PROGRAM APPROVAL FORM (STAFF) REMINDER: PLEASE FILL UP THE FORM COMPLETELY. 1. PROGRAM i- NAME OF PROGRAM

: __________________________________________________________ __________________________________________________________ __________________________________________________________

ii- ORGANIZER/S

: __________________________________________________________

iii- VENUE

: __________________________________________________________

iv- START DATE

: ________________________ END DATE: _______________________

2. DETAILS OF PARTICIPANT i- NAME

: __________________________________________________________ __________________________________________________________

ii- POSITION

: __________________________________________________________

iii- STAFF NUMBER

: _______________________ I/C NUMBER: ______________________

iv- PHONE NUMBER

: _______________________ PASSPORT NO. : ____________________

3. KULLIYYAH/CENTRE/DIVISION: _______________________________________________________ 4. LEVEL OF ACTIVITY UNIVERSITY

NATIONAL

INTERNATIONAL

5. RECOMMENDATION i- OFFICER-IN-CHARGE (K/C/D) / ASSISTANT DIRECTOR

ii- DEAN / DIRECTOR / HEAD OF UNIT

REMARKS: _______________________________

REMARKS: _______________________________

SIGNATURE & STAMP: _____________________

SIGNATURE & STAMP: _____________________

DATE: __________________________________

DATE: ___________________________________