(Company No.

101067-P)

ADMISSIONS AND RECORDS DIVISION

Our Reference :IIUM/203/A/13/1/5 (Rujukan Kami) Date : (Tarikh) 11 November 2010

MOHAMAD KHALILI AIMAN BIN KHAIRUL IZAM (Matric No : 1026391) 14 FELDA SRI JAYA BUKIT SERAMPANG JEMENTAH 85210 LEDANG JOHOR Dear Brother / Sister, ADMISSION INTO UNDERGRADUATE PROGRAMME IN SEMESTER 2, 2010/2011 SESSION Congratulations! We have the pleasure to inform you that the University has decided to offer you admission into: BACHELOR OF HUMAN SCIENCE (POLITICAL SCIENCE) (HONOURS) * IJAZAH SARJANA MUDA SAINS KEMANUSIAAN (SAINS POLITIK) (KEPUJIAN) You are required to report for Mahallah's registration as follows: Date / Day : 08th December 2010 / Wednesday Time Venue : 9.00AM - 12.30PM : Mahallah UTHMAN

We also wish to notify you of the following fees: a) b) c) Entrance Fees ( once in duration of study - to be paid before enrolment ) Tuition Fees Per year Related Fees & Hostel Per Year RM 310.00 RM 1,020.00 RM 1,155.00

For your information the Government is subsidizing RM 33,004.00 out of the average cost of RM 37,084.00 for this programme. You are kindly requested to read the Admission Booklet carefully for further details about the rules and regulations of the University. WELCOME TO THE GARDEN OF KNOWLEDGE AND VIRTUE. Thank you. Wassalam

UNDERGRADUATE ADMISSIONS

Admissions and Records Division

* Subject to fulfillment of kulliyyah requirements and availability of seats as determined by the kulliyyah. Note: No signature on the part of the University is required as this is a computer-generated letter.

GARDEN OF KNOWLEDGE AND VIRTUE

International Islamic University Malaysia, Jalan Gombak, 53100 Kuala Lumpur Tel: 60361964000 Ext: 4045 (Admissions) / (Examination & Registration) Ext: 3014 Fax: 60361964160/61964724 e-mail: admissions@iiu.edu.my Homepage: www.iiu.edu.my

BIODATA FORM

Notes : This details on this printed biodata form is based on the information provided by you in the on-line updating biodata form. Please verify and update where necessary and submit it together with the Declaration Form in order for us to update changes in your biodata information (if any)}.

STUDENT Name (as stated in your Identity Card or International passport book) : MOHAMAD KHALILI AIMAN BIN KHAIRUL IZAM Matric No. Programme IC No./Passport Marital Status Date of Birth Residence Correspondence Address : 1026391 : PSCI : 911126015679 : SINGLE : 26-NOV-91 : JOHOR 14 FELDA SRI JAYA BUKIT SERAMPANG : JEMENTAH 85210 LEDANG JOHOR : 06-9776420 : 0126087225 : bromok99@yahoo.com.my Student Type : UX MUET : Citizenship : MALAYSIA Gender Religion : MALE : MUSLIM

Phone and Fax. No. Handphone Email

GUARDIAN/PARENT Name Occupation : KHAIRUL IZAM ABD SAMAT : TEACHER Monthly Income (RM): 3919.57 IC No./Passport : 671012015179 Citizenship : MALAYSIA

Number of Dependents : 4 Permanent Address : 14 FELDA SRI JAYA BUKIT SERAMPANG JEMENTAH 85210 LEDANG JOHOR

I declare that all the information given above is correct and true.

Signature :

Date :

Date printed:

11-NOV-10 20:40:12

PIN NUMBER

Name Matric No Program

: : :

MOHAMAD KHALILI AIMAN BIN KHAIRUL IZAM 1026391 PSCI

PIN :

397034

Please take note the following : 1. This PIN provides you the access to the online course registration system. It alsoallows access to your personal and academic records via the INFONET and UIA TELEINFO. 2. All current students with clear status are eligible for PIN. Clear status does not include graduated, disciplinary action or suspended students. 3. Any matters regarding the PIN may be dealt at the respective Kulliyyah during office hours (8:30am - 4.30pm) 4. You are required to present your matric card to collect your PIN. Applicable only to those who lost or forgot the PIN. 5. An authorization letter is required if you are collecting on behalf of the other person. 6. This PIN is only given once, further request for PIN will be charged RM 3.00 per request. 7. You are responsible for the confidentiality of your PIN. 8. Change of PIN will not be entertained unless for genuine reason and will be charged accordingly. 9. Information on the INFONET is subjected to change without prior notice. 10. You are required to activate your password at www.iiu.edu.my/anr to enable you to access all online facilities. Please check your password validity at http://my.iium.edu.my/portal/myiium_main_v3 Any problem,please refer to ITD helpdesk or dial 03-6196 2222.

Date printed:

11-NOV-10 20:40:12

IIUM COURSE REGISTRATION SEMESTER 2, SESSI 2010/2011 CONFIRMATION SLIP

Matric No: 1026391 Name : MOHAMAD KHALILI AIMAN BIN KHAIRUL IZAM Level: Programme: PSCI

Address : 14 FELDA SRI JAYA BUKIT SERAMPANG JEMENTAH 85210 LEDANG JOHOR S Code Section Course Title Total Credit hours Credit Hours

Status

Time

Day

Venue

NOTES. R=Subject Registered CHR=Credit Hours SEMESTER 2, 2010/2011. A. Announcement from Admissions and Records Division a) Issuance of Online Offer Letter - 09th November 2010 at 2.30pm at http://www.iiu.edu.my/anr/ b) Commencement of Classes - 13th December 2010 B. Announcement from Finance Division a) Pay of Entrance Fees = RM 310.00 at Bank Muamalat ; Account No : 14070000005719 b) Dates of Payment - 09th November 2010 until 08th December 2010 c) Please do not make payment using the Cash Deposit Machine (ATM). Please pay at the counter. d) Key-in the bank-in slip number on Financial Updated form at http://www.iiu.edu.my/anr/ C. Announcement from Mahallah a) Registration Day

- 08th December 2010

Student is required to print a new Confirmation Slip after every change in the course registration.

Date printed:

11-NOV-10 20:40:12

(Company No. 101067-P)

ADMISSIONS AND RECORDS DIVISION

DECLARATION FORM

NAME MATRIC NO

: :

MOHAMAD KHALILI AIMAN BIN KHAIRUL IZAM 1026391 HUMAN SCIENCE (POLITICAL SCIENCE) (HONOURS) 911126015679

PROGRAMME / KULLIYYAH : IC.NO :

1. I agree herewith and promise to pay all the fees mentioned as in the General Information (Fees and Charges For Malaysian Undergraduate Students)wherever is relevant to me, three weeks before I sit for any end-of-semester examination, if any sponsor fails to settle them. 2. I agree that the University has the right to deduct from my scholarship / financial aid given to me to settle the fees mentioned above. 3. I agree that the University has the right to revise the fees without any notification. 4. I also accept all other conditions as stated in the OFFER LETTER AND ADMISSION BOOKLET.

5. I attach herewith a copy of the sponsorship letter for records purpose. (If applicable)

..................................... (SIGNATURE)

.................................... (DATE)

Date printed:

11-NOV-10 20:40:12

ACCEPTANCE / REJECTION FORM

1. Full Name :

MOHAMAD KHALILI AIMAN BIN KHAIRUL IZAM

2. Matric. No. : 1026391 3. Programme : PSCI 4. Please tick (/) one of the followings :

I accept the offer of admission

I would like to accept and defer the admission to next intake : June .............................. / November .......................... Note : For deferment case, please submit an official letter to the Dean, Admissions and Records Division, IIUM, P.O. BOX 10, 50728 Kuala Lumpur (Attention: Madam Jamilah Saidin and email: sjamilah@iium.edu.my) within 1 week after Registration Date as stated in the offer letter.

I do not accept the offer of admission Please note that no further appeal or Application will be entertained once you rejected the offer).

I also accept all terms and conditions as stated in the Offer Letter as well as in the Declaration form and Admission Booklet.

Signature of Student : ..............................................

Date : .......................................

Note :

If we do not receive any response from you after the registration Day as stated in the offer letter, we assume that you are no longer interested in the programme and your offer will be automatically revoked.

Date printed:

11-NOV-10 20:40:12