DENTAL FACULTY UM -PHOTOGRAPHY APPLICATION FORM

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If you are interested to use our faculty photographer service, you could fill up below information for reservation. Once confirmed please print out and submit it to Mr. Nazrin at 6th floor , DRMU, MPPP Tower , Faculty Dentistry, University Malaya.

FULL NAME *

UNIT/DEPARTMENT/CLINIC *

POSITION *

ACADEMIC STAFF

NON-ACADEMIC STAFF

UNDERGRADUATE STUDENT

POSTGRADUATE STUDENT

OTHERS

HANDPHONE/CONTACT NO *

EMAIL ADDRESS *

PROGRAM TITLE *

DATE/TIME START *

YYYY

Time

DATE/TIME END *

YYYY

Time

VENUE *

REASON OF PHOTO NEED TO BE TAKEN *

TERM AND CONDITIONS

1. Application must be submitted (3) days before the date of event (working day) application or (5) days before the date of event (weekend application)
2. Please submit your application form to DRMU office, 6th floor, MPPP Tower, Faculty of Dentistry, UM for approval.

ANY INQUIRIES PLEASE CONTACT
Ext: 6499 (NAZRIN)

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