Patron Details Form
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Name
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Name Title
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AP - Assistant Professor
Dr. - Doctor
Dtk - Dato'
Mr - Mister
Ms - Miss
PROF - Professor
ID No
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Intake Date
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Completion Date
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IC Number
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Passport
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Date of Birth
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Department / Faculty
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BY - FINANCE & ACCOUNT DIVISION
CA - Cafeteria
CF - Centre for Matriculation & Foundation Studies
CFBI - Department of Biology
CFBU - Dept. of Business Studies
CFCH - Department of Chemistry
CFEN - Department of English
CFIT - Dept. of Information Technology
CFMS - Department of Malaysian Studies
CFMT - Department of Mathematics
CFPY - Department of Physics
CG - Centre for General and Extra Curricular Studies
CH - CHANCELLERY
CHAP - Appointments and Promotions Committee
CHCA - Computing & AV Services Division
CHDA - Staff Discipline Authority
CHEO - Estate Office
CHIO - International Office
CHPR - Public Relations Division
CHQA - QUALITY ASSURANCE DIVISION
CHRC - RESEARCH MANAGEMENT CENTRE (RMC)
CHSC - Security Division
CHSD - Student Discipline Authority
CHUF - University Finance Committee
CHUS - University Senate
CS - Culture & Sports Centre
FAHP - FACULTY OF ALLIED HEALTH PROFESSIONS - NURSING
FB - Faculty of Business & Management
FBBM - Department of Business & Management
FE - Faculty of Engineering & Computer Technology
FECE - Department of Civil Engineering
FECS - Department of Computer Science
FECT - FACULTY OF ENGINEERING & COMPUTER TECHNOLOGY
FEEL - Dept. of Electrical Engineering
FEME - Dept. of Mechanical Engineering
FM - Faculty of Medicine & Health Sciences
FMSD - FACULTY OF DENTISTRY
FMSH - School of Allied Health Sciences
FMSM - FACULTY OF MEDICINE
FMSP - FACULTY OF PHARMACY
FS - FACULTY OF APPLIED SCIENCES
FSBT - Department of Biotechnology
FSES - Department of Environmental Science
FSMS - Department of Materials Science
IT - ITAV DIVISION
LB - LIBRARY DIVISION
MT - MAINTENANCE
N - NONE
RE - REGISTRY
REAR - STUDENT ADMISSIONS & RECORD DIVISION
RECA - Counseling & Advisory Services
REED - Examinations Division
REHR - HUMAN RESOURCE DIVISION
REIS - Office of International Students
RESA - STUDENT AFFAIRS DIVISION
RESH - Student Health Clinic
RESR - Student Recruitment & Liaison Division
Course
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55 - FOM
BIOMED - Bachelor of Science - Biomedical Science (Hons)
Biotech - Bsc Biotechnology
BPHY - NURSING
Bsc (FBM) - Bsc management info.system
BUS& FIN - BUSINESS@ FINANCE
CF-BIO - Biotechnology
CF-BUS - Business
CF-CS - Computer Science
CF-ENG - Engineering
CF-FB - FOUNDATION IN BUSINESS
CF-FS - FOUNDATION IN SCIENCE
CF-IT - Information Technology
CF-M - Medicine
CF-MT - Materials Technology
DPHY - DIPLOMA IN PHYSIOTHERAPHY
FA-DNUR - Diploma in Nursing
FA-DPHY - Diploma in Physiotherapy
FAHP - NURSING(FAHP)
FAHP-N - Bachelor in Nursing Science
FAS - BSC(Hons)Bioinformatics
FAS(Biotec - Bachelor of science (Hons)Biotechnology
FAS-ASB - Applied Science Bioinformatics
FB-ACF - ACCOUNTING & FINANCE
FB-BM - BUSINESS & MARKETING
FB-FM - FINANCE & MANAGEMENT
FB-MBA - MBA (HEALTH CARE MANAGEMENT)
FB-MF - BSc Management & Finance
FB-MIS - MANAGEMENT INFORMATION SYSTEMS
FE-CE - BEng (Hons) (Civil Engineering)
FE-CSMULTI - BCompSc (Multimedia)
FE-CSNET - BCompSc (Networking)
FE-CSSE - BCompSc (Software Engineering)
FE-DEE - Diploma in Electrical & Electronic Engineering
FE-EC - BEng (Hons) (Electronic & Communication)
FE-EE - ELECTRIC &ELECTRONIC ENGINEERING
FE-ITIS - BIT (INFORMATION SYSTEM)
FE-ITMGT - BIT (MANAGEMENT)
FE-ITMS - BIT (Hons) (Multimedia Systems)
FIN & MGT - FINNCE & MANAGEMENT
FM-ANO - MSc HUMAN ANATOMY
FM-BDS - DENTISTRY
FM-BPH - Bachelor of Pharmacy
FM-DPH - Diploma in Pharmacy
FM-FBM - Bachelor of business&marketing
FM-MBBS - MBBS
FM-MICRO - MSc MEDICAL MICROBIOLOGY
FM-MP - MSc MEDICAL PHYSIOLOGY
FM-PHA - PHARMACY
FMBDS - Bachelor of Dental Surgery
FMBPH - Bachelor of Pharmacy
FOAH - FACULTY OF ALLIED HEALTH
FOD-BDT - Bachelor of Dental Tech
FOM - FACULTY OF MEDICINE
FOP - BACHELOR OF PHYSIOTHERAPY(Hons)
FP - Bsc. Physiotherapy
FS-BTC - BIOTECHNOLOGY
FS-BTECH - BSc (Hons) Biotechnology
FS-MSCBTC - MSc BIOTECHNOLOGY
FS-MTM - MATERIALS TECHNOLOGY
FS-PHD BTC - PHD BIOTECHNOLOGY
H - PHYSIOTHERAPY
MASTER PHY - MASTER OF PHYSIOTHERAPY
Mcs Biotec - Master in Biotechnology
MQE - MALAYSIAN QUALIFIYING EXAM
Msc Pharma - Msc Pharmacy
MSC.MEDICA - MSC.MEDICAL BIOCHEMISTRY
NO - NONE
PBCCN - POST BASIC CRITICAL CARE NURSING
PC 24 - DIPLOMA IN ELECTRIC & ELECTRONIC ENGINEERING
PC 25 - DIPLOMA IN NURSING(PC 25)
Physio - Clinical Instructor
PSIO - PHYSIOTHERAPY(PSIO)
SG - SURGERY
Gender
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Male
Female
Race
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1 - Malay
2 - Chinese
3 - Indian
4 - Others
5 - Punjabi
Religion
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1 - Islam
10 - Catholic
2 - Bhuddist
3 - Hindhu
4 - Christian
5 - Bahai
6 - Sikh
7 - Taoist
8 - Others
9 - Atheist
Email Address
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Home Address
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Postcode
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State / City
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005 - Lenggeng
A001 - Ipoh
A002 - Taiping
A003 - Kuala Kangsar
A004 - Tanjung Malim
A005 - Simpang
A006 - Gopeng
A007 - Hutan Melintang
A008 - Teluk Intan
A009 - Gerik
A010 - Batu Gajah
A011 - Chemor
A012 - Lumut
A013 - Sitiawan
A014 - Bagan Serai
A015 - ULU KINTA
A016 - SETIAWAN
A017 - Parit Buntar
A018 - SELAMA
A019 - Menglembu
A020 - Slim River
A021 - KAMPAR
A022 - Tapah
A024 - PERAK
B 15 - SELANGOR
B001 - Shah Alam
B002 - Petaling Jaya
B003 - Cheras
B004 - Klang
B005 - Banting
B006 - Seri Kembangan
B007 - Puchong
B008 - Kajang
B009 - Rawang
B010 - Batu Caves
B011 - Gombak
B013 - Subang Jaya
B014 - Sg. Buluh
B015 - Sabak Bernam
B12 - Sepang
C001 - Kuantan
C002 - PAHANG
D001 - Kota Bahru
D002 - Pasir Mas
D003 - Pasir Putih
D004 - Kelantan(D004)
J001 - Johor Bahru
J002 - Muar
J003 - Segamat
J004 - Renggam
J005 - Kluang
J006 - Skudai
J007 - Ulu Tiram
J008 - Pontian
J009 - Tangkak
J010 - Batu Pahat
J011 - Kulaijaya
J012 - Kota Tinggi
J013 - Johor
J014 - Kulai
J015 - Pasir Gudang
K001 - Alor Setar
K002 - Jitra
K003 - Sg. Petani
K004 - Pendang
K005 - Sik
K006 - Kuala Ketil
K007 - Baling
K008 - Changloon
K009 - Lunas
K010 - Kulim
K011 - Jeniang
K012 - Bedong
K013 - Tokai
K014 - Serdang
K015 - Gurun
K016 - PADANG SERAI
K017 - KUALA NERANG
K018 - Karangan
KO18 - Kuala Kedah
M001 - Melaka
M002 - Asahan
M003 - Alor Gajah
M004 - Ayer Keroh
M005 - Bukit Katil
N001 - Seremban
N002 - Kuala Pilah
N003 - Tampin
N004 - Port Dickson
N005 - Lenggeng.
N006 - Negeri Sembilan
P001 - Georgetown
P002 - Butterworth
P003 - Bukit Mertajam
P004 - Gelugor
P005 - Nibong Tebal
P006 - Tasek Gelugor
P007 - Kepala Batas
P008 - Balik Pulau
P009 - Perai
P010 - Simpang Ampat
P011 - Bayan Lepas
P012 - Permatang Pauh
P013 - Tanjung Bungah
P014 - Sg. Bakap
P015 - Sg. Dua
P017 - TANJUNG TOKONG
P018 - Penang
P019 - Ayer Itam
PO 1 - Teluk Kumbar
PO 2 - Jelutong
PO16 - PADANG TEMBAK
PO17 - Juru
PO18 - BAYAN BARU
R001 - Kangar
R002 - Arau
R003 - Simpang Empat
R004 - Perlis
T001 - Kuala Terengganu
T002 - Dungun
T003 - Besut
T004 - Setiu
T005 - JERTEH
W001 - Kuala Lumpur
W002 - Setapak
X001 - Kota Kinabalu
X002 - Lahad Datu
X003 - Penampang
X004 - Tawau
Y001 - Kuching
Y002 - Miri
Y003 - Sri Aman
Y004 - Sibu
Y005 - Sarawak
Y006 - Kelantan
Y007 - Sabah
Y008 - SARIKEI
Y009 - Bintulu
Mobile Number
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Tel No. (2)
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