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Appendix I

GRADUATION CEREMONY NOVEMBER 7, 2009


CONFIRMATION OF ATTENDANCE

School/ Center:

Programme: BBDUH/BMAUH /DIPLOMA

I, SALBIAH MOHD YATIM holder of (NRIC No/ Passport No: 880516-12-5452) of (address in
full) HOSTEL C2-12 INTI UNIVERSITY COLLEGE, PERSIARAN PERDANA BBN, 71800
NILAI,NEGERI SEMBILAN
Tel 014-6749719
YES
Will be attending

Will not be attending

the above Ceremony which will be held on November 7, 2009 at Mary Yek Hall, INTI College Sarawak,
Kuching. I understand that registration is at 8:00 a.m. sharp.

I further understand that a sum of RM100.00 will be deducted from my deposit if I fail to attend for any
reason whatsoever.

My Height is: _____159_____ cm (for Graduation Gown)

I wish to confirm that:

1. Number of invitation cards required for my guests: _____2_______

Photograph session with Jacky studio. Please pay directly to the JACKY STUDIO on the day of the
ceremony.

For collection of graduation gown, kindly make payment at the Finance Department and ensure that you
return this form to your respective Heads of Programmes.

21-10-2009 SALBIAH, MY
Date: Signature:
Email:
___sh.code@yahoo.com________________________

FOR FINANCE OFFICE


Cash : ____________________ Amount paid: ___________________
Receipt No ____________________ Received by: ___________________

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