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52pm


INTERNATIONAL MEDICAL UNIVERSITY

HOSTEL APPLICATION FORM

2014
Programme Intake Check-in Date Check-out Date

Tentative dates as academic
calendar is not confirmed yet

Master of Pharmacy Jan
29 Dec. 2013 31 May 2014

Foundation in Science Jan
5 Jan 2014 7 June 2014

May
Date to be confirm

Sept
Date to be confirm

Chiropractic Jan

19 Jan. 2014

14 June 2014

Medicine Feb
15 Feb. or 16 Feb. 2014 16 Aug. or 17 Aug. 2014

Aug
24 or 25 Aug. 2014 13 or 14 February 2015

Dentistry Feb
15 Feb. or 16 Feb. 2014 16 Aug. or 17 Aug. 2014

Chinese Medicine Feb
15 Feb. or 16 Feb. 2014 16 Aug. or 17 Aug. 2014

Psychology Feb
15 Feb. or 16 Feb. 2014 16 Aug. or 17 Aug. 2014

Sept
28 Sept. 2014 13 Feb. or 14 Feb. 2015

Master in Public Health
Master in Molecular Medicine
Master in Analytical and
Pharmaceutical Chemisry
March

2 March 2014 29 Aug 2014




Master in Public Health
Master in Molecular Medicine
Master in Analytical and
Pharmaceutical Chemisry
Sept
1 Sept. 2014 6 Feb. 2015

Nursing Science April
13 April 2014 20 April 2014

Aug
24 or 25 Aug. 2014 13 or 14 February 2015

Pharmacy July
6 July 2014 20 or 21 Dec. 2014

Sept
28 Sept. 2014 13 Feb. or 14 Feb. 2015

Nursing July
6 July 2014 20 or 21 Dec. 2014




Student Name as in IC (Mr /Miss):



Contact address :


Mobile Phone No.: Home Tel No.: Fax No.:

ID No.: Date of Birth: Gender:

Email Address:




Preferred Type of Hostel: Standard Superior Premium

Preferred Occupancy: Single Twin-sharing


Preferred Apartment: Mix-Gender Occupancy Female Occupancy Male Occupancy
(Note: IMU reserves the right to place students in mix-gender unit to maximize occupancy)



**For enquiry, Please email hostel@imu.edu.my (Accommodation Officer - Cik Khairun
Ludin)

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Nursing Sept
28 Sept. 2014 13 Feb. or 14 Feb. 2015

Dietetics & Nutrition July
6 July 2014 20 or 21 Dec. 2014

Sept
28 Sept. 2014 13 Feb. or 14 Feb. 2015

Medical Biotechnology July
6 July 2014 20 or 21 Dec. 2014

Sept
28 Sept. 2014 13 Feb. or 14 Feb. 2015

Biomedical Science July
6 July 2014 20 or 21 Dec. 2014

Sept
28 Sept. 2014 13 Feb. or 14 Feb. 2015

Pharmaceutical Chemistry July
6 July 2014 20 or 21 Dec. 2014

Sept
28 Sept. 2014 13 Feb. or 14 Feb. 2015


** Please tick on the box provided above for programme signed/Intake Date. Kindly note that the check-in and check-out
dates for each programme/Intake period as IMU will NOT be able to entertain any early check in or late Check-out. Thank you.


Method of Allocation

Allocation will be made on a first come first served basis, upon receipt of payment and the application form.
IMU will try, where possible to allocate apartments to groups.

IMU reserve the right to allocate Students to:
1) any apartment to ensure that all apartments are occupied
2) a mixed gender occupancy apartment to ensure that all apartments are occupied.

After you have been allocated a room in an apartment, a request to transfer to another room/apartment can be
made only at the end of the semester. You may be given priority to extend or renew your tenancy for IMU hostel
provided there is a vacancy or no extenuating circumstances preventing you from returning.

However for Sponsored students, the IMU Hostel lease is for the duration of the 5 years in IMU as long as you are
still an IMU Student.


Important Note for IMU Medical Students - Check-out Date
Medical students in Semester 1 will need to check out from the IMU hostel in Week 24. There are 26
weeks in Semester 1. You are required to vacate by the end of Week 24 because the new intake of
students will be commencing their course before your Semester ends.



Terms and Conditions
1. Rental is for one semester and must be PAID IN FULL upon return of this application form to the IMU. This
rental is inclusive of weekly cleaning services.
2. Students are encouraged to refer to the Hostel Rules & Regulations and Information on the IMU Apartment.
You are advised to read and understand the rules & regulations.
3. NO REFUNDS are given should a student decides to vacate his/her room before or during the semester.
4. The Check-out schedule listed for the IMU hostels is fixed and NO extensions are allowed.
5. Penalty charge will be imposed and deducted from deposit placed with IMU for :-
a) Rooms and common areas NOT cleaned - RM200.00 per inspection check
b) Late return of keys RM100.00 despite having checked-out
c) A daily penalty for late check-out RM100.00 per day
d) No bed linens (bed sheets) RM50.00 per inspection check
c) Any damages to properties/furniture, the charges will be at replacement value to damage property.
d) Utility bills (Bills normally are settled in FULL within 2 months)
6. Students are encouraged to carry out a self-inspection on check-in and check-out. Form will be made
available on check-in.
7. Regular inspections will be conducted and students, collectively will have to pay for any maintenance carried
out on your behalf (within a week).
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8. The cost for electricity and water will be covered by the University up to a maximum of RM180 (Standard)
& RM200.00 (Superior & Deluxe) per month per apartment. Any Excess will be shared by the students of
the apartment.
9. Any damages, leakage or breakage must be reported immediately to Accommodation Officer at
hostel@imu.edu.my.
10. All general consumables, for example fluorescent tubes, light bulbs etc. will be provided by the University;
however it is the responsibility of students to report to the Accommodation Officer at hostel@imu.edu.my,
for replacement.
11. CHECKLIST: Students MUST bring the following items for their personal use at IMU Hostel, Bukit Jalil as
there will be NO provision at the hostel.
Bed linens for your own single/double bed
Pillow & pillow case
Blanket or quilt
Bath Towel
Torch light
Crockery & Cutleries (Not Applicable for Superior and Deluxe Type)
Personal toiletries

12. All cheques must be made payable to: IMU EDUCATION SDN BHD (Refer to Appendix 2)
The amount payable should be for your first preference.
Rooms are allocated on a first-come-first-serve basis.
IMU reserves the right to allocate/place students in a mix-gender apartment to maximize
occupancy
Cik Khairun Ludin (Accommodation Officer) will email to confirm your booking/reservation.

Important Note: Confirmation of Room Allocations will only be allotted on receipt of your hostel application
form and on full payment.


If you need further clarification, please contact :
Accommodation Officer
Facilities Management & Administration Department
International Medical University
126, Jalan Jalil Perkasa 19
57000 Bukit Jalil,
Kuala Lumpur, Malaysia

Email: hostel@imu.edu.my
DID: (603) 2731 7374
Fax: (603) 8656 7229
Mobile : (6) 010-7734413

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Appendix 1A

Listed below are the THREE (3) types of apartments available.

HOSTEL STANDARD (A) MAX 5 Pax in a Unit
Standard (A) apartments are fully furnished with:

1) Kitchen Rooms
a) Refrigerator
b) Microwave
c) Kettle
d) Kitchen cabinet

2) Wash Area
a) Cloth rack (Fixed)
b) Mop & Broom
c) Dust pan

3) Living & Dining Room
a) 3 seated Sofa
b) Coffee table
c) Dining table & six chairs
d) Ceiling fan- all rooms,
living & dining area
e) Shoe rack

a) Water heater
b) 2 Doors Cupboard
c) Study table
d) Bookcase
e) Single bed
f) Mattress
g) Soft Board

Bath Rooms
a) Water heater
b) Rack for toiletries
c) Shower curtains
d) Toilet brush
e) Bathroom mat & Floor mat

Condo Facilities
a) Swimming Pool
b) Mini Market
c) Club House
d) Gymnasium
e) Laundry Shop
f) 24 hours security



ROOM 1 Twin sharing
(bathroom attached)
~ 182 s.f
Rental per
semester
Preference (1-3) Remarks
MPharm RM 2,750
Other Courses RM 3,300



ROOM 2 Twin sharing
(shared bathroom)
~ 100 s.f
Rental per
semester
Preference (1-3) Remarks
MPharm RM 2,500
Other Courses RM 3,000
ROOM 3 single
(shared bathroom)
~ 96 s.f
Rental per
semester
Preference (1-3) Remarks
MPharm RM 3,875
Other Courses RM 4,650

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Appendix 1B

HOSTEL - STANDARD (A) (PENTHOUSE FOR MALES ONLY; MAX 7 Pax in a Unit)

Standard (A) apartment is fully furnished with:
1) Kitchen
a) Refrigerator
b) Microwave
c) Kettle
d) Kitchen cabinet

2) Wash Area
a) Cloth rack (Fixed)
b) Mop & Broom
c) Dust pan

3) Living & Dining Room
a) 3 seated Sofa
b) Coffee table
c) Dining table & six chairs
d) Ceiling fan- all rooms,
living & dining area
f) Shoe rack

4) Rooms
h) Water heater
i) 2 Door Cupboard
j) study table
k) Bookcase
l) Single bed
m) Mattress
n) Soft Board

5) Bath Rooms

o) Water heater
p) Rack for toiletries
q) Shower curtains
r) Toilet brush
s) Bathroom mat & Floor mat


6) Condo Facilities
t) Swimming pool
u) Mini Market
v) Club House
w) Gymnasium
x) Laundry Shop
y) 24 hours security





ROOM 1 Ground Floor
Twin sharing (bathroom attached)
~ 260 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM 3,000

Other Courses RM 3,600



ROOM 2 Ground Floor
Single
(bathroom)
~ 120 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM 4,000

Other Courses RM 4,800

ROOM 3 1
st
Floor
Twin sharing
(bathroom attached)
~ 260 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM 3,000

Other Courses RM 3,600



ROOM 4 1
st
Floor
single
(shared bathroom)
~ 100 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM 3,500

Other Courses RM 4,200

ROOM 5 1
st
Floor
single
(shared bathroom)
~ 100 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM 3,500

Other Courses RM 4,200





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Appendix 1C

HOSTEL SUPERIOR (SINGLE OCCUPANCY PER ROOM MAX 3 PAX in a Unit)

Superior apartments are fully equipped with:
1) Kitchen Rooms
a) Refrigerator
b) Microwave
c) Kettle
d) Kitchen Cabinet
e) Bread Toaster
f) Induction Cooker
g) Water Filter
h) Basic Crockery & Cutleries

2) Wash Area
a) Washing Machine
b) Cloth rack (Fixed)
c) Mop & Broom
d) Dust pan
e) Vacuum Cleaner

3) Living & Dining Room
a) 3 seated Sofa
b) Coffee Table
c) Dining table & six chairs
d) TV
e) Ceiling fan- all rooms,
living & dining area
7) Shoe rack

a) Water heater
b) 2 Door Cupboard
c) Study table
d) Bookcase
e) Single Bed
f) Mattress
g) Air Conditioning

Bath Rooms
a) Water heater
b) Rack of Toiletries
c) Shower Curtains
d) Toilet brush
e) Bathroom Mat & Floor Mat

Condo Facilities
a) Swimming Pool
b) Mini Market
c) Club House
d) Gymnasium
e) Laundry Shop
f) 24 hours security



ROOM 1 (bathroom attached)
~ 182 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM6,000
Other Courses RM7,200
ROOM 2 (shared bathroom)
~ 100 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM5,500
Other Courses RM6,600
ROOM 3 (shared bathroom)
~ 96 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM4,000
Other Courses RM4,800




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Appendix 1D

HOSTEL DELUXE (A) Max 3 Pax in a Unit (Covillea) - SINGLE OCCUPANCY PER
ROOM

Deluxe (A) apartments are fully equipped with:
1) Kitchen Rooms
a) Refrigerator
b) Microwave
c) Kettle
d) Build in Kitchen Cabinet with hood
& hop
e) Rice Cooker
f) Vacuum cleaner
g) Water Filter
h) Basic Crockery & Cutleries

2) Wash Area
a) Washing Machine
b) Dryer
c) Cloth rack (Fixed)
d) Mop & Broom
e) Dust pan
f) Vacuum Cleaner

3) Living & Dining Room
a) 3 seated Sofa
b) Coffee Table
c) Dining table & six chairs
d) 42 LCD TV
e) Ceiling fan- all rooms,
living & dining area
f) Shoe rack

a) Water heater
b) 2 Door Cupboard
c) Study table
d) Bookcase
e) Single Bed
f) Mattress
g) Air Conditioning

Bath Rooms
a) Water heater
b) Rack of Toiletries
c) Shower Curtains
d) Toilet brush
e) Bathroom Mat & Floor Mat

Condo Facilities
a) Swimming Pool
b) Mini Market
c) Club House
d) Gymnasium
e) Laundry Shop
f) 24 hours security





MASTER BEDROOM (bathroom
attached)
~ 244 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM9,000
Other Courses RM10,800
ROOM 1 (shared bathroom)
~ 151 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM7,500
Other Courses RM9,000
ROOM 3 (shared bathroom)
~ 100 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM6,000
Other Courses RM7,200
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Appendix 1E
HOSTEL DELUXE (B) Max 4 Pax in a unit (Covillea)
(DOUBLE OCCUPANCY @ MASTER BEDROOM; SINGLE OCCUPANCY @ ROOM 1 & 2

Deluxe (B) apartments are fully equipped with:
1) Kitchen Rooms
a) Refrigerator
b) Microwave
c) Kettle
d) Build in Kitchen Cabinet with hood
& hop
e) Rice Cooker
f) Vacuum cleaner
g) Water Filter
h) Basic Crockery & Cutleries

2) Wash Area
a) Washing Machine
b) Dryer
c) Cloth rack (Fixed)
d) Mop & Broom
e) Dust pan
f) Vacuum Cleaner

3) Living & Dining Room
a) 3 seated Sofa
b) Coffee Table
c) Dining table & six chairs
d) 42 LCD TV
e) Ceiling fan- all rooms,
living & dining area
f) Shoe rack

h) Water heater
i) 2 Door Cupboard
j) Study table
k) Bookcase
l) Single Bed
m) Mattress
n) Soft Board (2 x 3)
o) Air Conditioning

Bath Rooms
f) Water heater
g) Rack of Toiletries
h) Shower Curtains
i) Toilet brush
j) Bathroom Mat & Floor Mat

Condo Facilities
g) Swimming Pool
h) Mini Market
i) Club House
j) Gymnasium
k) Laundry Shop
l) 24 hours security



Room 1 (Double Occupant -
bathroom attached)
~ 244 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM6,000
Other Courses RM7,200
ROOM 2 (shared bathroom)
~ 151 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM7,500
Other Courses RM9,000
ROOM 3 (shared bathroom)
~ 100 s.f
Rental per
semester
Preference
(1-3)
Remarks
MPharm RM6,000
Other Courses RM7,200

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Appendix 2

PAYMENT OF HOSTEL FEES
The University believes in making it as convenient as possible for students to manage their payments by providing a wide range
of options. Please be advised that fines will be imposed on late payments, so you are encouraged to both adhere closely to
payment procedures and pay you fees by the stipulated dates to avoid unnecessary interruptions to your education.
1. Online Banking
(For fast and secured processing of your fees)
CIMB Account Holder (through CIMB Clicks) Note: you have to register as CIMB Clicks user this can be done
online
www.cimbclicks.com.my
IMU Website - CIMB Clicks Payment Steps
1) Maybank, 2) RHB Bank, 3) Public Bank, 4) Bank Islam, 5) Hong Leong Bank Account Holders (through CIMB
Shoppe FPX)
www.cimbclicks.com.my
IMU Website - CIMB Shoppe Payment Steps
2. By Registered Mail/Courier Service
Addressed to:
Cashiers Office, IMU Education Sdn Bhd
No. 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Malaysia
Payment mode: Crossed Cheque/Bank draft made payable to "IMU Education Sdn Bhd"
3. Over the Counter
Payment mode: Crossed Cheque/Bank Draft made payable to "IMU Education Sdn Bhd"
(For all over-the-counter transactions, NO CASH is acceptable for tuition fee payment)
For Applicants, please enquire at our Admission/Student Services for processing of your fees.
For Existing Students, the following is available:
Cashier's Office:
Location : Second Floor, IMU Bukit Jalil Campus
Operating hours : Monday - Friday 8.30am to 4.00pm
4. Telegraphic Transfer (for International Student only)*
Account Name : IMU Education Sdn Bhd
Bank : Malayan Banking Berhad
Branch : Jalan Yong Shook Lin, Petaling Jaya
Account No : 7-14187 001136 (Maybank USD Foreign Currency
A/c)
Swift Code : mbbemykl
* IMU will refer to the conversion rate as published by Maybank Berhad counter rates (selling rate for TT/OD)
I mportant:
1. For option 2, 3 and 4 please write on the reverse side of Cheque/TT slip the following :
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Student's Name
Student ID No./Applicant No.
Telephone Number
2. For enquiries on payment of fees or to send payment details:
By Email: Email Us
By Fax: 03- 86560158
Via Mail: -
Cashiers Office, IMU Education Sdn Bhd
No. 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Malaysia
3. Stay tuned for latest upgrade or new payment option which will be launched in 2013:
iPay88
Account Auto Debit
Banking Merchant Account

It is important to:
State your Name and Student ID No (for student) at the bank in slip (on the bottom left hand corner) or remittance
advice.
Fax a copy of the bank in slip/remittance advice to :

Facilities Management & Administration
Email Address: hostel@imu.edu.my
Fax No : +603-8656 7229
Attention to or Cik Khairun Ludin (Tel : +603-27317374 / +6010-7734413).



























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ACCOMMODATION
Lifestyle Preference

Note: This section is important for us to match your roommate(s). Please read and complete this
form carefully.

Student Name: .
(Last Name) (First Name)

Student ID: Date of Birth: ______/ _____/ _____
Day Mo Yr

Gender: Male Female

1. Which course are you studying at the IMU? ...
2. Special medical conditions:
3. Do you prefer a quiet environment? Yes No
4. Is a neat room important to you? Yes No
5. When are your normal study hours?
6. Do you study with stereo, TV or radio on? .
7. Please state your music preference:
8. Would you prefer your roommate(s)/housemates to be:
1
st
year student 2
nd
year student 3
rd
year student
9. Do you prefer staying in a same gender apartment mix-gender occupancy apartment
10. Are you an early or late riser? ..
11. What time do you normally go to bed? .
12. Are you going back to your hometown most weekends? Yes No
13. Please indicate your interests and activities (sports, hobbies, etc).
.
14. Please state your roommate preference (if any): ..
.
15. If you wish to stay with your friends/relatives, please state his/her address:
.
16. What is of major importance to you concerning your roommate?
.
.
.