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APPEAL FORM TO APPLY ON-CAMPUS ACCOMMODATION

Appeal for Semester


: Semester 1 16/17

Type of Apartment
: Amanah Sharing
Name : Nirvenesh A/L Ravindran .
Student ID : ME095557..
Address : 20, Lrg Berani 3, Bgn Jermal, 12300,Butterworth
Tel No : .

H/P No : 0174531081
..

Email:

Current Semester Accommodation Record : Semester 2 15/16 A3-02-08

Involvement in Apartment
Num
Aktivity

Date
Activities
1

MPP Corporate Communication Executive

Courtesy Visit to Prime Ministers Office

Youth For Intergrity with Senator Paul Low

Vehicles Record Information

Car / Motorcycle

Registration No : PJH 6535

Model :

SAGA BLM

Colour :

Grey

Type & Rate

Apartment

Cendekiawan

Murni (MSA)

Murni 1 & 2

Ilmu

Amanah

Type

Single 1
Sharing
Single 2

Single

Sharing

single

Single

Sharing

Sharing

Rate permonth (rm)


300.00
230.00

335.00
350.00

265.00

335.00

335.00

240.00
240.00

Executive
Student Signature
Approve / Not Approved

Date :

26th April 2016

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