TYPE OF FOR OFFICE USE ONLY:

APPLICATION:

STUDENT AID Lost DATE RECEIVED: REMARKS:

RECEIVED BY:
Lost/Found Form Found

NO: SUBJECT AND ITEMS LOST/FOUND: LOCATION, TIME, DATE:

DESCRIPTION OF LOST/FOUND ITEM :

REPORTING STUDENT/STAFF INFO:

NAME: CONTACT NO.: EMAIL:

ID NO.: FACULTY/PROGRAM:

I HEREBY AGREE AND ACKNOWLEDGE THAT ALL THE ABOVE INFORMATION GIVEN IS TRUE AT THE TIME BEING. I
WILL ABIDE TO THE RULES & REGULATION AND UNDERSTAND THAT STUDENT COUNCIL HAVE THE RIGHT TO
CHANGE WITHOUT PRIOR NOTICE.

ACKNOWLEDGEMENT OF CLAIMED ITEM

STUDENT/STAFF INFO:

NAME: CONTACT NO.: EMAIL:

ID NO.: FACULTY/PROGRAM:
RECEIVED BY: SIGNATURE: DATE:

…………………………….............. ……………………………………………… ………………………………………………...

FORM/SAA-SAR-04/01 UCSI Education Sdn. Bhd. (185479-U)

REV: 00_190413