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Non Vegetarian Vegetarian

School

Current Level of Education:

Form 3	Form 4	SPM	O-Level
Lower Six	STPM	A-Level	IB
SAM	Aust Mat	UEC	Diploma
Certificate	Foundation	Degree	Canadian Pre-U
Others

When do you sit for your exam?: MM/20XX

Your Selected Date:

SEW: General
	6 & 7 June 2012 (Wed & Thu) 8.30am - 5.30pm Early Bird Rate (Before 13 May): RM150 Regular Fee: RM200

	12& 13 Dec 2012 (Wed & Thu) 8.30am - 5.30pm Early Bird Rate (Before 30 Nov): RM150 Regular Fee: RM200

CS: IMU (Medicine) TBC
	16 Dec 2012 (Fri) Early Bird Rate (Before 15 Nov ): RM170 Regular Fee: RM220

Mode of Payment:

Cash	Cheque* (Malaysian Banks only)	Bank Draft*	Telegraphic Transfer (T.T)*
Account Name: IMU Education Sdn Bhd Account No. 1 Account No: 5141 8742 7448 Bank: Malayan Banking Berhad * Cheque Made Payable to : IMU Education Sdn Bhd

Reference No

Bank of Issue

Payment Date

DD/MM/YYYY

Total Amount (RM)

*Kindly state name on the bank in slip or remittance advise and fax a copy to 03 8656 1018.
Attention to Cik Siti Nuraishah Othman. Alternatively, can send via email to nuraishah_othman@imu.edu.my

For more information, kindly contact
Ms Low Chiew Yeong / Ms Lee Leng Yan
Marketing and Communications Department
Email: chiewyeong_low@imu.edu.my / lengyan_lee@imu.edu.my

International Medical University
126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Malaysia
Tel: +60 3 2731 7623 / 7412
Fax: +60 3 8656 1018