Permohonan Kembali Ke Kampus Universiti Selangor (UNISEL) Bagi Aktiviti Yang Dibenarkan Mengikut Prosedur Standard Sektor Pengajian Tinggi / Application for Returning to UNISEL Campus for Authorized Activities in accordance with the Higher Education Sector Standard Procedures
Nama/ Name *
No Pelajar/ Student ID *
Alamat E-mel/ E-mail Address *
Nombor Telefon/Mobile Phone *
Fakulti/ Faculty *
Program *
Permohonan bagi Kampus/Application for campus *
Required
Kategori Permohonan/category of applications (Pilih satu sahaja/ choose one only) *
Required
Perkhidmatan Penginapan/Accommodation services *
Required
Saya akan memastikan diri saya bebas dari sebarang simptom COVID-19 (demam, batuk, sesak nafas, sakit tekak) dan tidak berhubung rapat dengan pesakit positif COVID-19 dalam tempoh 14 hari sebelum tarikh saya dibenarkan hadir ke kampus, sekiranya ada, saya perlu membuat permohonan baharu bagi tujuan kembali ke kampus dan kebenaran terdahulu adalah terbatal. / I will ensure that I am free of any COVID-19 symptoms (fever, cough, shortness of breath, sore throat) and will not be in close contact with COVID-19 positive patients within 14 days prior to the date I am allowed to be on campus, if any, I had to make a new application for the purpose of returning to campus and my previous permission was revoked. *
Required
Dengan ini, saya mengakui bahawa butiran yang diisi adalah betul dan tepat. / I hereby acknowledge that the information given in this form is correct and accurate. *
Required
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