Office 

of the Deputy Vice­Chancellor  
(Academic & International)  
Universiti Teknologi Malaysia  
81310 Johor Bahru  
Johor, Malaysia  

ARN No.: M222311906 06 November 2022

MUHAMMAD ALI (A10441071)
ASHEIKRI WARD, GEIDAM LOCAL GOVERNMENT AREA, YOBE STATE
234 GEIDAM
NIGERIA

Dear Sir/Madam,

OFFER FOR POSTGRADUATE ADMISSION ACADEMIC SESSION 20222023 (SEM. 2)

Congratulations! We are pleased to offer you a place in our postgraduate programme as stated below:

Faculty : Faculty of Science
School : Faculty of Science
Programme : Master of Science (Biotechnology)
Specialization : ­
Programme Code : MSCBA2AJA
Type : Mixed Mode
Normal Duration : 3 ­ 8 Semester (18 ­ 48 Months)
Reception date : 20 February 2023 (Monday )
Time : 09:00 AM (Local Time)
Campus : UTM Johor Bahru
Venue : https://edaftar.utm.my/

2.  This offer is subject to the satisfactory fulfillment of the following conditions and other conditions stated in Annex
I;

a. Undergo a medical check​ u p in Malaysia (arranged by the University) and be certified healthy and
medically fit to accept the offer. The university reserves the rights to withdraw this offer or terminate
your study immediately  if you are found to suffer or be a carrier of any contagious / infectious
diseases, or have a medical condition requiring continuous medical care that will adversely affect your
study at UTM. Please refer to Annex II for details.

b. Fulfill the English language proficiency standards / requirements:

(i) Achieve a minimum score in: TOEFL iBT score of 60 and above, OR IELTS (Academic) band 6.0 and
above, OR Cambridge English Qualifications (CEQ) (e.g. B2 First, C1 Advanced, C2 Proficiency) Score
of 169 and above, OR PTE Academic Score of 59 and above, OR Malaysian University Entrance Test
(MUET) Band 4 and above. 

The score validity is of  TWO (2) years counting from the date of receiving it.  Institutional based /

prediction score (e.g. TOEFL / IELTS / others) is not acceptable.

c. As an international student, you are required to have a Student Pass for study in UTM.  This offer of
admission does not come with a student pass.  An international student has to apply for the Visa
Approval Letter (VAL) issued by the Malaysia Immigration Department and get a Single Entry Visa from
the Malaysia Embassy / Consulate in your country before entering Malaysia. The fee and charges for
visa applications have to be paid separately from the tuition fee / registration fee. Please refer to Annex V
(i) for details on the visa application.
 d. This offer is valid for ONE SEMESTER only. The last date for registration is 02 March 2023 (Thursday ) .

e. You must go through the Annexure (I – V)

f. Kindly notify your acceptance of this offer as soon as possible through online.

We  look forward to welcoming you to UTM. For further information, please do not  hesitate to contact us at

pgrad@utm.my.

Yours sincerely,

NAJWA BINTI MOHAMED
Senior Assistant Registrar
Postgraduate Admission Unit
Student Recruitment & Admission Division (SRAD)
Universiti Teknologi Malaysia
for Vice Chancellor 
Phone: 075537904
Email: najwa@utm.my

cc.: ­ Dean, Faculty of Science
Attention : Prof. Madya Dr. Shafinaz Binti Shahir
­ Supervisor(s)
 ANNEX I

TERMS AND CONDITIONS

Name : MUHAMMAD ALI
Programme : Master Of Science (Biotechnology) ­ MSCBA2AJA
Field of Research :­

This offer is conditional on you satisfying the following requirements:

1. All information given in the application form shall be the truth. If there is any false declaration for gaining entry to
UTM, the University reserves the rights to immediately withdraw this offer at any time.

2. a) You are required to undergo a compulsory medical check up in Malaysia (arranged by the University) and be
certified healthy and free from any contagious/infectious disease or illness that will adversely affect your
study. International students from yellow fever endemic areas without a valid immunisation certificate will be
immediately quarantined on arrival for Six (6) days excluding the travel period. The university reserves the
rights to withdraw this offer or immediately terminate your study if you are found to suffer or be a carrier
of contagious/infectious diseases, or suffer from a medical condition requiring continuous medical care
that will adversely affect your study at UTM (Please refer to Annex II ).

b) You must be physically fit with no severe visual acuity defect, colour blindness and severe physical deformity
that can affect performance in lab work for related programmes.

3. You MUST have the following documents during registration:

No. Item Original Copy

i  Offer letter
ii  Bachelor's and Master's degree certificates
iii  Bachelor's and Master's degree transcript
iv English Language Certificate:
 IELTS (Academic) Band 6.0; or TOEFL iBT
Score of 60; or
 Cambridge English Qualifications (CEQ) –
B2 First, C1 Advanced, C2 Proficiency Score
of 169 and above; or
 PTE Academic – Score of 59 and above; or
 Malaysian University Entrance Test (MUET)
– Band 4 and above.
v  Passport (valid for at least 18 months) front
page only (front page only)
vi  Passport size photograph

4. If you are not a sponsored student, you must pay the full fees for at least one (1) semester before or during the
registration. Please refer to Annex IV.

5. You may be required by the faculty to register and fulfil the requirements for additional courses apart from the
courses in the programme.
 ANNEX II

HEALTH REQUIREMENTS FOR INTERNATIONAL STUDENT REGISTRATION

All new international students are required to undergo a comprehensive medical check­up at UTM Health Centre
before registration. Please read Table 1 and Table 2 carefully to make sure that you are free from serious diseases
and medical conditions that will prevent you from registering at UTM.

The most common diseases and medical conditions are HIV, Hepatitis B and C, Drug Abuse, and long term chronic
illnesses. There were cases where international students were not aware that they suffered from these diseases
until they underwent medical screening at UTM Health Centre. As a result, they were not allowed to register at UTM
and required to leave the country.

To avoid this problem, we strongly advise you to undergo a comprehensive pre­departure medical screening in your
home country.

(i) Communicable Disease
Disease University's Regulation

Detected Before Registration Detected After Registration

1 HIV / AIDS Not fit for registration Allowed to continue studies.

Hepatitis B Medical expenses not covered by
Hepatitis C student health scheme/insurance.
Allow to defer studies max 2
semesters.

2 Tuberculosis Defer registration until complete Allowed to continue studies.

treatment (up to 2 semesters) with Allowed to defer studies max 2
doctor's certification. semesters.

3 Malaria Fit for registration with treatment Allowed to continue studies with

Typhoid covered by student health scheme / treatment covered by student health
Syphilis insurance. scheme / insurance.
Maximum medical leave is 2 weeks.

4 Communicable Disease Not fit for registration Depending on latest health circular

defined as epidemic by issues by Ministry of Health and WHO.
Ministry of Health.
e.g., Japanese
encephalitis, SARS, Avian
flu
Table 1: Communicable Disease
(ii) Non­communicable Disease
Disease
1 Mental health disorder
e.g., Epilepsy Bipolar,
Depression.
2 Chronic illnesses with long
term care
e.g., cancer, dialysis
3 Drug abuse as stated in
the University College Act
(AUKU) and Malaysian
Law.
4 Chronic illness requires
long term treatment
e.g., Hypertension,
Diabetes, Gout.
University's Regulation
Detected Before Registration Detected After Registration
Warrants a medical report from Allowed to continue studies if
attending specialist.  symptoms not affect studies.
Allowed for registration if: Medical expenses not covered by
student health scheme/insurance.
i.  No symptoms for more than 12
months
ii.  Not on treatment by doctor’s
orders
iii.  On treatment (will not be
covered by student health
scheme/insurance).
Not fit for registration Allowed to continue studies if
symptoms does not affect studies.
Medical expenses not covered by
student health scheme/insurance.
Not fit for registration Disciplinary action and termination of
studies.
Fit for registration. Allowed to continue studies if
Medical expenses not covered by symptoms does not affect studies.
student health scheme/insurance. Medical expenses not covered by
student health scheme/insurance.
Table 2: Non­Communicable Disease
 ANNEX III

UTM ENGLISH LANGUAGE REQUIREMENT FOR INTERNATIONAL STUDENTS

All international students who achieve the minimum score in the English language proficiency standards /
requirements set by the University can be admitted into a postgraduate programme. The score validity is of TWO (2)
years counting from the date of receiving it. Institutional based / prediction score (e.g. TOEFL / IELTS / others) is not
acceptable.

International students from the following countries are given an exemption to enroll in a faculty programme:

U n i t e d   S t a t e s   o f Anguilla Antigua and Barbuda Australia Bermuda

America

British Virgin Island Bahamas Barbados Canada Cayman Island

Christmas Island Cook Island Falkland Islands Fiji Guernsey

Guam Gibraltar Grenada Guyana Ghana

Hong Kong India Isle of Man Ireland Jersey

Jamaica Kiribati Kenya Liberia Malawi

Malta Marshall Islands Mauritius Montserrat Micronesia

Namibia Nauru New Zealand Niue Nigeria

Norfolk Island Papua New Guinea Pakistan Philippines Puerto Rico

Palau Rwanda Singapore Saint Kitts and Nevis Saint Lucia

Saint Vincent and the St Helena Samoa Seychelles Sierra Leone

Grenadines

Solomon Island South Africa Sudan Swaziland Tanzania

Tonga Trinidad & Tobago T u r k s   a n d   C a i c o s Uganda United Kingdom

Island

US Virgin Islands Zambia  Zimbabwe

For entry to the Teaching English as a Second Language (TESL) Postgraduate (e.g. Master’s, MPhil, PhD),
candidates must meet one of the following English Language minimum requirements and the score validity is of
TWO (2) years counting from the date of receiving it:

TOEFL iBT score of 95 and above (or IBT/CBT equivalent), or  IELTS Band 7 and above, or  Cambridge English

Qualification (CEQ) – score of 180 and above PTE Academic – 67 and above MUET – Band 5 and above
ARN No.: M222311906 TUITION FEES AND CHARGES ANNEX IV

1. TUITION FEES Registration  Service  Study  Tuition Fees  Tuition Fees 

Fees  Fees  Fees*  (First  (Subsequent 
(one­off)  Semester)  Semester) 
(A) (B) (C) (D) = (A+B+C) (E) = (B+C)
MYR MYR MYR MYR MYR

Master (Taught Course) 3,661.00 1,320.00 6,959.00 11,940.00 8,279.00

MSCBA2AJA

2. PERSONAL BOND MYR Remarks

Personal Bond 2,000.00 a.  In accordance to the rules and regulations of the Immigration

Department of Malaysia, all international students will have to
pay Personal Bond.
b.  Personal Bond must be fully paid before registering as a
new student.

3. OTHER FEES Registration  Service  Fee – IEP /  Fees  Fees 

Fees  Fees  Pre­Master  (First  (Subsequent 
(one­off)  Semester)  Semester) 
(A) (B) (C) (D) = (A+B+C) (E) = (B+C)
MYR MYR MYR MYR MYR

a. Intensive English Program (UTM IEP) ­ Applicable to candidate who do not fulfill UTM English requirement
Master (Taught Course / 3,661.00 1,320.00 2,450.00 7,431.00 3,770.00
Mixed Mode)
Master (Research) 4,061.00 1,320.00 2,450.00 7,831.00 3,770.00
PhD (Mixed Mode) 6,362.00 1,320.00 2,450.00 10,132.00 3,770.00
PhD (Research) 6,362.00 1,320.00 2,450.00 10,132.00 3,770.00

b. Certified Intensive English Programme (ELS­CIEP) ­ Applicable to candidate who do not fulfill UTM English
requirement
Master (Taught Course / 3,661.00 1,320.00 0.00 12,774.00 1,320.00
Mixed Mode)
Master (Research) 4,061.00 1,320.00 0.00 11,674.00 1,320.00
PhD (Mixed Mode) 6,362.00 1,320.00 0.00 14,485.00 1,320.00
PhD (Research) 6,362.00 1,320.00 0.00 13,485.00 1,320.00

c. Pre­Master ­ For students who are not academic qualified for direct entry to the Master program
Master (Taught Course / 3,661.00 1,320.00 3,900.00 8,881.00 5,220.00
Mixed Mode)
Master (Research) 4,061.00 1,320.00 3,900.00 9,281.00 5,220.00

d. Pre­Active
Master (Research) 4,061.00 1,320.00 0.00.00 5,381.00 NA
PhD (Research) 6,362.00 1,320.00 0.00.00 7,682.00 NA

Master Master PhD Remarks

(Mixed Mode) (Research)
MYR MYR MYR
e. Viva Voce Fee NA 1,500.00 2,500.00 Payment before candidates
submitted their thesis for viva voce
f. Thesis Re­Examination NA 1,000.00 2,000.00 Candidates who are required to have
Fee their thesis to be re­examined after
the viva­voce
g. Short Semester Fee Charge is applicable if register a course/s at short semester.
h. Graduation Fee Fee is based on current rate and subject to changes.
Term and Conditions of Study Fee* :

i.  For Taught Course and Mixed Mode students, 60% from Study Fee rate will be charge if total credit hours of
courses register per semester is equal or less than 12 credit hours.
ii.  For Mixed Mode students, full rate will apply for Disertation course OR register a Disertation course
together with another credit courses in same semester.
iii.  Related to Item (i), new student of Taught Course and Mixed Mode is required to pay tuition fee under full
rate of Study Fee. A refund will be process after course registration weeks is over, if total credit hours of
courses registered per semester is equal or less than 12 credit hours.
 PAYMENT METHOD AND OTHER INFORMATIONS

1.  All Students are subject to UTM Rules (Student Financial). This regulation explains the terms & condition of
charge for Withdrawal from University, Deferment, Sponsorship and etc. It is accessible at MyUTM portal
(my.utm.my) and office of the Bursar website ((https://bursary.utm.my/pekeliling/2021)
2.  The above fees do not include Education Malaysia Global Services (EMGS) and visa charges.
3.  The University reserves the right to change the tuition fees at any time
4.  New Student is required to make full payment for first semester of Tuition Fees (Item 1.D) and Personal
Bond (Item 2). Sponsored student is required to email the sponsorship letter to Student Financial Section,
Office of The Bursar.
5.  There is No Cash payment / Debit/Credit Card swipe machine at the Bursar’s Department counter.
Payment via Cash Deposit Machine (CDM), ATM Transfer or Interbank/Instant Fund Transfer is Not
Allowed.
6.  Payment method as below. For future payment, student is advised to pay through MyUTM portal or
UTMSmart Apps once obtained UTMID.

Payment Method
UTM e­Commerce Portal

a. Go to https://ecommerce.utm.my/v3/
b. Click “Make Payment”
c. Select category “[11] Postgraduate Tuition Fee”
d. Click “Add to Chart” for “UTM0442”
e. Click “Proceed to Checkout”
f. Keyin Amount (RM) to pay
g. Key in Client Information (Full Name, Passport / ISID No) ­ Important: “Client Information” is student
informations, even though payment is made on behalf of the student.
h. Choose Payment Type – FPX or Visa/Master Card or Flywire
i. Click Term & Condition. Read & close.
j. Click on the “Submit” button
k. Proceed to next steps and ensure all steps are complete and successful. Official Receipt will be email to
your email address (please ensure you’ve entered valid & active email address). 
Additional Info on Flywire:

1.  Bank Transfer OR Debit/Credit Card as your payment options. Flywire will automatically display the
total amount in your local currency for the available payment options based on the country you select
to pay from.
i.  Bank Transfer ­ Please make arrangements with your bank (in person, online, or over the
phone) and send your funds to Flywire in your chosen currency. For online internet banking,
log in with your credentials to the selected online method and complete your payment to
Flywire.
ii.  Debit/Credit Card will allow you to make an online payment in your home currency. Unlike
traditional international credit card payments, Flywire handles the foreign exchange so you will
know the exact amount that will be deducted from your account before you make your
payment. Please note that debit/credit card payments are not available in every country.
2.  Flywire will then convert your currency and pay to UTM in MYR.
3.  Once payment process complete, you will receive a link in your email by Flywire that allows you to
track your payment and access your payment instructions. The status of your payment will be updated
once your funds have been received by Flywire and delivered to UTM.

Note:

1.  Payment update into your student account is after UTM received payment from Flywire.
2.  More info on Flywire > https://help.flywire.com/hc/en­us/articles/360012463654

7.  Any queries on student financial matters, please email to Student Financial Section, Office of The Bursar,
Universiti Teknologi Malaysia, 81310 Skudai, Johor, Malaysia at bendahari­ukp@utm.my
 ANNEX V (i)

GUIDE FOR VISA APPROVAL LETTER (VAL) APPLICATION

STEP 1
Complete your Scan and compile your documents listed in Annex V (ii) checklist accordingly.
documents

STEP 2
Apply VISA & pay your
student visa online
https://educationmalaysia.gov
.my
Apply your student visa online through Education Malaysia Global Services (EMGS) at
https://educationmalaysia.gov.my Read the EMGS & UTM user guide before
creating an application. EMGS will invoice applicant after completed filling the online
application form. Please note that VISA processing fee may varies according to country.
Student can select payment by Credit Card, Telegraphic Transfer (USD only) or Pay
Through Institution (payment to EMGS bank account using Malaysia bank).
NOTE: If student select payment through Telegraphic Transfer or Pay Through Institution, please email the
transaction slip to visa@utm.my [Johor Bahru Campus] / isckl@utm.my [Kuala Lumpur Campus] and please
provide your passport and application number for reference.

You are able to keep track the status of your visa application [after one (1) week of
submission via https://educationmalaysia.gov.my. Immigration Malaysia will issue
electronic Visa Approval Letter (eVAL) which can be download at EMGS website after
STEP 3 approve of VAL. Once approved, please print the eVAL to obtain Single-Entry-Visa (SEV)
Track application status (refer step 4). It may take 4-8 weeks for VAL approval.
at
https://educationmalaysia.gov.
NOTE:
my
• [Feb 2021 - Latest SOP] Student are required to apply for declaration of Accommodation (DoA) via
https://forms.gle/PBfxauntb83dQUwy6
• 80% stage in tracking system means the VAL is approved. The other 20% is to be fulfilled after the
registration at UTM.

After eVAL can be downloaded, please apply for the Single-Entry Visa (SEV) at the
Malaysia Representative Office as stated in the eVAL. Countries without the Malaysia
Representative Office can obtain Visa on Arrival for Student (VOAS)* at VOA counter
STEP 4 located at Arrival Hall Airport/ Malaysia entry point.
Apply SEV at Malaysia *If you have any queries about the procedure, email to visa@utm.my or enquiry@emgs.com.my
Embassy
NOTE: After approval of VAL & SEV, you may plan your travel. PLEASE PLAN TRAVEL ARRANGEMENTS
CLOSE TO YOUR RECEPTION DATE (i.e. 1-2 days before reception date).

Upon arrival in Malaysia, show your eVAL, SEV & Offer Letter to the Immigration officer.
The Special Pass will endorsed by the Immigration for 30 days. Within the 30 days
period of the Special Pass, you are required to complete the following step to obtain a
STEP 5 Student Pass sticker endorsement:-
(POST-ARRIVAL) 1) Report to UTM International Office (Block S19 for UTM JB or 8th Floor, Menara Razak for
UTM KL) for post-arrival medical check-up arrangement at UTM Health Center within 3 days
Registration at UTM and of arrival.
Student Pass 2) Register as student as stated at offer letter (SRAD for UTM JB or School of Graduate Studies
Endorsement for UTM KL).
3) Submit document for STUDENT PASS ENDORSEMENT within 7 days of arrival at UTM
International. Refer website https://www.utm.my/international/ for documents checklist .

NOTE: It should take 22 working days (or minimum 4 weeks) upon receipt of a complete
documents for student pass endorsement. The student pass application must get Supporting
Letter from EMGS prior submit to Immigration Department. If student exit Malaysia (for any
reason) after registration without complete the student pass endorsement, your VAL and SEV will
be VOID. You have to cancel previous VAL, apply new VAL and repeat the same process if you
required to obtain for student pass in future.
 ANNEX V (ii)

DOCUMENTS REQUIRED FOR VISA APPROVAL LETTER (VAL) APPLICATION

NO. DOCUMENTS REMARKS

1. UTM Offer Letter Original UTM Offer Letter

2. Photo Softcopy of passport photograph (3.5cm x 4.5cm) with WHITE
background only.
Note: Please follow Photo Requirement Guidelines
3. Passport i. Bio-data page (Color)
ii. Pages with visa information & Observation page (if any)
Note: Passport validity is 18 iii. Special Pass (if any)
months from application date Student from countries Nigeria, Libya, Iran, Iraq Somalia,
Sudan,&Syria,
Syria Yemen are required to provide ALL passport pages.
4. Academic Certificates i. Degree - Highest School Certificate
ii. Master – Degree Certificate
iii. Ph.D. – Degree & Master Certificate
5. Academic Transcripts i. Degree- High School Transcript/ Exam Result
Note: to submit together with ii. Master – Degree Transcript
academic certificate iii. Ph.D – Degree & Master Transcript
6. Health Status Declaration Please download template of Declaration of Health Status at
Form http://isc.utm.my > visa & pass > VAL
7 Letter of Eligibility (LOE) or No Applicable for student from Iran and Sudan only. Please refer
Objection Certificate (NOC) http://isc.utm.my > visa & pass for documents preparation.

Please refer to http://isc.utm.my for details

OTHERS INFORMATION

• [Postgraduate only] Married students MUST enter Malaysia as a single traveler. Dependent passes
can only be applied after a student’s pass is issued. Visit http://isc.utm.my/dependent-pass/ for details
• If VAL did not approve within specific time registration period, you are advised to postpone your study
to the following semester. Kindly contact admission office at ugrad@utm.my or pgad@utm.my for
details on registration.
• Please visit http://isc.utm.my/iss for International Student Society (ISS) contact details.

IMPORTANT NOTES:
▪ DO NOT PURCHASE YOUR FLIGHT TICKET until you have obtained the VAL & SEV approval.
▪ Student is advised to travel to Malaysia WITHIN the period of the registration date (i.e. 1 or 2
days before reception date). The Special Pass is given for 30 days only.
▪ International Students WILL NOT BE ALLOWED to register with the University if you don’t have
VAL and SEV.
▪ Students changing from another institution/university within Malaysia, please contact iscjb@utm.my /
isckl@utm.my for variation/ progression procedures.

The Immigration Law of Malaysia DOES NOT ALLOW foreigners entering Malaysia on a Social Visit Pass
to apply for Student Pass. UTM will not be responsible, and or directly or indirectly liable, in any way for
the misuse of the Social Visit Pass.

Update : 040319
 ANNEX V (iii)

BANK ACCOUNT
EDUCATION MALAYSIA GLOBAL SERVICE (EMGS)

If student did not have a credit card, you have an option to pay VAL processing
fee through Telegraphic Transfer (USD only) or Pay Through Institution
(Malaysia Local Bank). Details EMGS bank account as follows:

Bank Name : MALAYAN BANKING BERHAD (MAYBANK)

Account Number : 514057662341
Account name : EMGS Escrow Account 1
Swift Code : MBBEMYKLXXX
Bank Address : Ground & Mezzanine Floor, Bangunan UTMSPACE,
195A, Jalan Tun Razak, 50450 Kuala Lumpur

Note:
1. Visa fee is range between RM1,6xx to RM2,xxx. Amount varies according country
and visa duration.
2. Send proof of payment (pdf) to visa@utm.my by providing your name, country,
passport number and VAL application number (i.e E7000xxxxx)

Update : 040319
 HEALTH DECLARATION FORM FOR APPLICANTS

I hereby declare that I am free from the following diseases / condition:

SELF IF NO, PLEASE

ITEMS YES NO STATE
Tuberculosis
Hepatitis B
IF YOU HAVE SOUGHT
Hepatitis C
CONSULTATION FOR
HIV ANY OF THE LISTED
Drug use/abuse of: DISEASES / CONDITION,
1. Opiates YOU ARE REQUIRED TO
2. Cannabinoids SUBMIT YOUR MEDICAL
3. Amphetamine HISTORY / REPORT
FROM THE TREATING
4. Methamphetamine PHYSICIAN TO THE
Sexually Transmitted EDUCATION MALAYSIA
Diseases GLOBAL SERVICES
Congenital or Inherited (EMGS) PANEL
Disorder CLINIC /
Cancer UNIVERSITY
HEALTH CENTRE.
Epilepsy
Psychiatric Illness
Other Illness

I declare that I will submit myself for compulsory Post-Arrival Health Examination
as per Malaysia regulations. If I am diagnosed with any condition that deems me
UNSUITABLE for studies, I will bear the cost of leaving Malaysia and will adhere to
the immigration requirement on the visit pass and exit before the pass expiration,
or any deadline given to me whichever earlier.

I declare that in the event I am diagnosed with any conditions that do not require
my removal from Malaysia but required medical treatment and I choose to remain
in Malaysia to continue my studies, I will bear all cost relating directly or indirectly
towards the medical management of my medical condition.

I confirm that the EMGS Panel Clinic / University Health Centre shall not be
responsible in any manner or whatsoever, arising out of the EMGS Panel Clinic /
University Health Centre certified of my medical status as suitable to study or
reside in Malaysia despite the medical condition described above. I further
undertake to hold the EMGS Panel Clinic / University Health Centre harmless
from any loss or liability arising from this decision and agree to indemnify and
keep EMGS Panel Clinics / University Health Centre from any loss or liability
arising from this decision.

……………………… …………………………………………………………. .
Date (dd/mm/yyyy) Name of applicants as indicated in passport

…………………………. ……………………………………………………………
Applicant’s signature Applicant’s passport number

Kindly ensure all information requested in this form is complete and updated in the English Language.