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16 MARCH 2016

MR LUQMAN HAKIM BIN NOOR AZMI


NO. 8 JALAN KESUMA
TAMAN KESUMA
68000 AMPANG
SELANGOR
OFFER OF ADMISSION
The International Medical College (IMC) is pleased to offer a place of enrolment to:
MR LUQMAN HAKIM BIN NOOR AZMI
IC NO: 981214-14-6023
For the following Course of Study: DIPLOMA IN NURSING
Details of the Programme:
Intake
Programme Duration

:
:

APRIL 2016
3 YEARS

Sponsors Details

: GLENEAGLES HOSPITAL KUALA LUMPUR

Details of Registration:
Date
Time
Venue

: 4th April 2016 (MONDAY)


: 9:00 a.m.
: International Medical College Subang Jaya
Lot T3.66B, 3rd Floor, Summit Complex
Persiaran Kewajipan USJ 1
47600 UEP Subang Jaya Selangor

Please do not hesitate to contact Ms Pathma at +603-8024 0757 if you require further clarification regarding
this Offer of Admission made to you.

IMC Admission Department

ACCEPTANCE OF OFFER OF ADMISSION

Diploma In Nursing
(This form must be returned to the International Medical College ("IMC") at the time of accepting this
offer)

DECLARATION
I accept this Offer of Admission dated 16 March 2016 and I have read and agree to the terms and
conditions specified in the offer made to me.
I further declare that I shall at no time hold IMC liable in the event I am required to leave IMC due to my
wrongful, mistaken disclosure or non-disclosure of the information in my application to IMC.

Students Signature

Parents Signature

Students Name

Parents Name

Date

Date

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