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Application Form for Deferment of Semester (UKR 10)

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APPLICATION FORM FOR DEFERMENT OF SEMESTER (UKR 10) [ Print Copy of Application ] Section A Reference No Name Programme Learning Centre NRIC No. Intake Postal Address Telephone (Home) Handphone/Mobile Email Section B REASON FOR DEFERRING STUDIES I wish to apply to defer my studies for the semester JANUARI for year 2011 because WORK-RELATED MATTER. : UKR10-680605105115-1 : NORZAIDI BIN SUPARNO : BACHELOR OF BUSINESS ADMINISTRATION WITH HONOURS : SERDANG RAYA LEARNING CENTRE : 680605105115 : JANUARI 2011 Matric No. Current Semester : 680605105115001 : JANUARI 2011

: B105 KYOTO GARDEN BUKIT ANTARABANGSA AMPANG 68000 SELANGOR MALAYSIA : 03-41086002 : 0163600031 : zaidi_oum@oum.edu.my Telephone (Office) Contact No. : 0321419044 : 0163600031

I will register again for semester MEI year 2011. Date Application Status Section C FOR ADMINISTRATOR RECOMMENDATION FOR STUDENT TO DEFER FOR ADMISSION AND RECORDS UNIT (UKR) Updated I-Campus System g c d e f : Mac 11, 2011, 11:02 am : PERMOHONAN BARU

Date :

................................................ Signature & Stamping Date [ Back ]

Open University Malaysia, Jalan Tun Ismail, 50480 Kuala Lumpur. Tel : 1 300 887 300 @ 603- 2773 2429/2428. Fax : 603- 2697 8794/ 603-2697 8853 Any complaints @ issues can be submitted via e-Customer Management. Web : www.oum.edu.my

http://www2.oum.edu.my/ukr_online/form/UKR10/index.php?op=view

11/3/2011

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