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APPLICATION / APPEAL FORM TO APPLY ON-CAMPUS ACCOMMODATION

Apply / Appeal for Semester / Intake : .

Type of Apartment :

Name : .....

Student ID : .

H/P No : ...

Email : ..

Home Address : ..

Current Semester Accommodation Record : ..

Involvement in Apartment Activities:


No. Activity Date
1
2
3

Vehicles Information Record (Car / Motorcycle) :

Registration No :

Model :

Colour :

Type & Rate Of Accommodation :


Cendekiawan Murni 1 & 2 Ilmu Amanah
Apartment (Male) Murni 3 (MSA) (Female) (Female) (Male)

Type Single 1 Single 2 Sharing Single Sharing Single 1 Single 2 Sharing Single Sharing Sharing
Rate per month
(RM) 335.00 300.00 230.00 350.00 265.00 335.00 300.00 230.00 335.00 240.00 240.00

Student Signature Executive


Approve / Not Approved

Date:

Updated on January 2017

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