HOSTEL CHECK-OUT CLEARANCE FORM – University College of Aviation Malaysia

1. Student Information

Date

Time *

Full Name *

Matric No: *

Phone No. *

Email *

Hostel Unit *

Bed Number *

Room Type *

Check Out Date *

Application *

2. Room Condition & Inventory Check

Have you returned all hostel keys and access card (room, locker, access card) *

Yes

No

Is your room clean and free from any damages? *

Yes

No

Upload a room picture/video (must include the bed area and wardrobe) *

Maximum upload size: 2.1MB

Is your living room clean and free from any damages? *

Yes

No

Upload Living Room Picture/video *

Maximum upload size: 2.1MB

Is your Kitchen area clean and free from any damages? *

Yes

No

Upload Kitchen Area Picture/video *

Maximum upload size: 2.1MB

Is your bathroom/toilet area clean and free from any damages? *

Yes

No

Upload bathroom/toilet area picture/video *

Maximum upload size: 2.1MB

Have you removed all personal belongings from the room? *

Yes

No

If no, ensure all your belongings are stored inside the locker/wardrobe. Any items left outside will be removed and may result in a penalty.

Is the furniture and equipment in the room in good condition? *

Yes

No

Have you cleaned your shared/common area (kitchen, bathroom, etc.)? *

Yes

No

Declaration *

I hereby confirm that all the information provided in this clearance form is accurate and complete to the best of my knowledge. I understand that:

1. Responsibility for Damages & Dues – I am responsible for any outstanding fees, fines, or damages to hostel property that may be identified after my departure. Any unpaid amounts may result in penalties or being barred from future hostel accommodations or academic-related processes.

2. Room Cleanliness & Penalty – I am required to leave my room in a clean and tidy condition. Failure to do so may result in a penalty or cleaning fee, which will be deducted from my deposit or added to my outstanding dues.

3. Abandoned Belongings – Any personal belongings left behind after my check-out date will be considered abandoned and may be disposed of by hostel management without further notice.

4. Compliance with Hostel Regulations – I have followed all hostel rules and regulations, and I acknowledge that any violations found after my departure may result in disciplinary action.

By pressing the "Submit" button, I acknowledge that I have read, understood, and agree to all the terms stated in this disclaimer.

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