FORM A

(FOR COLLECTION OF ROBE SET, INVITATION AND MULTIMEDIA CARDS)

UG08
KAHS - DIET - 0024
GRADUAND INFORMATION
Matric No : 1815020
Name : RAJA IZZAH NABILAH BINTI RAJA SAHRUL HISHAN
Programme : BACHELOR OF DIETETICS
Programme Level : UNDERGRADUATE
Kulliyyah : KULLIYYAH OF ALLIED HEALTH SCIENCE
Collection Robe Return
26th - 27th November 2022
Date(s) :
29th November - 7th December 2022 Date(s)
: 3rd - 10th December 2022
Time : 9.00 am - 5.00 pm
Time : 9.00 am - 5.00 pm
IIUM Cultural Centre (ICC),
Venue : IIUM Cultural Centre (ICC), IIUM Venue :
IIUM
_______ (Size Requested :
Robe : Note : A charge of RM50 per day will be
XS/S/M/L/XL/XXL/XXXL)
imposed for any late return of the robe set. The
Note : On the collection day, you will be
University also reserves the right to claim
required to produce this printed form. A printing compensation at the purchase price if the robe
charge of RM1 per sheet will be imposed if
set is found damaged or lost.
printed by the Secretariat.
* The opening and closing time for Robe collection and Return during the days of convocation
ceremony (3rd-7th December 2022) is from 9:00 am to 5:00 pm..
CEREMONY INFORMATION
Seating Arrangement Information :
(If your seat number does not appear here, please check again a day
Seat No :
BEFORE the ceremony date)
Reminder :
The University reserves the rights not to allow any graduand who does not observe FULLY the
IIUM Graduation dress code to join the ceremony.
CUT HERE
COLLECTION OF ROBE SET, INVITATION AND MULTIMEDIA CARDS
:
 UG08
KAHS - DIET - 0024
Matric No : 1815020
Name : RAJA IZZAH NABILAH BINTI RAJA SAHRUL HISHAN
Programme : BACHELOR OF DIETETICS
Programme Level : UNDERGRADUATE
Kulliyyah : KULLIYYAH OF ALLIED HEALTH SCIENCE
STAMP

I hereby certify that I have collected the Robe Set, Invitation

Cards & Multimedia Card on ....................................... Date :...............

Signature :
:
 FORM C

(Authorisation for Collection of Robe Set, Invitation and Multimedia Cards on Behalf)

GRADUAND'S INFORMATION:

Name :
Matric No :
Programme :
Kulliyyah :

I hereby authorize the following person to collect the IIUM Robe Set, Invitation and Multimedia
Cards on my behalf:
Name : _________________________________________________
NRIC/Passport No : _________________________________________________

The attached documents are as proof of this authorisation;

a) Copy of my IC/Student ID Card
b) Copy of IC/Passport of authorized representative

___________________________
(Signature)
Name:
Date:

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