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Candidate Information
Name
IC Number
Discipline Interviewed
I have paid up the fee for the processing of this appeal and agreed that the payment is
non-returnable.
I understand that the Institution of Engineers, Malaysia has the absolute discretion to
accept or reject this appeal without giving any reason whatsoever.
I agree to pay for the fee for re-assessing the appeal, if the approval for the appeal is
granted. The payment is non-returnable, regardless of the result of the appeal.
I agree that the result of the appeal will be conclusive and final, and no further appeal is
permitted.
Signature : Date :
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