PUSANIKA FACILITY BOOKING FORM | PUSAT HAL EHWAL PELAJAR

Calendar and Form

ENG

KATEGORI *

NAMA PROGRAM *

TUJUAN *

JABATAN / PERSATUAN *

(Jika anda seorang pelajar UKM, anda perlu memuatnaik surat kelulusan iSTAR di bawah)

Drop your file here or click here to upload You can upload up to 1 files.

Tempahan ruang akan terbatal sekiranya dokumen sokongan (i-STAR) tidak dihantar dalam tempoh 7 hari.

TEMPAT *

MULAI *

HINGGA *

NAMA PEMOHON *

NO. TELEFON *

ALAMAT EMEL *

NO. MATRIK/NO. PEKERJA/NO. KAD PENGENALAN *

CATATAN :

Website

CATEGORY *

PROGRAMME NAME *

PURPOSE *

DEPARTMENT / ASSOCIATION *

(If you are a student UKM, please upload the iSTAR form approval below)

Drop your file here or click here to upload You can upload up to 1 files.

The room reservation will be canceled if the supporting document (i-STAR) is not submitted within 7 days.

PLACES *

START *

UNTIL *

APPLICANT NAME *

TELEPHONE NUMBER *

E-MAIL ADDRESS *

MATRIC NO. / EMPLOYEE NO. / IC NO. *

NOTES :

For any inquiries regarding bookings,
Please contact Mr. Ahmad Redzuan Rezaly ( 03-8921 3229 / redzuan91@ukm.edu.my ).