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
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