SULTAN AHMAD SHAH MEDICAL CENTRE @IIUM APPLICATION FOR DISPOSAL OF RECORDS
Sultan Ahmad Shah Medical Centre @IIUM, Jalan Sultan Ahmad Shah, Bandar Indera Mahkota, 25200 Kuantan, Pahang Darul Makmur.
Tel: 09-591 2500
SASMEC-F042 VER: 01 REV: 00 EFFECTIVE DATE: 27 MARCH 2023
DETAILS OF APPLICANT Name
Designation Date
Department Signature &
stamp
DETAILS OF RECOMMENDATION (HOD/HOU/COORDINATOR) Name
Designation Date
Department Signature &
stamp
FOR OFFICE USE ONLY (MRD & HRGA) Received by
Date received
Verified of list
Name
Signature & stamp
Date verified
Archives Unit, Dar al-Hikmah Library
Name Designation
Signature & stamp
Date received IIUM Record
Management Committee (IRMC)
Approval YES NO
Date meeting Disposal method
Remarks REF NO.:
