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UNIVERSITY MALAYA MEDICAL CENTRE

KUALA LUMPUR

APPENDIX A

Human Resources Department


University Malaya Medical Centre
Lembah Pantai
59100 Kuala Lumpur
MALAYSIA

Dear Sir/Madam,

CLINICAL ATTACHMENT AT UNIVERSITY MALAYA MEDICAL CENTRE

I refer to your letter ref : _______________________ dated __________________


regarding the above matter.

2. I accept / do not accept* the attachment programme on the terms and


conditions stated thereof.

3. I will report on ____________________.

Thank you.

_______________
Signature

Name : ________________________

Passport Number : ________________________

Date : ________________________

* Delete whichever not applicable.

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