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RF01 Request Form

This document is a request form for undergraduate students at a university to request various documents and letters from the Academic Management and Admission Division (AMAD) office. It collects the student's name, matric number, program, and contact details. The student can then tick boxes to request certification letters, expected graduation letters, proof of English proficiency letters, or copies of other documents. The form notes that a processing fee of RM1 will be charged for each copy and requests are processed within 3 working days. It provides disclaimers that AMAD should be consulted on request details and they are not responsible for mail issues.

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Muhammad Ariff
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337 views

RF01 Request Form

This document is a request form for undergraduate students at a university to request various documents and letters from the Academic Management and Admission Division (AMAD) office. It collects the student's name, matric number, program, and contact details. The student can then tick boxes to request certification letters, expected graduation letters, proof of English proficiency letters, or copies of other documents. The form notes that a processing fee of RM1 will be charged for each copy and requests are processed within 3 working days. It provides disclaimers that AMAD should be consulted on request details and they are not responsible for mail issues.

Uploaded by

Muhammad Ariff
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REQUEST FORM (ALL LEVELS) (UNDERGRADUATE)

ACADEMIC MANAGEMENT AND ADMISSION DIVISION’S COPY RF01


Version : 01
Revision : 01
Effective Date : 01/06/2017

NAME :
MATRIC NO. : COLLECTION BY : (A) HAND
PROGRAMME : (B) MAIL
MAJOR/MINOR : LEVEL :
PHONE NO. : EMAIL :

REQUEST : (Please tick ( / ) which is necessary) QUANTITY AMOUNT (RM)


CERTIFICATION / CONFIRMATION LETTER (RM1 each)
EXPECTED TO GRADUATE LETTER FOR (RM1 each)
ENGLISH AS A MEDIUM OF INSTRUCTION LETTER (RM1 each)
COPY OF WD / DM / TD LETTER (RM1 each)
OTHERS (RM1 each)
TOTAL AMOUNT

STUDENT’S SIGNATURE : DATE OF COLLECTION :

FOR AMAD OFFICE USE


DISCLAIMER :
Students are advised to ask Academic Management and Admission Division (AMAD) the particular requested
1. before submit the form. AMAD will only process the complete form and will not print out a new request due to
wrong request/misinformation.
2. A processing fee is charged for each copy of the letter.
Please provide sufficient postage and self-addressed envelope if you select collection by mail. Kindly be informed
3.
that AMAD will not be responsible for any damage, loss or late arrival of the posted document.
Please allow three (3) working days excluding the application day for processing. Any enquiries, please call the following
4.
numbers: 03-61964000 ext. 3014.

STUDENT’S COPY

REQUEST FORM (ALL LEVELS) (UNDERGRADUATE)


ACADEMIC MANAGEMENT AND ADMISSION
RF01
Version : 01
Revision : 01
Effective Date : 01/06/2017

REQUEST : (Please tick ( / ) which is necessary) QUANTITY AMOUNT (RM)


CERTIFICATION / CONFIRMATION LETTER (RM1 each)
EXPECTED TO GRADUATE LETTER FOR (RM1 each)
ENGLISH AS A MEDIUM OF INSTRUCTION LETTER (RM1 each)
COPY OF WD / DM / TD LETTER (RM1 each)
OTHERS (RM1 each)
TOTAL AMOUNT
NAME :
MATRIC NO. : DATE OF COLLECTION :
PROGRAMME :
The student will be charged RM 1.00 for each copy requested. Please allow three (3) working days excluding the application day
for processing.

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