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) / USD 30 (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:

Beneficiary Name: University College of Aviation Malaysia
Account Number: 26242900024428
Bank: RHB
Swift Code: RHBBMYKL

Kindly email the payment receipt to: finance.unicam@gmail.com
(Write up your details; Full Name , No. Matric & Purpose of the Payment)

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.