FORM A

( FOR COLLECTION OF ROBE SET, INVITATION AND MULTIMEDIA CARDS )

GRADUAND INFORMATION ST - UG S10

AHAS KIRKHS - RKUD - 0079
Matric No : 1626541

Name : WAN IZZAT AZRI BIN ADZMI

Programme : BACHELOR OF ISLAMIC REVEALED KNOWLEDGE AND HERITAGE(USUL AL-DIN AND COMPARATIVE
Programme Level RELIGION)
: UNDERGRADUATE
Kulliyyah
: ABDULHAMID ABUSULAYMAN KULLIYYAH OF ISLAMIC REVEALED KNOWLEDGE AND HUMAN
SCIENCES

Collection Robe Return

Date(s) : 15th - 17th August 2022 Date(s) : 17th - 24th August 2022
Time : 9.00 am - 4.30 pm Time : 9.00 am - 4.30 pm
Venue : KAED Building, Gombak Campus Venue : KAED Building, Gombak Campus

Robe Size Requested : ________

XS/S/M/L/XL/XXL/XXXL) Notes : A charge of RM50 per day will be imposed for any
late return of the robe set. The University also reserves the
Notes : On the collection day, you will be required to produce right to claim compensation at the purchase price if the robe
this printed form. A printing charge of RM1 per sheet will be set is found damaged or lost.
imposed if printed by the Secretariat.
* The opening and closing time for Robe Collection and Return during the days of convocation ceremony
(13th - 18th August 2002 ) is from 8.00 am to 8.00 pm

CEREMONY INFORMATION
Seating Arrangement Info :

Seat No : (If your seat number does not appear here, please check again latest by
one day before the ceremony date)
Reminder :
The University reserves the rights not to allow any graduand who does not observe ROBE DEPOSIT INFO.
FULLY the IIUM Graduation dress code to join the ceremony.
Banker's Cheque/Money
If you have collected your Academic Scroll, you are required to pay a deposit during
Order:
the the cards and robe collection. The deposit must be in the form of Banker's
Cheque/Money Order payable to FINANCE DIRECTOR IIUM with the amount of
RM450.00 (UG robe), RM500.00 (Master's robe) and RM750.00 (PhD robe). Cash
payment, personal cheque or online payment is NOT accepted. The deposit will be
returned to you immediately after the robe return.

CUT HERE

COLLECTION OF ROBE SET, INVITATION AND MULTIMEDIA CARDS ST - UG S10

AHAS KIRKHS - RKUD - 0079

Matric No : 1626541 Programme : BACHELOR OF ISLAMIC REVEALED KNOWLEDGE

AND HERITAGE(USUL AL-DIN AND COMPARATIVE
RELIGION)
Name : WAN IZZAT AZRI BIN ADZMI Kulliyyah : ABDULHAMID ABUSULAYMAN KULLIYYAH OF
ISLAMIC REVEALED KNOWLEDGE AND HUMAN
SCIENCES

I hereby certify that I have collected the Robe Set, Invitation Cards & Multimedia
Card on
.......................................................................... STAMP

Signature : Date :

1
 ST - UG S10
AHAS KIRKHS - RKUD
- 0079
FORM B
(Letter of Undertaking for Robe Deposit (in lieu of Academic Scroll taken) to submitted
together with the Original Banker's Cheque or Money Order during collection of
Invitation Card, Multimedia Card and Robe Set)
To :
Finance Division
Level 1, Rectory Building
International Islamic University Malaysia

Dear Sir,
Name : WAN IZZAT AZRI BIN ADZMI
Matric No : 1626541
IC/Passport Number : 960522125707
ABDULHAMID ABUSULAYMAN KULLIYYAH OF ISLAMIC REVEALED
Kulliyyah :
KNOWLEDGE AND HUMAN SCIENCES

I, hereby pay the robe deposit using Banker's Cheque/Money Order as follows:

Banker's Cheque/Money Order Date of Banker's Cheque/Money

No Amount (RM)
Number Order
1
2
3
4
5
Total Amount (RM)

I am aware of the university's policy that the robe must be duly returned to the University (Robe
Room) before the deadline. If I failed to comply with the said deadline, the University has right to
consider the Robe being sold to me.

Thank You

___________________________
Name:
Date:
Contact or HP No:
*****************for office use***************** Acknowledgment Collection Banker's
Cheque/Money Order upon returning Robe:
Received by :
Student Signature :...........................................
Signature : Date Returned :.................................................

Date : Staff in charged :...............................................

Date :.................................................................

2
 FORM C

(Authorisation for Collecting Invitation Card, Multimedia Card and Robe Set on Behalf)
GRADUAND'S INFORMATION:

Name :
Matric No :
Programme :
Kulliyyah :

I hereby authorize the following person to collect the IIUM Convocation Invitation Card,
Multimedia Card and Robe Set on my behalf:
Name : _________________________________________________
NRIC/Passport No : _________________________________________________

The following documents are attached as proof of this authorisation.

a) Copy of my IC/Student ID Card
b) Copy of IC/Passport of authorized representative

___________________________
(Signature)
Name:
Date: