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PANDUAN PENDAFTARAN PELAJAR BAHARU PASCASISWAZAH

3. MEDICAL OFFICER DECLARATION (Please tick (√) in the approapriate box)

I, ..........................................................................................................................................

(Doctor’s name as stated in the Identification Card)

holder of Identification Card No................................................declare that I already examined
the student

and hereby testify that the student ......................................................................................

(Name of student as stated in the Identification Card)

He / She is in good health, don’t have any diseases and fit to study in Universiti Malaysia
Sabah.

Diagnosed with disease (s) which does not required long term treatment and fit to study in
Universiti Malaysia Sabah. (Please state disease(s)

Disease: ............................................

Treatment: ..........................................

Not in good health and is advised to seek medical treatment before registering in Universiti
Malaysia Sabah

..................................................................... ..................................
(Doctor’s Signature & Official Stamp) Date

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