Dear Graduand

Congratulation on your success! Attached are the following items:

1. Majlis Konvokesyen ke-9 CUCMS

1.1. Invitation letter to the Majlis Konvokesyen ke-9 CUCMS

1.2. Confirmation of Attendance Form (CUCMS-CONVO-FRM-01)

1.3. Convocation Fee Form (CUCMS-CONVO-FRM-02)

1.4. Regalia Collection Form (CUCMS-CONVO-FRM-03)

1.5. Authorisation to Collect Regalia Form (CUCMS-CONVO-FRM-04)

1.6. Regalia Return Form (CUCMS-CONVO-FRM-05)

1.7. Collection of Academic Scroll and Academic Transcript Form (CUCMS/CONV/16/05)

1.8. Authorisation to Collect Academic Scroll and Academic Transcript Form (CUCMS/CONV/16/06)

1.9. Procedures and Guidelines for Graduands for Istiadat Konvokesyen ke-9 CUCMS

2. Alumni

2.1. Alumni Database Form

3. Others

3.1. Convocation Checklist

CONFIRMATION OF ATTENDANCE FORM (CUCMS-CONVO-FRM-01)

To:

Secretariat

CUCMS 9th Convocation Committee

Cyberjaya University College of Medical Sciences

Persiaran Bestari

63000 Cyberjaya

Selangor Darul Ehsan

Dear Sir/Madam,

CONFIRMATION OF ATTENDANCE TO THE REHEARSAL AND ISTIADAT KONVOKESYEN KE-9 CUCMS

I, I/C No.

[Graduand's Name]

Diploma / Degree

Faculty

would like to confirm my attendance to the following ceremony:

Rehearsal ceremony on the 14 December 2018.

Istiadat Konvokesyen ke-9 CUCMS on the 15 & 16 December 2018

(Kindly refer your session of ceremony in the invitation letter).

Please refer the ceremony details in the Procedures and Guidelines for Graduands for Istiadat Konvokesyen

ke-9 CUCMS or view it online at www.cybermed.edu.my.

Signature : ……………………………………………

Name : ……………………………………………

Matric No. : ……………………………………………

Phone No. : ……………………………………………

Date : ……………………………………………

Note: Please send this form together with the Convocation Fee Form and proof of payment via e-mail

to convo9@cybermed.edu.my or whatsapp to +016 242 3842 before or during the collection of regalia.

CONVOCATION FEE FORM (CUCMS-CONVO-FRM-02)

To:

Secretariat

CUCMS 9th Convocation Committee

Cyberjaya University College of Medical Sciences

Persiaran Bestari

63000 Cyberjaya

Selangor Darul Ehsan

Dear Sir/Madam,

PAYMENT FOR ISTIADAT KONVOKESYEN KE-9 CUCMS

I would like to inform that I have made the payment of:

RM500.00 (Diploma graduand)

RM500.00 (Bachelor graduand)

RM500.00 (Postgraduate graduand)

Note: Please tick ( √ ) where applicable

for Istiadat Konvokesyen ke-9 CUCMS Ceremony which will be held at the CUCMS Grand Hall, Cyberjaya on 15 & 16

December 2018 to the account below:

CUCMS Education Sdn. Bhd.

Account No. : 5124 4620 4155

Bank : Malayan Banking Berhad (Maybank)

Date of Payment : ……………………......

Thank you.

………………………………

(Signature)

Full Name :

IC No. : Telephone No. :

Programme : Matric No :

Address :

Note : Please send this form together with the proof of payment and Conformation of Attendance Form

via e-mail to convo9@cybermed.edu.my or or whatsapp to +016 242 3842 before or during the

collection of regalia.

REGALIA COLLECTION FORM

(CUCMS-CONVO-FRM-03) To:

Student Affairs & Alumni Department

Cyberjaya University College of Medical Sciences

Persiaran Bestari

63000 Cyberjaya

Selangor Darul Ehsan

Dear Sir/Madam

COLLECTION OF ACADEMIC REGALIA

I, I/C No.

[Graduand's Name]

Diploma / Degree

Faculty

hereby confirm that I have collected my complete academic regalia.

Academic Robe

Mortar Board / Hunter’s Cap

Hood

Note:

Please tick (√) at the appropriate boxes once the item is taken

Signature : ……………………………………………

Name : ……………………………………………

Date : ……………………………………………

AUTHORISATION TO COLLECT REGALIA FORM

(CUCMS-CONVO-FRM-04)

To:

Student Affairs & Alumni Department

Cyberjaya University College of Medical Sciences

Persiaran Bestari

63000 Cyberjaya

Selangor Darul Ehsan

Dear Sir/Madam

AUTHORISATION TO COLLECT ACADEMIC REGALIA

I, IC No.

[Graduand's Name]

Diploma / Degree

Faculty

hereby agree to authorise * IC No.

[Representative’s Name] *

to collect my Academic Regalia from the LobbyFunction Room 8, Mezzanine Floor, SCCC.

Academic Robe

Mortar Board / Hunter’s Cap

Hood

Note:

Please tick (√) at the appropriate boxes once the item is taken.

*Authorised representative needs to produce his/her NRIC and copy of graduand’s NRIC as proof of

authorisation.

Signature : ……………………………………………

Name : ……………………………………………

Phone. No. : ……………………………………………

Date : ……………………………………………

REGALIA RETURN FORM

(CUCMS-CONVO-FRM-05)

To:

Student Affairs & Alumni Department

Cyberjaya University College of Medical Sciences

Persiaran Bestari

63000 Cyberjaya

Selangor Darul Ehsan

Dear Sir/Madam

RETURN OF ACADEMIC REGALIA

This is to inform that Mr./Mrs./Ms.

[Graduand's Name]

IC No. has returned the following items to the office:

Academic Robe

Mortar Board / Hunter’s Cap

Hood

Note:

Please tick (√) at the appropriate boxes once the item is returned.

Penalty (NO) (YES)

Details

Graduand’s signature [Official Stamp]

Name : Officer in Charge :

Date : Date :

CUCMS/CONV/16/05 COLLECTION OF

ACADEMIC SCROLL AND ACADEMIC TRANSCRIPT FORM

To:

Examination Department Cyberjaya University College of Medical Sciences Persiaran Bestari, 63000 Cyberjaya Selangor Darul Ehsan

Dear Sir/Madam

COLLECTION OF ACADEMIC SCROLL AND ACADEMIC TRANSCRIPT

I NRIC/ Passport No. [Graduand's Name]

[Diploma/ Bachelor’s Degree/ Master / PhD]

Faculty/Centre

hereby confirm that I have collected my academic scroll and academic transcript.

Signature : ……………………………………………

Name : ……………………………………………

Matric No. : ……………………………………………

NRIC No. / : ……………………………………………

Passport No.

Date : ……………………………………………

[Officer of Examination Department]

Date :

Note:

Graduates must provide the Convocation Checklist Form together with this Form. Should you not be

able to do so, your academic scroll and academic transcript will be withheld.

CUCMS/CONV/16/06

AUTHORISATION TO COLLECT ACADEMIC SCROLL AND

ACADEMIC TRANSCRIPT FORM

To:

Examination Department Cyberjaya University College of Medical Sciences Persiaran Bestari, 63000 Cyberjaya Selangor Darul Ehsan Dear Sir/Madam

AUTHORISATION TO COLLECT ACADEMIC SCROLL AND ACADEMIC TRANSCRIPT

I NRIC/ Passport No. [Graduand's Name]

[Diploma/ Degree/ Master / PhD]

Faculty/ Centre

hereby agree to authorize *NRIC/ Passport No. [Representative’s Name] *

to collect my academics scroll and academic transcript on my behalf from the Examination Department.

GRADUAND REPRESENTATIVE

Signature : ……………………………………………… Signature : …………………………………….…..….…

Name : ……………………………………………… Name : …………………………………….…..…… NRIC No /. : …………………………………………… NRIC No. / : ….……………………………..................... Passport No. Passport No.

Contact No. : …………………………………………… Contact No. : ………………………………………………

Date : …………………………………………… Date : ………………………………………………

[Officer of Examination Department]

Date : Note:

• The authorised representative shall submit the following documents together with this form

when collecting academic scroll and academic transcript:

1. Convocation Checklist Form

2. Copy of NRIC / Passport of graduand and authorised representative

• The authorised representative is not allowed to collect academic scroll and academic transcript if they fail to provide the requested documents.