IEM Membership Application Form

APPLICATION FOR ADMISSION AS STUDENT-NEW MEMBER

Personal Particular
Full Name

LIM MENG KAI

Permanent Address

State

NO 27
TAMAN SRI INTAN
BATU 6
DUNGUN
TERENGGANU

Other State

Postcode

23000

Country

MALAYSIA

Postal Address

State

NO 27
TAMAN SRI INTAN
BATU 6
DUNGUN
TERENGGANU

Other State

Postcode

23000

Country

MALAYSIA

Gender

Male

Race

Chinese

Nationality

Malaysian

Place of Birth

DUNGUN,TERENGGANU

D.O.B

10-Jan-1995

I.C/Passport No

950110115423

Home No

098443949

Mobile No

0199482813

Office No

Email

kelvis_95@hotmail.com

General Education
Name of
University/IHL

Examination passed

Date Awarded

Certificate & Transcript

SMK

SPM

01-Jan-2012

uploaded

Institution of Higher Learning

Institute of Higher
Learning

UNITEN

Engineering Dept.

CIVIL

Title of Degree

BACHELOR OF CIVIL ENGINEERING

Date of Course
Commencement

06-Jul-2014

Expected Year of
Graduate

2018

Current Academic Year

1st

Entry Qualification

Certificate

Offer Letter

uploaded

Discipline

CIVIL

I ,LIM MENG KAI, the undersigned, do hereby promise that in the event of my admission/transfer shall governed by the Constitution, By-Laws and
Regulations of the Institution for the time being in force, and that I will accept as final and binding the decisions of the Council on all matters dealt
with by them in accordance with the provisions of the said Constitution, By-Laws and Regulations. I further undertake that I will promote the
objectives of the Institution as far as may be in my power, provided that whatever I shall signify in writing to the Secretary that I am desirous of
withdrawing from the Institution. I shall, after payment of any arrears which may be due from me at the period, be free from this obligation. I accept
responsibility for the accuracy of the particulars contained in this online application form and agree that if I am admitted the validity of my admission
shall depend upon the accuracy of such particulars as required by the By-Laws.
I, LIM MENG KAI hereby acknowledge that in the event my qualification are found to be non-compliant to the Admission criteria of the Institution
due to changes in policies or oversight at the time of admission the Institution reserves the right to withdraw my membership.

Name : LIM MENG KAI

IC No: 950110115423
Date: 15-May-2015