Student Full Name:

Matric Number:

Mobile Phone Number:

Email Address:

Supervisor Name:

Payment Date:

Proof of Payment:

Serial Number:

Note: You are required to make payment RM100 (Local) / USD30 (International) before we could process this form. Kindly email the receipt to finance.unicam@gmail.com as proof of payment.

Payment can be made to the bank account details as below:

1202 9010 0518 17
Bank Islam Malaysia Berhad
Tetuan University College of Aviation Malaysia

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.