UNIVERSTY OF MALAYA (STUDENTS BODIES) STATUTE 1979

Paragraph 21(2)

FORM 6
Application for membership of a Student Body

To: The Secretary,

____________________________

University of Malaya

1. I _________________________________________________________________________
apply to be a member of _____________________________________________________

2. I satisfy the requirements for membership of the said student body, and I set out below the
manner in which I satisfy the said requirements:
___________________________________________________________________________
___________________________________________________________________________

3. My personal particulars are as follows:

(a) Name of Applicant :

(b) Ethnic Group :
(c) Sex :
(d) Passport Number :
(e) Registration Number :
(f) Faculty :
(g) Year :
(h) Term Address :
(i) Home Address :

4. I undertake to notify the Secretary of the said student body in writing of any change in my
personal particulars at set out above in paragraph 3 as soon as occurs, and forward at the same time
a copy of such notification to the Registrar of Student Bodies.

5. I also undertake to forthwith notify the Secretary of the said student body in writing if any
time in the future I fail to fulfill the requirements of its membership or become otherwise
disqualified for its membership, and forward at the same time a copy of such notification to the
Registrar of Student Bodies.

Date: ____________________________ ____________________________

(Signature of Applicant)

Copy to: The Registrar of Student Bodies

University of Malaya