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36TH IIUM CONVOCATION (12TH - 20TH MARCH 2022)
STUDENTS’ ATTENDANCE & PROCESSION/SEATING COMMITTEE
Please fill in the form if you require assistance during the convocation ceremony
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Matric Number
*
Your answer
Handphone Number
*
Your answer
Home Address
*
Your answer
Kulliyyah
*
Your answer
Programme
*
Your answer
Convocation Date
*
MM
/
DD
/
YYYY
Session
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Required
Seat Number (Kindly checked your seat number before submit this form)
*
Your answer
Do you need special seating arrangement
*
Yes
No
Required
Type of disability
*
For pregnant and other health problems please fill in the following question
Handicapped (leg)
On wheelchair
Just had an operation
Blind / Low vision
Hearing Impaired
Pregnant
Other health problem
For pregnant and other health problem please inform your pregnancy weeks / health condition
Your answer
For further inquiry, you may contact Sr. Halimatus Saadiah at 012-6629257
A copy of your responses will be emailed to the address you provided.
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