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borang @ form a-level - UKM Medical Centre - Universiti ...

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C. SUPPORTING STATEMENT FROM THE DEAN OF PARENT MEDICAL SCHOOL<br />

I confirm the standing of the applicant in our school/college and that the proposed attachment is considered<br />

suitable.<br />

Additional remarks :<br />

……………………………………………………………………………………………………………..<br />

………………………………………………………………………………………………………………………………<br />

………………………………………………………………………………………………………………………………<br />

Date : ……………………………….<br />

…………………………………………<br />

Signature of Dean<br />

……………………………………….<br />

Official Stamp<br />

This <strong>form</strong> should be returned to:<br />

PRINCIPAL ASSISTANT REGISTRAR,<br />

UNDERGRADUATE STUDIES,<br />

UNIVERSITI KEBANGSAAN MALAYSIA,<br />

JALAN YAACOB LATIF, BANDAR TUN RAZAK,<br />

56000 CHERAS, KUALA LUMPUR,<br />

MALAYSIA.

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