IEM PI C400

THE INSTITUTION OF ENGINEERS, MALAYSIA

Professional Interview Result Appeal Form
March 2019

Candidate Information

Name
IC Number
Discipline Interviewed

Professional Interview Information

Date / Time
Location
Interviewer 1
Interviewer 2

Reasons for Appeal

 I have paid up the fee of RM300.00 for the processing of this appeal and agreed that the
payment is non-returnable.
 I understand that the Institution of Engineers, Malaysia has the absolute discretion to
accept or reject this appeal without giving any reason whatsoever.
 I agree to pay for the fee for re-assessing the appeal, if the approval for the appeal is
granted. The payment is non-returnable, regardless of the result of the appeal.
 I agree that the result of the appeal will be conclusive and final, and no further appeal is
permitted.

Signature : Date :

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