MULTIMEDIA y UNIVERSITY * lt aries, connecting MMU VEHICLE STICKER SESSION Please tick (x) one ofthe boxes rice list for vehicle sticker Category Car Motorcycle Staff Staff RM6.00 RM 2.00 ‘Student ‘Student RM 6.00 RM 2.00 Visitor Visitor RM 16.00 RM 2.00 Vendor ‘Vendor RM 50.00 RM 2.00 APPLICANT'S BACKGROUND: ID Number “(compulsory for student & staff) Name IC Passport Number “(compulsory for student, staff, visitor & vendor), Office Telephone HP / Mobile Number Number wera ir Driving License License Expiry Date Number PARTICULARS OF VEHICLE Vehicle Type Car | Motorcycle Vehicle Registration Vehicle Model 7 Number Color (Nore: Kindly enclosed a photocopy of your recelpt payment, ID or IC and Valid Driving Licence.) “Price lst excluded 6% GST* DECLARATION J | agree to comply with all the Road Transport Act 1987 and any regulations, enforced by the Multimedia University from time to time. | understand that if | commit a breach of, oF fail to comply with or contravene any of these regulations or any terms and conditions imposed under the regulations, | will be held liable for a traffic offence. | also understand that the University is not responsible for any loss or damage to any vehicle parked in the campus area. Parking is at one’s own risk. Thereby declare that all the information given is true and correct. Date: ‘Applicant's Signature FOR OFFICE USE Issuance Dated For Security MMU An Eaeamn Gop