Mengilham Harapan, Mencipta Masa Depan

Inspiring Futures, Nurturing Possibilities

BORANG PENJAMIN KEWANGAN

(FINANCIAL GUARANTOR FORM)

1. NAMA PEMOHON

(1)
(1)

(APPLICANT'S NAME)

2. NO. PASPORT

(PASSPORT NO.)
[Untuk Pemohon Luar Negara Sahaja (For Foreign Applicants Only) ]

[Diisi Oleh Penjamin Kewangan Sendiri (To Be Filled In By Financial Guarantor) ]

1. NAMA PENJAMIN

(GUARANTOR'S NAME)

2. NO. KAD PENGENALAN (I/C) /

NO. PASSPORT (PASSPORT NO.)

3. ALAMAT

(ADDRESS)

4. NO. TELEFON PEJABAT

(OFFICE TELEPHONE NO.)

5. NO. TELEFON RUMAH

(HOUSE TELEPHONE NO.)

6. TELEFON BIMBIT

(MOBILE)

7. PEKERJAAN

(OCCUPATION)

8. PENDAPATAN SEBULAN

(INCOME PER MONTH)

PENGAKUAN PENJAMIN (DECLARATION BY THE FINANCIAL GUARANTOR)

Saya mengaku akan menjelaskan segala bayaran pengajian pemohon di UKM sekiranya pemohon tidak mampu/gagal menjelaskannya
(I hereby declare that I will settle all the outstanding payments due to UKM for the applicant for his/her study at UKM in the event that he/she is unable to do so)

Tarikh (Date)

Tandatangan (Signature)

Mengilham Harapan, Mencipta Masa Depan

Inspiring Futures, Nurturing Possibilities

BORANG PENJAMIN KEWANGAN

(FINANCIAL GUARANTOR FORM)

1. NAMA PEMOHON

(2)
(2)

(APPLICANT'S NAME)

2. NO. PASPORT

(PASSPORT NO.)
[Untuk Pemohon Luar Negara Sahaja (For Foreign Applicants Only) ]

[Diisi Oleh Penjamin Kewangan Sendiri (To Be Filled In By Financial Guarantor) ]

1. NAMA PENJAMIN

(GUARANTOR'S NAME)

2. NO. KAD PENGENALAN (I/C) /

NO. PASSPORT (PASSPORT NO.)

3. ALAMAT

(ADDRESS)

4. NO. TELEFON PEJABAT

(OFFICE TELEPHONE NO.)

5. NO. TELEFON RUMAH

(HOUSE TELEPHONE NO.)

6. TELEFON BIMBIT

(MOBILE)

7. PEKERJAAN

(OCCUPATION)

8. PENDAPATAN SEBULAN

(INCOME PER MONTH)

PENGAKUAN PENJAMIN (DECLARATION BY THE FINANCIAL GUARANTOR)

Saya mengaku akan menjelaskan segala bayaran pengajian pemohon di UKM sekiranya pemohon tidak mampu/gagal menjelaskannya
(I hereby declare that I will settle all the outstanding payments due to UKM for the applicant for his/her study at UKM in the event that he/she is unable to do so)

Tarikh (Date)

Tandatangan (Signature)