Pendidikan Sultan Idris\u00a0            (.pdf)<\/a><\/li>
          5. Borang Kelulusan Cuti Sakit Melebihi 90 Hari\u00a0(.pdf)<\/a><\/li>
          6. Borang Permohonan Cuti GCR (Extra)\u00a0(.pdf)\u00a0<\/a><\/li>
          7. Borang Akuan Sumpah bagi Permohonan Pembiayaan Lembaga Pembiayaan Lembaga Pembiayaan Perumahan Sektor Awam (LPPSA)\u00a0(.pdf)<\/a><\/li>
          8. Borang Perakuan Tidak Hadir Ke Pejabat Atas Sebab-sebab Kecemasan Mengikut Pekeliling Perkhidmatan Bil 1. Tahun 1986\u00a0(.pdf)<\/a><\/li>
          9. Borang Permohonan Cuti Bersalin\u00a0(.pdf)<\/a><\/li>
          10. Borang Permohonan Pemberian Awal Award Wang Tunai Gantian Cuti Rehat (GCR) (Sebanyak 90 Hari) (.pdf)<\/a><\/li>
          11. Borang Permohonan Cuti Haji\u00a0(.pdf)<\/a><\/li><\/ol><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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            \n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tUnit Latihan<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

            Senarai Borang Unit Latihan<\/span><\/h1><\/div>
            1. Borang Penilaian Penceramah\u00a0(.pdf)<\/a><\/li>
            2. Borang Penilaian Program\u00a0(.pdf)<\/a><\/li>
            3. Borang Tempahan Makanan\u00a0(.pdf)<\/a><\/li>
            4. Borang Permohonan Mata SysCPD (Individu).\u00a0(.pdf)<\/a><\/li>
            5. Borang Permohonan Mata SysCPD (PTj)\u00a0(.pdf)<\/a><\/li>
            6. Borang Pencerapan Kursus Pensijilan Pengajaran dan Pembelajaran Pendidikan Tinggi bagi Pensyarah-Pensyarah Baru\u00a0(.pdf)<\/a><\/li>
            7. Borang Lapor Diri Latihan Industri \/ Praktikal\u00a0(.pdf)<\/a><\/li>
            8. Borang Permohonan Mengikuti Program Sangkutan (Attachment)\u00a0(.pdf)<\/a><\/li>
            9. Borang Pengesahan Tamat Program Sangkutan (Attachment)\u00a0(.pdf)<\/a><\/li>
            10. Borang Senarai Semak Keperluan dan Persiapan Kursus\u00a0(.pdf)<\/a><\/li>
            11. Borang Kursus Agensi Luar\u00a0(.pdf)<\/a><\/li><\/ol><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
              \n\t\t\t\t\t
              \n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tUnit Cuti Belajar<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

              Senarai Borang Unit Cuti Belajar<\/span><\/h1>

              SLAB\/SLAI<\/strong><\/p>

              ~ SEBELUM PENGAJIAN<\/strong>
              1. Panduan Melengkapkan Perjanjian Cuti Belajar ( BCB 3).\u00a0(.pdf)<\/a>
              2. Borang Semakan Sebelum Cuti Belajar.\u00a0              (.pdf)<\/a>
              3. Borang Permohonan Membawa Keluarga (BCB 5).\u00a0              (.pdf)<\/a>
              4. Moving Goods Allowance Form.\u00a0              (.pdf)<\/a><\/p>

              ~ SEMASA PENGAJIAN<\/strong>
              1. Borang Laporan Kemajuan Pengajian Siswazah (BCB 6) LKPS.\u00a0              (.pdf)<\/a><\/p>

              ~ SELEPAS PENGAJIAN<\/strong>
              1. Borang Pengesahan Lapor Diri (SLAB).\u00a0              (.pdf)<\/a>
              2. Borang Tuntutan Elaun Tesis KPT.\u00a0              (.pdf)<\/a><\/p>

              SABATIKAL<\/strong><\/p>

              ~ SEMASA PENGAJIAN<\/strong>
              1. Borang Laporan Cuti Sabatikal (Part 1).\u00a0              (.pdf)<\/a>
              2. Borang Laporan Prestasi Cuti Sabatikal\/ Post Doktoral.\u00a0              (.pdf)<\/a>
              3. Borang Laporan Kemajuan Pengajian Siswazah.\u00a0              (.pdf)<\/a><\/p>

              ~ SELEPAS PENGAJIAN<\/strong>
              1. Borang Laporan Akhir Cuti Sabatikal (Part 1).\u00a0              (.pdf)<\/a>
              2. Borang Lapor Diri Cuti Sabatikal.\u00a0              (.pdf)<\/a><\/p>

              SKIM PELAJAR HOLISTIK UPSI<\/strong>
              1. Borang Permohonan Skim Pelajar Holistik UPSI.\u00a0              (.pdf)<\/a>
              2. Borang Pengesahan Tamat Pengajian Skim Pelajar Cemerlang \/ Skim Pelajar Holistik.\u00a0              (.pdf)<\/a><\/p>

              PROGRAM MOBILITI JANGKA PENDEK<\/strong>
              1. Borang Permohonan Program Mobiliti Jangka Pendek.\u00a0              (.pdf)<\/a>
              2. Borang Pengesahan Lapor Diri Program Mobiliti Jangka Pendek.\u00a0              (.pdf)<\/a><\/p>

              PERMOHONAN HADIAH LATIHAN PERSEKUTUAN (PENGURUSAN & PROFESIONAL)<\/strong>
              1. Borang Permohonan Hadiah Latihan Persekutuan (Pengurusan & Profesional).\u00a0              (.pdf)<\/a><\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

              Personnel Unit Staff Welfare Unit List of forms of Staff Welfare Permohonan Skim Tabung Kebajikan Staf & Insurans Berkelompok UPSI\u00a0(.pdf) Borang Makluman Kematian Suami\/Isteri\/Ibu\/Bapa\/Anak\u00a0(.pdf) Borang Permohonan Tuntutan Elaun Masuk Wad\u00a0(.pdf) Borang Bantuan Bencana Alam dan Kebakaran\u00a0(.pdf) Borang Aduan Bagi Pengubahsuaian…
              Read more<\/a><\/p>","protected":false},"author":5,"featured_media":18684,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-17288","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"\nForm - UPSI | Bahagian Sumber Manusia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bsm.upsi.edu.my\/ms\/form\/\" \/>\n<meta property=\"og:locale\" content=\"ms_MY\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Form - UPSI | Bahagian Sumber Manusia\" \/>\n<meta property=\"og:description\" content=\"Personnel Unit Staff Welfare Unit List of forms of Staff Welfare Permohonan Skim Tabung Kebajikan Staf & Insurans Berkelompok UPSI\u00a0(.pdf) Borang Makluman Kematian Suami\/Isteri\/Ibu\/Bapa\/Anak\u00a0(.pdf) Borang Permohonan Tuntutan Elaun Masuk Wad\u00a0(.pdf) Borang Bantuan Bencana Alam dan Kebakaran\u00a0(.pdf) Borang Aduan Bagi Pengubahsuaian...Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/bsm.upsi.edu.my\/ms\/form\/\" \/>\n<meta property=\"og:site_name\" content=\"UPSI | Bahagian Sumber Manusia\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-13T02:03:13+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/bsm.upsi.edu.my\/wp-content\/uploads\/2023\/08\/form-bg.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2240\" \/>\n\t<meta property=\"og:image:height\" content=\"1493\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minit\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/bsm.upsi.edu.my\\\/form\\\/\",\"url\":\"https:\\\/\\\/bsm.upsi.edu.my\\\/form\\\/\",\"name\":\"Form - 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