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FORMA
(FOR COLLECTION OF ROBE SET, INVITATION AND MULTIMEDIA CARDS)
UGO07
KAED - URP - 0020
GRADUAND INFORMATION
Matric No 1819253
Name MUHAMMAD QHAIRUL IZWAN BIN MOHD YAAZIR
Programme BACHELOR OF URBAN AND REGIONAL PLANNING (HONOURS)
Programme Level UNDERGRADUATE
Kulliyyah KULLIYYAH OF ARCHITECTURE & ENVIRONMENTAL DESIGN
Collection Robe Return
18th - 19th November 2023
(Main Hall, ICC -Entrance 7(In .
Date(venue ; Hoamtof River Side) Date(s) 25th November 2023 - Ind December
Me = 21st - 29th November 2023 oe °
(Robe Room, TUM Cultural Time + 9.00 am - 5.00 pm
Centre (ICC) - Entrance 14) |, Robe Room, IIUM Cultural Centre
enue .C) hs
Time 9.00 am - 5.00 pm (ICC) - Entrance 14
(Size Requested : Note : A charge of RM10 per day will be imposed
Robe XS/SMILIXL/XXL/XXXL) for any late return of the robe set. The University
also reserves the right to claim compensation at the
purchase price if the robe set is found damaged or
lost.
Note : On the collection day, you will be required to
produce this printed form. A printing charge of RMI
per sheet will be imposed if printed by the
Secretariat.
‘CEREMONY INFORMATION
Seating Arrangement Information :
(If your seat number does not appear here, please check again a day BEFORE
the ceremony date)
SeatNo: RIL 15
Reminder :
The University reserves the rights not to allow any graduand who does not observe FULLY the UM
Graduation dress code to join the ceremony.
” CUTHERE =
COLLECTION OF ROBE SET, INVITATION AND MULTIMEDIA CARDS
UGOT
KAED - URP - 0020
Matrie No 1819253
Name MUHAMMAD QHAIRUL IZWAN BIN MOHD YAAZIR
Programme BACHELOR OF URBAN AND REGIONAL PLANNING (HONOURS)
Programme Level UNDERGRADUATE
Kulliyyah KULLIYYAH OF ARCHITECTURE & ENVIRONMENTAL DESIGN
STAMP
Thereby certify that I have collected the Robe Set, Invitation Cards &
Multimedia Card on Date :
Signature :
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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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Print Invitation Letter
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