Speaker Invitation Form

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Version: 01

Revision: 01
Effective: June 2016
Workstation: ODDSTAD, CFS

Please Attach
Passport Size
Photo
CENTRE FOR FOUNDATION STUDIES

APPLICATION TO INVITE SPEAKER

DETAILS OF PROGRAMME
Programme Name
Organizer
Prog. Manager/ Contact No.
Date
Time
Venue
DETAILS OF SPEAKER
Name
NRIC/Passport Number
Occupation
Address

Contact No. Office No. Mobile No.


Institution / Organisation /
Company
Academic or Professional No Ph.D/Master/Bachelor Degree/Certificate Institution Year Graduated
Qualification

Working Experience No Company Name Post Year

Bank (Please Tick) Muamalat Bank Other Bank (Please Specific):


Islamic Bank
Account No.

ADVISOR
Comment :
______________________________________________________________________________________________
____________________________________________________________________________________

……………………….
(Signature and Stamp)
Name :
Designation : Date :

Student Programme Approval Committee (SPAC)


This application is approved / not approved

………………………………
(Chairman SPAC)
Name :
Official stamp : Date :

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