DENTAL FACULTY PHOTOGRAPHY APPLICATION FORM
If you are interested to use our faculty photographer service, you could fill up below information for reservation. Once confirmed please print out and submit it to Mr. Nazrin at 6th floor , DRMC, MPPP Tower , Faculty Dentistry, University Malaya.
FULL NAME *
Your answer
UNIT/DEPARTMENT/CLINIC *
Your answer
POSITION *
HANDPHONE/CONTACT NO *
Your answer
EMAIL ADDRESS *
Your answer
PROGRAM TITLE
Your answer
VENUE
Your answer
DATE OF EVENT *
MM
/
DD
/
YYYY
TIME *
Time
:
REASON OF PHOTO NEED TO BE TAKEN *
Your answer
Term and Conditions
1. Application must be submitted (3) days before the date of event (working day) application or (5) days before the date of event (weekend application)
2. Please submit your application form to DRMC office, 6th floor, MPPP Tower, Faculty of Dentistry, UM for approval.

ANY INQUIRIES PLEASE CONTACT
Ext: 6499 (NAZRIN)

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