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  • Uips

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    Kimi Konon
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    This document collects personal information from a student applying for membership including their name, student ID number, campus, course, age, addresses, contact details, and declaration agreeing to abide by university rules and regulations. The student provides their signature and date and the committee signs and dates to acknowledge receiving the completed membership form.

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    uips

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    This document collects personal information from a student applying for membership including their name, student ID number, campus, course, age, addresses, contact details, and declaration agreeing to abide by university rules and regulations. The student provides their signature and date and the committee signs and dates to acknowledge receiving the completed membership form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    3 views1 page

    Uips

    Uploaded by

    Kimi Konon
    This document collects personal information from a student applying for membership including their name, student ID number, campus, course, age, addresses, contact details, and declaration agreeing to abide by university rules and regulations. The student provides their signature and date and the committee signs and dates to acknowledge receiving the completed membership form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    A.

    Students Name:

    B. UiTM Students ID No: D. UiTM Campus: E. Course Code: G. Faculty H. Malaysian ID No: J. Passport No: (For International Student) K. Permanent/ Home Address: F. Part Time

    C. Semester

    Full Time

    I. Age

    L. Residence Address while studying at UiTM:

    M. Residence Tel No: N. Mobile: O. Email Address P. Current Occupation: Q. Office Address:

    R. Office Telephone No: S. Members Declaration


    I Hereby agree to abide and comply to all the university rules and regulations stipulated according to the Associations Constitution, The University & College Education Act, and UiTMs Regulations

    ___________________ Date

    ____________________________________________________
    Members name & Signature ( )

    UiTM Postgraduate Society Block 8, 3rd Floor, Intekma Convention Centre, Shah Alam, Selangor Darul Ehsan. The Committee acknowledge receipt of this membership form.
    ___________________ Date

    For Official Use Membership No: 200

    -1

    _________________________________________________
    Committees name & Signature ( )

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