albiruni.iium.edu.my myapps anr robesys form.php

AUTOM Counter 7 ROBE COLLECTION FORM SECTION 1 : STUDENT'S INFORMATION Matric No : 1021631 Name : MUHAMMAD `ATIF B ALI Kulliyyah : ENGINEERING Level of Programme : UNDERGRADUATE Programme : BACHELOR OF ENGINEERING Robe Size : (XS,S,M,L,XL,XXL,XXXL or XXXXL) Collection date : ---------------------------------------- TO BE FILLED IN BY OFFICER IN CHARGE SECTION 2: ATTACHMENT CHECKLIST (i) MoE- Tracer slip (ii) IIUM - Tracer slip SECTION 3: COLLECTION Return of robes Date : 11th - 19th October 2014 Time: 9.00 am to 5.00 pm (including lunch hour) Venue: Robe Room, Cultural Activity Centre (CAC) IIUM Gombak (Please use the entrance facing KAED building) RM10 PER DAY FOR A LATE RETURN WILL BE IMPOSED.ANY DAMAGE/LOST WILL BE CHARGED FOR THE PURCHASE PRICE PER ROBE. Contact number : 03-6196 4012 Robe : Hood : Headgear : * REMINDER : You are required to print this form on your own and bring it together with the MoE - Tracer slip and IIUM - Tracer slip when collecting the robe and invitation cards. A printing charge of RM1.00 will be charged if printed by the Secretariat. http://albiruni.iium.edu.my/myapps/anr/robesys/form.php 1 of 1 10/7/2014 9:42 PM

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AUTOMCounter 7

ROBE COLLECTION FORMSECTION 1 : STUDENT'S INFORMATION

Matric No : 1021631

Name : MUHAMMAD `ATIF B ALI

Kulliyyah : ENGINEERING

Level of Programme : UNDERGRADUATE

Programme : BACHELOR OF ENGINEERING

Robe Size :(XS,S,M,L,XL,XXL,XXXL or XXXXL)

Collection date : ----------------------------------------

TO BE FILLED IN BY OFFICER IN CHARGE

SECTION 2: ATTACHMENT CHECKLIST

(i) MoE- Tracer slip(ii) IIUM - Tracer slip

SECTION 3: COLLECTION

Return of robesDate : 11th - 19th October 2014Time: 9.00 am to 5.00 pm (including lunch hour)

Venue:

Robe Room,Cultural Activity Centre (CAC)IIUM Gombak (Please use the entrancefacing KAED building)

RM10 PER DAY FOR A LATE RETURN WILL BEIMPOSED.ANY DAMAGE/LOST WILL BE CHARGEDFOR THE PURCHASE PRICE PER ROBE.Contact number : 03-6196 4012

Robe : Hood : Headgear :

* REMINDER :

You are required to print this form on your own and bring it together with the MoE - Tracer slip and IIUM - Tracer slip whencollecting the robe and invitation cards. A printing charge of RM1.00 will be charged if printed by the Secretariat.

http://albiruni.iium.edu.my/myapps/anr/robesys/form.php

1 of 1 10/7/2014 9:42 PM