IEM PI C400

THE INSTITUTION OF ENGINEERS, MALAYSIA

Professional Interview Result Appeal Form
September 2014

Candidate Information
Name
IC Number
Discipline Interviewed

Professional Interview Information

Date / Time
Location
Interviewer 1
Interviewer 2

Reasons for Appeal

I have paid up the fee for the processing of this appeal and agreed that the payment is
non-returnable.

I understand that the Institution of Engineers, Malaysia has the absolute discretion to
accept or reject this appeal without giving any reason whatsoever.

I agree to pay for the fee for re-assessing the appeal, if the approval for the appeal is
granted. The payment is non-returnable, regardless of the result of the appeal.

I agree that the result of the appeal will be conclusive and final, and no further appeal is
permitted.

Signature : Date :

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