1) The barrier gate is meant to guard our safety against unauthorized personals at the campus.
2) Only active students are allowed to apply the access card. If you defer or quit the following semester after getting the access card, then your access card will be inactive and can't be used. You can return the access card at any time to claim back your deposit.
3) Upon completing this form, you need to make payment and provide us a copy of your active JPJ driving license and Vehicle Registration Certificate (Grant) under your name or close family only, before collecting your access card.
4) The fee for the access card will be as the following: a) RM 10 + RM 20 (Deposit) for motorcycle b) RM 20 + RM 20 (Deposit) for car c) RM 50 + RM 20 (Deposit) for 2nd time application d) RM 100 + RM 20 (Deposit) for 3rd time application
5) The access card is only meant for your registered vehicle. If you got caught using the access card for different vehicle, then you are subjected to RM100 fine.
STUDENT INFORMATION
Date & Time:
Student Full Name:
Program taken: Bachelor Airline & Airport ManagementBachelor in AviationBachelor of Science in Air TransportBachelor Science in Aeronautics TechnologyBachelor in Business AdministrationDiploma Aircraft Maintenance Engineering TechnologyDiploma in Aviation Safety ManagementDiploma in Aviation ManagementDiploma in Flight Operation ManagementDiploma in Aviation & Tourism ManagementDiploma in Cabin Crew & Airline ServicesDiploma in Aviation Finance ManagementDiploma in Office ManagementDiploma in Human Resource ManagementDiploma in Interactive MultimediaDiploma in Business StudiesDiploma in Event Management
Matric Number:
Current CGPA:
Mobile Phone Number:
Email Address:
Sponsor: SelfPTPTNAffin Islamic BankMaraOthers
VEHICLE INFORMATION
Type of Application: New ApplicationReplacement Card
Vehicle: MotocycleCar
Vehicle Plate Number:
Vehicle Ownership: Under my nameUnder my father's nameUnder my mother's nameUnder my brother's nameUnder my sister's name
Payment Mode: CashBank-InJompay
Date of Payment:
Note: You are required to provide proof of payment, copy of your JPJ active license and copy of the Vehicle Registration Certificate (Grant) upon or before your access card collection. Kindly contact Madam Farah or Madam Hani at the admin office for further details.
ACCOUNT NUMBER UNIVERSITY COLLEGE OF AVIATION MALAYSIA: 1202 9010 0518 17 (Bank Islam Malaysia Berhad)
I hereby declare that the information provided is correct and give permission to UniCAM to process my request. If the information is false and incomplete, UniCAM has the right to reject this request.
