Professional Documents
Culture Documents
REGISTRATION FORM
UKR 19
SECTION A SECTION B
Acknowledgement of Acceptance Course Registration for Semester SEPTEMBER 2021
TICK (
NO COURSE CODE COURSE TITLE CREDIT
)
Signature : .......................... Date : .......................... Any enquiries regarding OUM Portal, please email to:
Date : ..........................
https://fastrac.oum.edu.my/application/online-application/registration-form-print/idApp/102773313 1/2
9/24/21, 1:51 PM OUM - ONLINE APPLICATION
REGISTRATION CHECKLIST
Name : Mohd Mezlan Bin Hamat Name : Mohd Mezlan Bin Hamat
NRIC :
700521065027 NRIC :
700521065027
Registration Status : [ ] Register [ ] Pre - Register Registration Status : [ ] Register [ ] Pre - Register
Received / Received /
No Items Reviewed No Items Reviewed
6 Original AND a copy of Identification Card / 6 Original AND a copy of Identification Card /
Passport. Passport.
7 Original AND a copy of Job Confirmation 7 Original AND a copy of Job Confirmation
Letter, if stated in the programme's entry Letter, if stated in the programme's entry
requirement. requirement.
8 Two copies of completed UKR 19 Form. 8 Two copies of completed UKR 19 Form.
UG : RM 230/-
UG : RM 230/-
PG : RM 550/- PG : RM 550/-
Kindly submit the document(s) marked with 'X' soonest to ensure that
you have
completed the registration procedures.
Please be reminded
that delayed completion of registration may cause disruption
of
services.
Doc Status : INCOMPLETE Doc Status : COMPLETE Doc Status : INCOMPLETE Doc Status : COMPLETE
Received by : Received by : Received by : Received by :
Name : Name : Name : Name :
Date : Date : Date : Date :
https://fastrac.oum.edu.my/application/online-application/registration-form-print/idApp/102773313 2/2