to be filled up by the ptptn officer - ucsi university

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1 To be filled up by the PTPTN Officer

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Page 1: To be filled up by the PTPTN Officer - UCSI University

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To be filled up by the PTPTN Officer

Page 2: To be filled up by the PTPTN Officer - UCSI University

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Total loan amount approved

Total Loan Amount to be received

Page 3: To be filled up by the PTPTN Officer - UCSI University

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SIGN HERE

Same as or after the

Agreement Date

Page 4: To be filled up by the PTPTN Officer - UCSI University

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Same as or after the Agreement Date

SIGN HERE

Page 5: To be filled up by the PTPTN Officer - UCSI University

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SIGN HERE

Same as of after the Agreement Date

Page 6: To be filled up by the PTPTN Officer - UCSI University

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Same as of after the Agreement Date

SIGN HERE

Page 7: To be filled up by the PTPTN Officer - UCSI University

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SIGN HERE

Same as of after the Agreement Date

Page 8: To be filled up by the PTPTN Officer - UCSI University

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Stick RM 10 SETEM HASIL here. The PTPTN officer will validate it. Please purchase two pieces of setem hasil from the post office and stick on each agreement.

Page 9: To be filled up by the PTPTN Officer - UCSI University

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SIGN HERE

Kindly get the signature from SAA

administrator or refer to the List of Witnesses.

Date is to be filled up

by the PTPTN Officer.

Check your details.

Page 10: To be filled up by the PTPTN Officer - UCSI University

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To be filled up

by the PTPTN

Officer

Page 11: To be filled up by the PTPTN Officer - UCSI University

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SIGNE HERE

Page 12: To be filled up by the PTPTN Officer - UCSI University

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SIGN HERE

Page 13: To be filled up by the PTPTN Officer - UCSI University

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SIGN HERE

Page 14: To be filled up by the PTPTN Officer - UCSI University

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SIGN HERE

Page 15: To be filled up by the PTPTN Officer - UCSI University

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SIGN HERE

Page 16: To be filled up by the PTPTN Officer - UCSI University

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SIGN HERE

Page 17: To be filled up by the PTPTN Officer - UCSI University

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DO NOT fill up any date

DO NOT fill up any date

SIGN HERE