UNIVERSITY LETTERHEAD

STATEMENT LETTER
UNIVERSITY CONSENT

I, the undersigned,

Name :
Employee ID Number :
Position :

hereby affirm and certify that

Name :
ID Number :
Student Number :
Majority/Study Program :
Faculty :
Latest Semester :
Title of Final Research Project:

 Is indeed a student in the *(undergraduate/postgraduate) study program at the

University of ………
 Is *(a final year student/student) graduated from the Department of……….,
Faculty……., University ……
 Has carried out his final assignment session on…. (date/month/year) and *(will
graduate/has been graduated) on ….. (date/month/year).

Thus, this affidavit is made to be used properly.

…………….., ………………………. 2024

Notary Public

Signature & Seal

Name

Note:
Those marked with (*) select one of the statements.