BPA_PEP_37

SEKSYEN PEPERIKSAAN& PENGIJAZAHAN/ EXAMINATION& GRADUATION

SECTIONBAH. PENGURUSAN AKADEMIK/ ACADEMIC MANAGEMENT DIVISION
NO. SAMB/ EXT. 1208, 1209 NO FAKS/ FAX. 03-89257677
EMAIL: konvo@kuis.edu.my
BORANG PINJAMAN JUBAH GRADUAN
GRADUATE ROBE FORM

NAMA PELAJAR/
STUDENTS NAME
NO. PELAJAR/
STUDENTS ID NUMBER

NO. KAD PENGENALAN

IC NO.
TANDATANGANPELAJAR/
STUDENTS SIGNATURE

EMAIL
NO. TELEFON/
TEL. NUMBER

TAHUN KONVOKESYEN/
YEAR OF CONVOCATION

TARIKH
/ DATE

NOTA PENTING/ IMPORTANTNOTE:

1. BAYARAN GRADUASI ADALAH SECARA TUNAI DI KAUNTER PEJABAT BENDAHARI, ONE STOP CENTRE (OSC) SAHAJA.
GRADUATION PAYMENT IS BY CASH AT THE BURSARY OFFICE COUNTER, ONE STOP CENTRE (OSC).
2. SILA LAMPIRKAN SALINAN;
I.
KAD PENGENALAN
II.
MUKA DEPAN BUKU BANK (TERTERA NOMBOR AKAUN DAN PEMEGANG AKAUN/ PENYATA BANK TERKINI.
PLEASE ENCLOSE COPY OF THE IDENTITY CARD AND BANK BOOK FRONT PAGE THAT ARE IMPRINTED NAME AND ACCOUNT NUMBER/ LATEST BANK
STATEMENT.
3. PASTIKAN AKAUN BANK YANG DIBERIKAN MASIH AKTIF.
DO ENSURE THAT THE BANK ACCOUNT WAS STILL ACTIVE.
4. BAGI GRADUAN YANG MEWAKILKAN PIHAK LAIN, SILA SERTAKAN BERSAMA BORANG WAKIL PENGAMBILAN/ PEMULANGAN JUBAH (BPA_PEP_39).
FOR GRADUATE THAT DELEGATE OTHER PARTIES, PLEASE ENCLOSE WITH INTAKE REPRESENTATIVE FORM/ ROBE REPARTATION.
5. BORANG YANG TIDAK LENGKAP TIDAK AKAN DIPROSES.
INCOMPLETE FORM WILL NOT BE PROCESSED.
MAKLUMAT AKAUN (UNTUK PEMULANGAN DUIT CAGARAN) /ACCOUNT DETAILS
NAMA PEMEGANG AKAUN/
ACCOUNT HOLDER NAME
NO. KAD PENGENALAN
ID NO.
NAMA BANK/ BANKS NAME
*KECUALI BSN/ EXCEPT BSN
NO. AKAUN BANK
BANK ACCOUNT NO.
ALAMAT
ADDRESS
NAMA WARIS
BENEFICIARY NAME
NO. TELEFON WARIS
BENEFICIARY TEL. NO.

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BPA_PEP_37

PENGESAHAN/ CONFIRMATION

FAKULTI/JABATAN/UNIT

CATATAN/ NOTE

T.TGN / COP/ SIGN & STAMP

JUMLAH HUTANG/ LEBIHAN/ EXCESS AMOUNT DUE/ SURPLUS TOTAL DEBT:

..
TELAH MENGAMBIL TRANSKRIP/ HAD TAKEN TRANSCRIPT
1)

PEJABAT BENDAHARI
TREASURY OFFICE

BELUM MENGAMBIL TRANSKRIP/ HAVE NOT TAKEN UP TRANSCRIPT

NO. RESIT/ RECEIPT NO: .
CATATAN/ NOTES: ....
HADIR/ ATTEND

TAK HADIR/ NOT ATTEND

TARIKH/ DATE:

*UNTUK PELAJAR TAJAAN SAHAJA

SEKSYEN BIASISWA DAN TAJAAN,
BAHAGIAN PEMBANGUNAN
MAHASISWA

TAJAAN/ SPONSORSHIP : ..............................................................................

JUMLAH BAYARAN/ TOTAL PAYMENT :.........................................................
CATATAN/ NOTES: ........................................................................................

2)

3)

4)

SEKSYEN ALUMNI DAN

RUNDINGCARA, BAHAGIAN
PEMBANGUNAN MAHASISWA
STUDENT DEVELOPMENT &
ALUMNI DIVISION

BAHAGIAN PEMASARAN &

KOMUNIKASI
MARKETING & COMMUNICATION
DIVISION

BAHAGIAN PENGURUSAN
AKADEMIK
ACADEMIC MANAGEMENT
DIVISION

TARIKH/ DATE:

BORANG TRACER STUDY/ TRACER STUDY FORM

BORANG ALUMNI/ ALUMNI FORM
CATATAN/ NOTES: ..

TARIKH/ DATE:

KAD JEMPUTAN GRADUAN/ GRADUATE INVITATION CARD

TAG NAMA/ NAME TAG
CATATAN/ NOTES: .......

TARIKH/ DATE:

BORANG PENGESAHAN KEHADIRAN/ ATTENDANCE VERIFICATION FORM

PEMOTONGAN KAD PELAJAR

/ STUDENTS CARD CUTTING

CATATAN/ NOTES: ....

TARIKH/ DATE:

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