Rev.

16: 19th December 2011

CONFIRMATION ACCEPTANCE SLIP

To accept our offer, you may either; 1) Mail the slip below to: Academic Administration Department Universiti Tun Abdul Razak Capital Square, Blocks C & D No. 8, Jalan Munshi Abdullah 50100 Kuala Lumpur OR 2) Fax to 03-7627 7099

ADMISSION FEBRUARY 2013 I, AHMAD AFIQ BIN MOHD RAHIM I/C No 940922035227 accept the offer to enrol _______________________________________________________ (please state programme offered). I hereby attach a postal order/ money order/ bank draft of RM550.00 (inclusive of RM50.00 processing fee) payable to Universiti Tun Abdul Razak Sdn. Bhd. as initial payment of fee and understand that this payment shall be non-refundable in the event of my failure to register into the university.

I require accommodation (please tick) YES Yours sincerely, ....................................... (Signature) Date :.............................

NO

Rev.16: 19th December 2011

REGISTRATION INSTRUCTIONS

Students are required to register at the venue and date stated in the Offer Letter. Please bring the following documents during Registration Day: CHECK LIST Offer Letter or Pre-printed Conditional Offer Letter via Online Applications; Pre-printed Registration Form via Online Applications; Original and Certified true copy of actual/forecast SPM/O-Level, STPM/ALevel/Other equivalent results , Original and Certified true copy of MUET result (for STPM holders); Original and Certified true copy of Identification Card/Passport; Minimum fee payment of RM1,550.00 or a balance of RM1,000.00 (if student has made an initial payment of RM550.00). Payments are to be made by Cash/Credit Card/CIMB Clicks/Cheque/Bank Draft/Postal Order Money Order, made payable to UNIVERSITI TUN ABDUL RAZAK SDN BHD or directly bank-in to UNIRAZAK's CIMB Current Account No. 14260000443108 and present the bank-in slip during the registration as a proof of payment. ; The completed Letter of Guarantee and Indemnity (LGI) Form. Students shall not be allowed to register if they fail to submit the completed LGI; 3 passport-sized colored photographs. Skim Simpanan Pendidikan Nasional (SSPN) member's card / SSPN deposit slip / SSPN account statement printed from the website (for PTPTN purposes) If you are using other equivalent qualification(s) for example, Diploma from College/Institution/Polytechnic, you are also required to submit together the following documents : Certified true copy of Certificate of Awards; Official and Certified true copy of academic transcripts; All relevant information and materials related to your previous studies from SPM onwards.

FM-AA/AD-04

REGISTRATION FORM Course Application Details Programme : Bachelor of Accounting (CPA) (Hons)

Study Centre : RAZAK CAMPUS

Affix Passport Size Photograph here

Study Mode :

FULL TIME

PART TIME Matric No : ___________________________

Personal Particulars Full Name(As : AHMAD AFIQ BIN MOHD RAHIM in IC) Identity : 940922035227 Card Place of : KAMPUNG KOLAM Issue Citizenship /: Nationality Race : Postal : address
LOT 3252, KAMPUNG KOLAM MELOR

Religion : Date of : birth Country : Sex : Marital : status

22/09/1994

Postcode : District :

16400 KOTA BHARU

State :

Telephone : Permanent : address

0136754212

Fax :

LOT 3252, KAMPUNG KOLAM MELOR

Postcode : District : Telephone :

16400 KOTA BHARU 0136754212

State : Fax : Rev.2:April 2010 FM-AA/AD-04

Family Particulars Name of father /guardian : Identity card no : Citizenship : Occupation :

TEACHER 3000.0 MOHD RAHIM BIN AWANG 610719035721

Annual income : RM No of dependent : Office address :

8

(500.00)

Telephone no : Fax :

0179576186

Academic Qualifications: SPM / SPMV / O Level Year : 2011 * Aggregate : 0 * Subject/Grade Bahasa : A * Matematik : A * Inggeris Bahasa A+ A: Fizik : Melayu * * Matematik AC+ : Biologi : Tambahan * * Pengetahuan A+ B+ Agama : Kimia : * * Islam Sejarah : A+

* Working Experience Job Title 1. 2. 3. 4. Rev.2:April 2010

Organization

Start Date

End Date

FM-AA/AD-04 Declaration As to Fitness Do you suffer from any physical disability or illness? If so, please spesify the nature of these conditions. Otherwise please state "None". Cereberal Palsy Learning Disability Physical Disability Hearing Disability Vision Disability Others None OKU Registration No :
6246

Student Declarations and Oath 1. I sincerely declare that: (i) I am of legal age, of sound mind and qualified to form a binding contract and not a person barred from receiving services under the laws of the Malaysia or other applicable jurisdiction. (ii) I agree to : (a) provide true, accurate, current and complete information about myself as prompted by this registration form and (b) maintain and promptly update the registration data to keep it true, accurate, current and complete. If any information I provide is untrue, inaccurate, not current or incomplete, or the University has reasonablegrounds to suspect that such information is untrue, inaccurate, not current or incomplete, the University has the right to reject my application into the University or suspend or terminate my enrolment as student of the University and refuse any and all current or future use of the service of the University without prejudice to the University's right accrued before such suspension or termination. 2. I solemnly promise during the period of my study at this University that:

(i) I shall abide by the laws of the country; (ii) I shall abide by the rules and regulations of the University, the student discipline rules and any other rules and regulations in force or made from time to time; iii) I shall uphold the good name of the University at all times anf be equally responsible to protect the property and facilities of the University from being damaged or destroyed by me or anyone else; iv) I shall not be involved in any undesirable activity that will interfere with the administrative and/or academic function of the University; (v) I shall devote my time to be active in my studies and shall fulfill all educational conditions required; and (vi) I shall not do any act whether directly or indirectly that shall infringe the intelectual property right or the copyright of the University and/or any other third party and I shall not disclose any confidential information relating to the University during my study at the University and thereafter. 3. I declare that the information given in this form is true and correct. I understand that my application can be rejected in the event that I have submitted an incorrect and incomplete information. ___________________________________ (Signature) Name : NRIC No : Date :

Rev.2:April 2010 FM-AA/AD-04 FOR OFFICE USE ONLY (CHECKLIST) Document verification Documents verified to be certified true copies of the original: Offer letter SPM STPM Personal Identification Certificate Diploma Verified by :_______________________________ Signature

Other : please state _____________________

Degree

Name : Date : Time:

Programme Registration Student Qualified to be registered into : Name of programme : MEL :1/2/3/4 Entry qualification : SPM / O Level / STPM / A Level / Certificate / Diploma / Degree/ Open Ent

Verified By Name Date Time

: ________________________________ Signature : : :

Fee payment Received from student RM_____________ as payment for : Annual Fee/Semester Administration Fee and Registration Fee Processing Fee of RM __________. Other : please state Verified by :__________________________ Signature Name :

Date : _____________________ Time: Mode of payment : Cash / Money Order / Postal Order / Credit Card / Direct Debit / Cheque No. ___________________ Matric number / Matric card / Registration Kit 1. Student matriculation number generated by : _____________________ Signature Name : Date : Time : Credit Transfer / English Placement 1. Credit transfer Bahasa Melayu Level 1 Level 2 P.Islam Level 3 P.Moral Not Applicable Level 4 Others : Level IEP 2. Temporary card, registration kit and souvenir issued by: _____________________ Signature Name : Date : Time :

2. English placement 3. LAN Course

P.Malaysia

______________________________ 3. None of the above is applicable Checked by : _____________________ Signature Name : Date : Time : Processed by : _____________________ Signature Name : Date : Time : Rev.2:April 2010

Our Ref Date

: UNIRAZAK/ACAD/COL/February 2013 /BAcc(CPA)2 :

15 January

AHMAD AFIQ BIN MOHD RAHIM LOT 3252, KAMPUNG KOLAM MELOR 16400 KOTA BHARU KELANTAN Dear Student, ADMISSION FOR FEBRUARY 2013 INTAKE Congratulations! We are pleased to offer you the opportunity to study at Universiti Tun Abdul Razak in the following programme: Programme Session Duration Study Mode Registration details : Date Venue : : : : : : Bachelor of Accounting (CPA) (Hons) February 2013 (1+4) Years Full-time 27th & 28th January 2013 Universiti Tun Abdul Razak Capital Square, Blocks C & D No. 8, Jalan Munshi Abdullah 50100 Kuala Lumpur 9.00am - 5.00pm 03-7627 7023 Puan Razeeffa Binti Rahmat As scheduled by the Student Affairs & Development Department. Attendance is compulsory

Time Telephone No. Contact Person Orientation Programme

: : : :

This offer is valid upon verification of your ACTUAL SPM/SPMV results. You are required to complete one (1) year of Foundation studies successfully with a CGPA of 2.00 or better before you are allowed to continue with your bachelor programme. However, the University reserves the right to withdraw this offer should your results not fulfil our entry requirements. Should you need any assistance or clarification about the programme, kindly contact Academic Administration Department (Admission Unit) 03-76277086. Details of the Orientation Programme will be provided on the Registration Day.

We look forward to seeing you on Registration Day.

Yours sincerely

SYED HARON AHMAD Registrar * This offer letter is valid for FEBRUARY 2013 Intake only.