Borang Permohonan Gerai Majlis Konvokesyen ke 16 UCAM

A. MAKLUMAT PENGGERAI

Jenis Gerai : Gerai Kering Gerai Basah

Bilangan Lot : ____ lot

Nama Pemohon : _______________________________________________________

No. Kad Pengenalan : ________________________________

Nama Syarikat/ Agensi : _______________________________________________________

/Kelab (Pelajar UCAM)

Alamat Syarikat/ Agensi : _______________________________________________________

_______________________________________________________

_______________________________________________________

No. Telefon (Pejabat) : _________________________________

No. Telefon (Bimbit) : _________________________________

B. BARANG JUALAN

Barang yang dijual seperti berikut

1. _______________________________
2. _______________________________
3. _______________________________
4. _______________________________
5. _______________________________

C. CAJ SEWAAN

Tandakan mengikut kemampuan

RM500-RM750
RM750-RM1000
RM1000-RM1500
RM1500-RM2000
D. PERNYATAAN LAIN YANG MENYOKONG PERMOHONAN

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