ROBE RENTAL APPLICATION FORM - MMU
Please fill in the form. All fields are required.
Name :
PAYMENT ACCOUNT INFO :

Acc. Name : SUPB INDUSTRIES SDN BHD
Acc. Type : Current/Semasa
Acc. No. : 12230009164051
DO YOU HAVING PROBLEM TO REGISTER ?

1. Please fill-up this form AFTER you have done payment and
you have the complete payment details.
2. If you encounter the following errors, please email us the
following details;
- Your Student ID
- Your payment details (date, payment method, receipt no)
- Explanation of your problem
Errors;
1. Student ID already exist
2. Wrongly typing your information details (typo error)
*We would not entertain & be responsible if you failed to follow the rules stated.

Student ID :
Email :
     
Contact No. :
Address :
  Graduation For :
  Faculty :
  Graduation Date :
  Height : cmeg. 154 Your Suggestion size will be : VIEW TABLE SIZE HERE
  Payment Method : VIEW SAMPLE PAYMENT INPUT HERE
  Payment Amount : RM eg. 150.00
     
   
     

OFFICE ADDRESS
SUPB INDUSTRIES SDN. BHD.
34 Jalan Sesama, Seri Gombak Ind. Area,
68100 Batu Caves, Selangor, MALAYSIA

Tel : (603) 6188-3430/1/2, 6185-7570
Fax : (603) 6188-3427, 6186-6650
E-mail :
info@warisanasli.com


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