INTERNATIONAL MEDICAL UNIVERSITY

2015 HOSTEL APPLICATION FORM (Valid From Jan to Jun 15)

NOTES AND INSTRUCTIONS TO APPLICANT

Please note that application for accommodation can only be made after a student has paid the Tuition Fee to study in International Medical University.

The hostel Application Form should be submitted via SLIM 45 days before the proposed check in date. Request to change check-in date must be made at lease fourteen (15) days before the proposed check in date. The Accommodation Management reserved the right not to process any late bookings and/or incomplete application forms.

PERSONAL DETAILS

Student Name as in IC/Passport (Mr /Miss):

Contact address :

Nationality: Race : Religion:

Date of Birth: Gender :

ID No.: Mobile No.: Home No. :

Email Address:

Course/Programme : Intake Date :

Name of Parent/Guardian : Mobile No.

**For enquiry, Please email hostel@imu.edu.my Note : Cont. stay

Please stick below:

Private International Sponsorship HOSTEL RATES PER SEMESTER(Rates Applicable From 1st January 2015 to 30 June 2015)TYPE OF ROOMSFISCHIRO,MEDDENPHARMPHARM CHEMCMPSYCHOMASTER

Hostel Standard (A) 5 in a unit

Twin Sharing Room 1 (Attached Bathroom)Twin Sharing Room2 Single Room 3

2,210

2,000

3,1203,320

3,000

4,680

3,320

3,000

4,680

3,320

3,000

4,680

3,320

3,000

4.6803,320

3,000

4,6803,320

3,000

46803,320

3,000

4,680

3,320

3,000

4,680

Hostel Standard (B) Penthouse

Ground Floor

Twin Sharing Room 1 (Attached Bathroom)Single Room2 1st Floor

Twin Sharing Room 3 (Attached Bathroom)Single Room 4Single Room 5

2,400

3,200

2,400

2,800

2,8003,600

4,800

3,600

4,200

4,2003,600

4,800

3,600

4,200

4,2003,600

4,800

3,600

4,200

4,2003,600

4,800

3,600

4,200

4,200

3,600

4,800

3,600

4,200

4,200

3,600

4,800

3,600

4,200

4,2003,600

4,800

3,600

4,200

4,2003,600

4,800

3,600

4,200

4,200

Hostel Superior

- PenthouseGround Floor

Single Room 4Single Room 5 1st Floor

Single Room 1 (Attached Bathroom)Single Room 2Single Room 3Hostel Superior

Single Room 1 (Attached Bathroom)Single Room 2Single Room 3

6,000

3,000

10,800

9,000

7,200

7,200

6,600

4,8006,0003,000

10,800

9,000

7,200

7,200

6,600

4,8006,0003.000

10,800

9,000

7,200

7,200

6,600

4,8006,0003,000

10,8009,000

7,200

7,200

6,600

4,800

6,0003,000

10,800

9,000

7,200

7,200

6,600

4,8006,0003,000

10,8009,000

7,200

7,200

6,600

4,8006,0003,000

10,800

9,000

7,200

7,200

6,600

4,800

6,0003,000

10,800

9,000

7,200

7,200

6,600

4,800

Hostel Deluxe

(Covillea)

Single Room 1 (Attached Bathroom)Single Room 2Single Room 3

10,800

9,000

7,20010,800

9,000

7,20010,800

9,000

7,20010,800

9,000

7,20010,800

9,000

7,20010,800

9,000

7,20010,800

9,000

7,20010,800

9,000

7,200

IMPORTANT 1. Applicant must pay rental in advance by semester.

2. Rooms are allocated on first come first serve basis.

3. The Hostel Management will try to accommodate special request wherever possible subject to availability of rooms. However, THE FULLFILLMENT OF SUCH REQUESTS ARE NOT GUARANTEED. Applicants who are unsuccessful in securing their preferred room type will be offered the next best alternative.4. NO REFUNDS are given should a student decides to vacate his/her room before or during the semester.

5. IMU reserves the right to allocate/place students in a mix-gender apartment to maximize occupancy

PAYMENT OF HOSTEL FEES

All payments are to be made via bank draft, crossed cheque or banking transfer to Payee Name and bank account of IMU as stated below:Payable to : IMU EDUCATION SDN BHD

Online Banking

(for fast and secured processing of your fees)

CIMB Account Holder (through CIMB Clicks) Note: you have to register as CIMB Clicks user this can be done online

www.cimbclicks.com.my

IMU Website - CIMB Clicks Payment Steps

Other banks online banking user -FPX payment option from participating banks as follow:-1) Maybank, 2) RHB Bank, 3) Public Bank, 4) Bank Islam, 5) Hong Leong Bank Account Holders (through CIMB Shoppe FPX)

www.cimbclicks.com.my

IMU Website - CIMB Shoppe Payment StepsFor above two payment method, students will need to provide details such as Student No, IC/Passport No., Contact Number and any other details as needed.

Interbank GIRO payment / Telegraphic Transfer

Account details

Account Name

:

IMU Education Sdn Bhd

Bank

:

Malayan Banking Berhad

Branch

:

Jalan Yong Shook Lin, Petaling Jaya

Account No

:

5-14187-427455 (Maybank MYR Currency A/c)

Swift Code

:

MBBEMYKL

Kindly provide a copy of transaction slip to Finance Department through one of the following channels:

a) Handed over to the Cashier Office; or

b) Faxed to 603- 86560158 with the students ID. no, name, contact no. and email address; or

c) Scanned and emailed tofindept@imu.edu.mywith the students ID no., name and contact no.Proof of payment with students name, IC no. and telephone no. must be sent via email to hostel@imu.edu.my or faxed to the Finance Cashier Office at +606-8656 0158

CONFIRMATION & DECLARATIONI, here by, Confirm my understanding that this accommodation application is subject to room availability and that the University reserves the right to assign any other type of accommodation available.

Confirm that I have read and accept all terms stated in the Rules and Regulations, and agree to abide by the said rules and regulations agree that the period of my accommodation is from first of the semester until the last day of the same semester and can stay up to one year or more subject to availability of rooms. understand fully that if I violate any of the said Regulations, I will be penalised and/or expelled from the Hall of Hostel

understand that in the event of my expulsion, my rental for the unexpired accommodation period will be forfeited,

agree that any deductions due to the University for damages caused to the room and/or its contents(if any) and or for excess electricity consumption.

confirm to make the full payment of the rental (for the full semester) before the commencement of the semester failing which my booking would be cancelled.

declare that all information given by me is complete, accurate and true. Any information given falsely or withheld will affect my application and/or agreement.

Inform that I :- do not have any medical conditions have medical conditions ________________________________________________________

Signature of Applicants/Student DateFOR HOSTEL OFFICERAssigned Rooms No.:Confirmed by:Date:Remarks:

FOR FINANCE OFFICEReceipt No.Received by:Date:Signature

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October 2014