UniCAM – SA012 Rev 1
At University College of Aviation Malaysia (UniCAM), we respect your privacy. Any information you provide to us will be used solely for college purposes. Happy Landings!
STUDENT INFORMATION
Date & Time:
Student Full Name:
Email Address:
Matric Number:
IC No:
Mobile Phone Number:
REPORT DETAILS
Hostel:
Room:
Reports: 1. 2. 3. 4.
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.
