AMC – SA010 Rev 1
This form is applicable to the student to update their info details
STUDENT INFORMATION
Date & Time:
Student Full Name:
Student Address:
Matric Number:
MyKad / Passport:
Mobile Phone Number:
Email Address:
Parents Name:
Parent Email Address:
Parents/Guardian Mobile Phone Number:
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.