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‘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

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