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Mengilham Harapan, Mencipta Masa Depan

Inspiring Futures, Nurturing Possibilities

(1)
BORANG PENJAMIN KEWANGAN
(1)
(FINANCIAL GUARANTOR FORM)

1. NAMA PEMOHON :

(APPLICANT'S NAME)

2. NO. PASPORT :

(PASSPORT NO.)

[Untuk Pemohon Luar Negara Sahaja (For Foreign Applicants Only) ]

[Diisi Oleh Penjamin Kewangan Sendiri (To Be Filled In By Financial Guarantor) ]

1. NAMA PENJAMIN :
(GUARANTOR'S NAME)

2. NO. KAD PENGENALAN (I/C) / :

NO. PASSPORT (PASSPORT NO.)


3. ALAMAT :
(ADDRESS)

4. NO. TELEFON PEJABAT :


(OFFICE TELEPHONE NO.)

5. NO. TELEFON RUMAH :


(HOUSE TELEPHONE NO.)

6. TELEFON BIMBIT :
(MOBILE)

7. PEKERJAAN :
(OCCUPATION)

8. PENDAPATAN SEBULAN :
(INCOME PER MONTH)

PENGAKUAN PENJAMIN (DECLARATION BY THE FINANCIAL GUARANTOR)

Saya mengaku akan menjelaskan segala bayaran pengajian pemohon di UKM sekiranya pemohon tidak mampu/gagal menjelaskannya
(I hereby declare that I will settle all the outstanding payments due to UKM for the applicant for his/her study at UKM in the event that he/she is unable to do so)

Tarikh (Date) Tandatangan (Signature)


Mengilham Harapan, Mencipta Masa Depan
Inspiring Futures, Nurturing Possibilities

(2)
BORANG PENJAMIN KEWANGAN
(2)
(FINANCIAL GUARANTOR FORM)

1. NAMA PEMOHON :

(APPLICANT'S NAME)

2. NO. PASPORT :

(PASSPORT NO.)

[Untuk Pemohon Luar Negara Sahaja (For Foreign Applicants Only) ]

[Diisi Oleh Penjamin Kewangan Sendiri (To Be Filled In By Financial Guarantor) ]

1. NAMA PENJAMIN :
(GUARANTOR'S NAME)

2. NO. KAD PENGENALAN (I/C) / :

NO. PASSPORT (PASSPORT NO.)


3. ALAMAT :
(ADDRESS)

4. NO. TELEFON PEJABAT :


(OFFICE TELEPHONE NO.)

5. NO. TELEFON RUMAH :


(HOUSE TELEPHONE NO.)

6. TELEFON BIMBIT :
(MOBILE)

7. PEKERJAAN :
(OCCUPATION)

8. PENDAPATAN SEBULAN :
(INCOME PER MONTH)

PENGAKUAN PENJAMIN (DECLARATION BY THE FINANCIAL GUARANTOR)

Saya mengaku akan menjelaskan segala bayaran pengajian pemohon di UKM sekiranya pemohon tidak mampu/gagal menjelaskannya
(I hereby declare that I will settle all the outstanding payments due to UKM for the applicant for his/her study at UKM in the event that he/she is unable to do so)

Tarikh (Date) Tandatangan (Signature)

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