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RESIDENTIAL AND MANAGEMENT UNIT (RMU) MAHALLAH ZAID BIN HARITHAH

INTERNATIONAL ISLAMIC UNIVERSITY MALAYSIA APPLICATION FOR RENTAL

1. Name :

Version: 00 Revision No.: 00

Effective Date: 18th June 2018

2. Matric/NRIC No. : 3. Address :

4. Contact No. : (Office) (H/P)

(Fax) __ (E-mail) 5. Type of Application [Please tick (√) in appropriate box]

Group; please fill in the following:

a. Name of Programme :

b. No. of Participants : (Male) (Female) c. Type of Room : (Single) (Twin)

(Quad) (Executive) Individual/Personal; please fill in the following:

Reason for staying :

6. Period of stay : Check-in (Date) Check out (Date) Note: Check in and check out time during office hours only

I declare that the particulars in this application are true and I agree to abide by the rules and regulations of the university/mahallah.

I fully understand that the university will not be responsible for any injury or accident sustained by any of the group member during his/her stay.

Signature Date

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FOR OFFICE USE ONLY Confirmation:

Room availability : Available Not Available

Male Mahallah : No. of Participants:

Female Mahallah : No. of Participants:

Total night stay : Rate/night (RM):

Amount Due (RM) :

Recommendation:

I verify that all information/data is complete.

RECOMMENDED

NOT RECOMMENDED (If not recommended, please specify)

_ Assistant Hostel Manager Date RMU, Mahallah Zaid Bin Harithah

Approval:

APPROVED NOT APPROVED

Remark:

Officer in charge Date Kulliyyah of Languages and Management

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