1. No category

VEHICLE REGISTRATION APPLICATION FORM FOR STUDENT
Serial No.
(to be filled up by ADMIN)
Type
Car Sticker (RM 2.00)
Motorcycle Sticker (RM 1.00)
Car Plate No.
Car Model
Motorcycle Plate No.
Motorcycle Model
Sex
Name
M
F
4
5
Course
Matrix No.
IC No.
Years Studied
2
3
Handphone No.
Home Address
PLEASE BRING TOGETHER :
1. Copy of ID
2. Copy of Driving License
I SOLEMNLY UNDER AND AGREE WITH THE DECLARATION WILL BE RESPONSIBLE
FOR THE SAFETY OF TRAFFIC AND ROAD USER IN THIS CAMPUS.
Signature :
Date :
FOR AcSS UNIT USE
FOR SECURITY UNIT USE
Checked by :
Received & Approved by:
Name:
Name:
Designation:
Designation:
Date:
Date:
Note :
Note :