Appeal Form

Those have any enquiry, please fill in the Appeal Form and hand over it to our assistant.
Malaysia hot line : +60177932933

Course: Diploma Ad. Diploma Bachelor
Appeal Form

Applicant’s Name : _________________________
Address : ____________________________________________ ___________________________________________________________
Phone Number : (H) ___________________
(HP) ___________________
No IC : __________________________
Course : __________________________________
Branch’s Name : ___________________________
Branch’s Contact Number : ___________________
Student ID : ____________________
Course Cancellation P/S:___________________________________________________________________________________________________________________

Course Transfer
P/S:___________________________________________________________________________________________________________________

Postponement
P/S:___________________________________________________________________________________________________________________

Others
P/S:___________________________________________________________________________________________________________________
Date :
Signature : _____________________
( )