‘Ver 4; Nov. 2012
‘COLLEGE OF GRADUATE STUDIES
JALAN IKRAM-UNITEN, 43000 KAJANG, SELANGOR
APPLICATION FOR TUITION FEE DISCOUNT FOR POSTGRADUATE.
PART A TO BE COMPLETED BY STUDENT
T. Student's Biodata
Name = Student's ID:
Date of Registration Program: [NRIC or Passport Program/Structure:
Phone: HP: Em
TL Application for Discount (Please fick () ona :
50% (Students taking tutoring for 2 hours a week or lab [—] 25% (UNITEN’s staf), please enclose document to
‘work for 3 hours, Structure A only), please proceed to verify tha you are a UNITEN’s staf
section Mand Part B . —
20% (UNITEN’s returning student, Stuctue A, B,C),
please enlace document to veri that you ae a retiring
Student
Discount Requested for Semester: (must be fled)
IL. Teaching Assignment
Course: Course Code: Sectionk Wo, of Stadeats
Course Coarse Code: Seationk No of Sdents
Other ASignment
‘Note: I declare the info provided is correct.
Student's Signature: ——______ Date
PARTB 0 BE COMPLETED BY RESPECTIVE COLLEGE
TV. Comments and Approval
Main Supervisor Department Head Dean of Respective Colege
Approved [] Not Approved Approved ‘Not Approved Approved Not Approved
Comment: Comment Cor
Signature Signe Signature:
Date Date Date:
ParTc FOR COGS USE
‘Approved [-_] % Discount Approved, Not Approved
of Graduate Studies