23/24 SEM 2: APPLICATION OF SAFETY PASS (SP) COURSE/ TEST THROUGH ELEARNING  
Those who have safety pass last sem, no need to take the test. Your safety pass card is valid for two years.
Email *
E-mail *
Full Name: *
MATRIC CARD NUMBER  *
HANDPHONE NUMBER: *
YEAR AND PROGRAM (Example: 2 SEMIH, 3 SEMM) *
PROGRAM: 
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If others (visitor, exchanged program, user not from FKM) please state:
Date for test (You are required to watch all the videos within at least 3 days before the test):
 *
OTHER THAN THE STATED DATE (ESPECIALLY FOR POSTGRADUATE STUDENTS AND VISITORS), PLEASE JOIN THE TELEGRAM OF SAFETY PASS TO SET A NEW DATE ( link  https://t.me/+6NSpahYQRTZhNTQ1 ). THE LINK IS ALSO PROVIDED IN SAFETY PASS FKM WEBSITE) 
How many test(s) have you taken before this test? 
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THANK YOU FOR YOUR APPLICATION OF SAFETY PASS TEST REGISTRATION. 

PLEASE TAKE NOTE: 
-CHECK YOUR REGISTRATION IN ELEARNING. 
-THE NAME OF ELEARNING IS "SPUTMXXX-XX" (SP is Safety Pass and the X is serial number). 
-THIS SAFETY PASS SECTION IN E-LEARNING IS NOT RELATED WITH YOUR LAB SECTION AT ALL.
- IF THE ELEARNING IS NOT EXIST, MEANING THAT YOUR NAME IS STILL NOT ENROLLED IN THE ELEARNING. PLEASE CONTACT THE SAFETY PASS COORDINATOR (through telegram link in safety pass FKM website).

Regards,
SAFETY PASS COORDINATOR
Dr Rozlina (013-7887801) 
A copy of your responses will be emailed to .
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