Change Of Examination Venue Form
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1FM-RED/EU-01...
Ver. 6:
25/10/13…
UNITAR International University
3-01A Level 3, Tierra Crest
Jalan SS6/3 Kelana Jaya
47301 Petaling Jaya, Selangor
Tel: +603 7627 7200 Fax:+603 7627 7238
CHANGE OF EXAMINATION VENUE FORM
INSTRUCTION : Student is required to read the IMPORTANT GUIDELINES carefully. Please fill up this form completely.
Full Name
(CAPITAL LETTER)
Matric No.
Programme
Email
Contact No
Current Study Centre
Proposed Study Centre
No
Course Code
Course Title
Exam Date
Exam Time
1
2
3
4
5
6
_____________________________________________________________________________
Reason (s) for change:
__________________________________________________________________________________________________
------------------------------------------
_____/_____/_____
Student’s Signature
Date
REGISTRY AND EXAMINATION DEPARTMENT
Financial Outstanding (Please tick √ )
Yes
No
Amount : ________________________________________
Course (s) available at RC (Please tick √ )
Yes
No
Action : ________________________________________
------------------------------------------
_____/_____/_____
Signature & Stamp
Date
IMPORTANT GUIDELINES
1.
Application must be submitted 14 days before the examination week starts.
2.
Completed application form must be submitted to Examination Unit, Registry and Examination Department (RED) via One Stop
Student Services Centre or Programme Coordinator, Regional Centre for further action.
3.
Student is requested to follow up with Exam Unit, RED or Programme Coordinator, Regional Centre on the approval status and
examination arrangement.
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