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BIODATA FORM

Notes:

This details on this printed biodata form is based on the information provided by you in the on-line updating biodata
form. Please verify and update where necessary in order for us to update changes in your biodata information (if any).

STUDENT
Name (as stated in your indenfication card/international passport book) :
AHMAD NASRULLAH BIN MOHD FUAD
Matric No 220289
Programme LAWS - LAWS Gender MALE
Religion MUSLIM
IC No./Passport 040716050449
Citizenship MALAYSIA
Marital Status SINGLE
Handphone 01118782829
Date of Birth 16-JUL-04
Phone 01118782829
Residence SELANGOR
Correspondence NO 24
Address
47000 JALAN TERATAI 3 SAUJANA UTAMA 3
Disability NONE

PARENTS
Father's Name MOHD FUAD BIN AHMAD Mother 's Name ROSMARINA BINTI JAMALUDIN

Occupation SELF-EMPLOYED Occupation HOUSEWIFE


Permanent NO 24 JALAN TERATAI 3 Permanent NO 24 JALAN TERATAI 3
Address Address
SAUJANA UTAMA 3 SU SAUJANA UTAMA 3 SUNGAI BULOH
NG
No Dependants 8 Status ALIVE No Dependants 7 Status ALIVE
AI
Monthly 3000 BU Monthly 1 IC No/Passport 721231025548
LO Citizenship MALAYSIA
IC No/Passport 720403055221 H
Citizenship MALAYSIA Contact No. (Father) 0133407001 Contact No. (Mother) 0196691231

GUARDIAN
Name MOHD FUAD BIN AHMAD Monthly 3000
Income (RM)
Occupation SELF-EMPLOYED IC No/Passport 720403055221
Permanent 24 JALAN TERATAI 3 Citizenship SELANGOR
Address
47000 SAUJANA UTAMA 3
No Dependants 8 Guardian Contact No 0133407001
SCHOOL / INSTITUTION

School Name SAM PAYA JARAS


School Type SEKOLAH AGAMA BANTUAN KERAJAAN(SMBK)
Year End Of Study 2021

SPORT

Sport SEPAK TAKRAW


Position Held AHLI BIASA RUMAH SUKAN/KELAS/RUMAH ASRAMA
Level PERINGKAT SEKOLAH

UNIFORM BODIES

Uniform Bodies KADET POLIS SEKOLAH


Position Held AHLI BIASA UNIT BERUNIFORM/KONSTABEL/PREBET
Level

UNIFORM BODIES

Club LAIN-LAIN
Position Held PENGERUSI/KETUA KETUA PENGAWAS/ KETUA PENGAWAS PUSAT SUMBER
Level PERINGKAT SEKOLAH

ATHLETES

Sport
Championship
Level

/ I hereby declare that the information given above is true and accurate to the best of my knowledge. I also declare that I
shall abide by the rules and regulations of the University and I am aware that my admission will be revoked in case the
details furnished by me are proven to be false.

Date : 28-JUL-22

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