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unisel


                                                                                        UNIVERSITI  SELANGOR
                                                                       Perjanjian Biasiswa Asas UNISEL   1220/020827080108



                PADA  MENYAKSIKAN  HAL  DI  ATAS  pihak-pihak  yang  tersebut  dalam  Perjanjian  ini  telah
                             BAHAGIAN UNISEL DIBIARKAN KOSONG
                menurunkan  di  sini  tandatangan-tandatangan  dan  meteri-meteri  mereka  pada  haribulan  dan  tahun
                yang mula tertulis di atas.

                DIT ANDATANGANI OLEH UNIVERSITI SELANGOR


                Ditandatangan oleh
                                       ------------------···································································----
                                                           (Tandatangan Pegawai Yang Diberi Kuasa)
                Nama
                                       ------------------····························································-----
                                                   (Nama Penuh Pegawai dengan Huruf Besar seperti di Kad Pengenalan)
                No. Kad Pengenalan
                Cop Jawatan & Jabatan




                DI HADAPAN:



                Tandatangan Saksi      ---------------------········································-----

                Nama Saksi             ------------------····························································-----

                No. KIP Saksi          ---------------------········································-----



                DIT ANDATANGANI OLEH PELAJAR


                Ditandatangan oleh
                                       ---------------------········································-----
                                                                  (Tandatangan Pelajar)
                Nama                   AHMAD BIN ALI
                                       ---------------------········································-----
                                                   (Nama Penuh Pelajar dengan Huruf Besar seperti di Kad Pengenalan)
                No. Kad Pengenalan     00000000000
                                       ------------------····························································-----



                DI HADAPAN:


                Tandatangan Saksi      ----------------                  -  -  ---········································-----
                                       _____________________ ........................................ _____
                Nama Saksi

                No. KIP Saksi          ------------------····························································-----









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