APPENDIX B

PORTFOLIO SUBMISSION FORM

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APEL.A

PART 1 : PERSONAL DETAILS

Full name
Nationality
NIRC/Passport No.
Intended field of
study
Intended
programme
Level of study Certificate Diploma Bachelor Master Doctorate
Reference number

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PART 2: DETAILS OF LEARNING ACQUIRED (start with the most recent)

a) FORMAL LEARNING
Intentional learning/programme of study acquired in a structured context (primary school, secondary school, college or university) that led to a
formal recognition / a recognised academic qualification.
COMPETENCIES EVIDENCE OF LEARNING*
(Please tick ) (Please refer to Appendix 1 for examples of evidence)
AWARDING (Please refer Appendix 2 for
ACADEMIC YEAR
NO. BODY/ list of skills on what I have
QUALIFICATION AWARDED learnt)
INSTITUTION
1 2 3 4 5 6 7 8

1.

2.

3.

4.

5.

*Note: All evidence must be properly labelled

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b) INFORMAL LEARNING (start with the most recent)
Learning which takes place continuously through life and work experiences. It is often unintentional learning.

DURATION WHAT I HAVE LEARNT/ACQUIRED EVIDENCE OF

NAME OF (Please tick √) LEARNING*
(MONTH/YEAR) (Please refer Appendix 2 for list of skills on what I have learnt)
EMPLOYER/ CONTACT POSITION (Please refer 1 for
NO. examples of evidence)
SELF- ADDRESS HELD
EMPLOYED
FROM TO 1 2 3 4 5 6 7 8

1.

2.

3.

4.

5.

6.

*Note: All evidence must be properly labelled

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 OTHER LEARNING ACTIVITIES WHAT I HAVE LEARNT/ACQUIRED
(Please tick ) EVIDENCE OF LEARNING* (if any)
This may include your hobbies/ sports/ recreation/ (Please refer Appendix 1 for examples of evidence)
(Please refer Appendix 2 for list of skills on what I
social/ community service/ training given/ consultancy YEAR have learnt)
services or other activities which might be relevant to
the competencies. 1 2 3 4 5 6 7 8

1.

2.

3.

4.

*Note: All evidence must be properly labelled

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c) NON-FORMAL LEARNING (start with the most recent)
Learning that takes place alongside the mainstream systems of education and training. It may be assessed but does not normally lead to
formal certification.
EVIDENCE OF
LEARNING*
WHAT I HAVE LEARNT/ACQUIRED (if any)
LENGTH (Please tick √)
NAME/TITLE OF (Please refer
DATE OF (Hours/
NO. TRAINING OR ORGANISER (Please refer Appendix 2 for list of skills on what I have learnt) Appendix 1 for
COMPLETION Days/
COURSE etc examples of
Month) evidence)

1 2 3 4 5 6 7 8

1.

2.

3.

4.

5.

6.

7.

*Note: All evidence must be properly labelled

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d) LANGUAGE COMPETENCY
LEVEL OF COMPETENCE (Please tick )
1: POOR; 2: AVERAGE; 3: GOOD; 4: EXCELLENT
LANGUAGE
LISTENING READING SPEAKING WRITING
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
1.
2.
3.

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e) SELF ASSESSMENT/REFLECTION

For APEL.A application at T6, T7 or T8

Describe how your prior learning experiences prepare you for the intended level of study (at least 500 words):

1. Why do you want to pursue this intended programme of study?

2. How is your personal prior learning experience applicable to/related to/relevant to your chosen programme and level of study?
(You may provide your description based on how your prior experiential learning has improved your knowledge, skills set, professionalism,
communication, leadership, problem solving etc)

3. How will the completion of this programme help you in your work/personal life?

4. What are your action plans in ensuring the successful completion of your programme? (Commitment, time management, financial resources
and support etc).

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 For APEL.A application at T3, T4 or T5

Describe how your prior learning experiences prepare you for the intended level of study (not more than 250 words) :

1. Why do you want to pursue this intended programme of study?

2. How is your prior learning experience applicable to/related to/relevant to your chosen field of study?

3. What are your action plans in ensuring the successful completion of your programme? (Commitment, time management, financial resources
and support etc).

4. How will the completion of this programme help you in your life?

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REFEREES (Family members and relatives cannot serve as referees)

Name
Position

Organisation
Phone number OFFICE: MOBILE:
(Compulsory) (Compulsory)
Email address
Relationship

Name
Position
Organisation
Phone number OFFICE: MOBILE:
(Compulsory) (Compulsory)
Email address
Relationship

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PART 4: SELF DECLARATION

I hereby declare that all of the information/documents provided to support this application are authentic, true and accurate. I fully
understand the Terms and Conditions of the application and agree that my application will be rejected if I have falsified any information
in any way.
Signature:
Name:
Date:

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 Appendix 1
LIST OF EVIDENCE

Evidence that can be provided for application

Direct Evidence Indirect Evidence

Certificates Written Records

You can provide copies of your qualification You can provide copies of
● School certificates ● Diaries
● Statement of results ● Records
● Courses completed at work ● Journals
● Articles
Work samples E-mail
You can provide samples of your work You can provide copies of email communications which verify
● Drawings or photographs ● Customer feedback
● Reports ● Work ctivities
● Written materials ● Written skills
● Projects
● Objects
● Work of arts
Records of workplace activities Supporting letters
You can provide documents that verify your work activities You can provide letters to verify your claim from
● Notes ● Employers
● Emails ● Community group
● Completed worksheets ● People you have work with (paid and unpaid work)
● Workplace agreeement
● Contracts
Documents
You can provide evidence that shows what you have done in your life
● Media articles
● Meritoriuos Awards

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 Appendix 2
List of skills on what I have learnt based on Malaysian Qualifications Framework Learning Outcome

1. Knowledge and understanding

▪ Describe advanced and comprehensive, theoretical and technical knowledge and demonstrate relevant skills in a specialized field
2. Cognitive skills
▪ Demonstrate intellectual independence in the application of knowledge within specific field(s) by applying critical, analytical and
evaluation skills in the field of study/work/practice.
Functional work skills:
3. Practical skills
▪ Apply a range of essential methods and procedures to solving a broad range of complex problems. Review, make adjustments and
supervise related practices and processes concerning.
4. Interpersonal and communication skills
▪ Convey ideas both in written or oral forms using appropriate and different forms of presentation, confidently, accurately and
coherently in appropriate context in a well-structured manner to a diversity of audiences.
5. Digital and numeracy skills
▪ Use a broad range of information, media and technology applications to support study and/or work. Use and combine numerical
and graphical/visual data for study/work.
6. Leadership, autonomy and responsibility
▪ Work autonomously, and show leadership and professionalism in managing responsibilities within broad organizational parameters.
Undertake significant levels of work related responsibilities of others as well as self
7. Personal and entrepreneurial skills
▪ Demonstrate significant autonomy, independence, leadership, and interpersonal skills at work and class. Show substantial
responsibility in planning, resource management, supervision and problem solving and managing work within own team and
collaboratively with other teams especially in the context of complex application and unpredictable situations
8. Ethics and professionalism.
▪ Demonstrate adherence to legal, ethical and professional codes of practice. Demonstrate confidence to give advice and make
decision(s) on complex issues based on critical reflections and ethical considerations

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