58TH USM CONVOCATION CEREMONY QUESTIONNAIRE

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Universiti Sains Malaysia (USM) would like to congratulate all graduates of the 58th Convocation Ceremony of 2021. However, due to the increasing number of Covid-19 cases in Malaysia and taking into account directives issued by the National Security Council (MKN), USM intends to organize a virtual convocation ceremony. In lieu of this, graduates are required to fill out this questionnaire.

Name *

Name as IC/Passport. Example: Abu Bin Bakar

Identification Number (IC) / Passport *

IC: 12 Digits. Example: 900221075994

School *

Telephone No. *

Permanent Address *

State *

Country *

Programme Name *

Field of Study (Degree) *

Diploma / Advanced Diploma

Bachelor

Master's

PhD / Doctorate

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms