BORANG PENDAFTARAN KEAHLIAN (MEMBERSHIP REGISTRATION FORM)
Sila isi maklumat berikut untuk mendaftar sebagai ahli Perpustakaan Universiti Malaya. Pendaftaran hanya dibuka kepada pengguna dalaman (Pelajar/Kakitangan) Universiti Malaya sahaja.

Please fill in the following information to register as a University of Malaya Library's member. The registration is only open to the internal users (Student/Staff) of the University of Malaya.

Untuk maklumat lanjut atau pertanyaan, sila hubungi / For more information or inquiries, feel free to contact :

Puan Noor Hasanah Mohd Hanafi
Pustakawan Kanan / Senior Librarian
Emel/email : mnoorhasanah@um.edu.my
Telefon/Telephone : 03-7967 7765 / 3357
Sign in to Google to save your progress. Learn more
Nama / Name *
Gelaran / Title (Prof. / Dr. / Ms. etc.) *
No. Barkod Perpustakaan / Library Barcode No. (e.g. X51234567) - If available. Refer to your UM Touch virtual card / If not, use the Student ID no. *
Kategori / Category *
Matrik No. / Staff No. *
Jawatan / Position *
Tarikh Tamat Perkhidmatan / Date of Completion *
MM
/
DD
/
YYYY
Email *
No. Kad Pengenalan / Passport No. (Non-Malaysian) *
No. Telefon / Telephone No. *
No. Telefon Bimbit / Handphone No. *
Faculty / Academy / Institute / Centre: *
Other (Office/Department, etc.)
Alamat Sesi / Current Address *
Alamat Tetap / Permanent Address *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy