APEL WITHDRAW FORM

(APELC02)

SECTION A
Personal Particulars

Name : _______________________________________________

MyKad No. : _______________________________________________

Contact No. : _______________________________________________

Email : _______________________________________________

SECTION B

Indicate the course(s) to withdraw from the APEL C Assessment.

) to
Select (

NO COURSE CODE COURSE TITLE
WITHDRAW

*Note: A fee of RM300 per course will be refunded if the course is dropped before the deadline.

To WITHDRAW would indicate you intend to postpone the APEL C course(s) that you have registered
this semester and re-applied them in subsequent semesters.

I have read and understood the Guidelines for APEL and agree to withdraw the APEL C assessment for
the courses indicated above.

Signature : __________________________________

Date : __________________________________

Complete this form and email us at apel@oum.edu.my

Enquiries : 03-2773 2556/2700/2786