Application - Yayasan Universiti Multimedia

Application for Financial Assistance

ID Number (Student/Staff)

Duration of Study (semester)

A. Father / Guardian

B. Mother / Guardian

Family / Siblings Details

Occupation (Working / Study)

Monthly Income (Work) / Monthly Expense (Study)

Family Dependent

Yes No

Occupation (Working / Study)

Monthly Income (Work) / Monthly Expense (Study)

Family Dependent

Yes No

Occupation (Working / Study)

Monthly Income (Work) / Monthly Expense (Study)

Family Dependent

Yes No

Occupation (Working / Study)

Monthly Income (Work) / Monthly Expense (Study)

Family Dependent

Yes No

Occupation (Working / Study)

Monthly Income (Work) / Monthly Expense (Study)

Family Dependent

Yes No

Occupation (Working / Study)

Monthly Income (Work) / Monthly Expense (Study)

Family Dependent

Yes No

Are you currently receiving any sponsorship / scholarship / funding from any organisation / goverment ?

No Yes

If Yes, please specify

Have you applied for loan(s) from any bank(s) or financial institution(s) ? (E.g.; Car, House, Personal)

No Yes

If Yes, please specify

Apply for:

Tuition fees Living allowance Hostel fees Medical

Brief your reason(s) why you applying this financial assistance

Upload Recommendation Letter (multiple documents allowed)

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. I hereby authorize sharing of the information furnished on this form with the YAYASAN UNIVERSITI MULTIMEDIA (YUM). In case any of the above information is found to be false or untrue or misleading or misrepresented, I am aware that I may be held liable for it and YAYASAN UNIVERSITI MULTIMEDIA (YUM) has the right to disqualify this application or blacklist my name.

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately.

Copy of MyCard (Malaysian Student) or Valid International Passport and each travel pages (Intl Student)

Statement of tuition fees (can print from CamSys)

Results for every last semester (not mandatory)

Parents income statement

Bank account front page

Sponsorship supporting documents

Any supporting documents (E.g.; Death certificate, medical report, and etc.)

Yayasan Universiti Multimedia (PPAB-08/2009), Multimedia University (MMU), 3rd Floor, STC Building, Persiaran Multimedia, 63100 Cyberjaya, Selangor Darul Ehsan

Application for Financial Assistance

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