MMU VEHICLE STICKER SESSION ___________

*Price list for vehicle sticker

Please tick (X) one of the boxes
Category Car Motorcycle

Staff Staff RM 6.00 RM 2.00

Student Student RM 6.00 RM 2.00

Visitor Visitor RM 15.00 RM 2.00
Vendor Vendor RM 50.00 RM 2.00

APPLICANT’S BACKGROUND
ID Number
**(compulsory for student & staff)
Name IC / Passport Number
**(compulsory for student, staff,
visitor & vendor)
Office Telephone HP / Mobile Number
**(compulsory for student ,staff,
Number visitor & vendor)
Driving License
License Expiry Date
Number

PARTICULARS OF VEHICLE
Vehicle Type Car / Motorcycle
Vehicle Registration
Vehicle Model / Number
Color

(Note: Kindly enclosed a photocopy of your receipt payment, ID or IC and Valid Driving Licence.)
*Price list excluded 6% GST*
DECLARATION

I agree to comply with all the Road Transport Act 1987 and any regulations, enforced by the
Multimedia University from time to time. I understand that if I commit a breach of, or fail to comply
with or contravene any of these regulations or any terms and conditions imposed under the
regulations, I will be held liable for a traffic offence.

I also understand that the University is not responsible for any loss or damage to any vehicle
parked in the campus area. Parking is at one’s own risk.

I hereby declare that all the information given is true and correct.

Date: _________________________ ___________________________

Applicant’s Signature
FOR OFFICE USE

Issuance Dated : _____________________

For Security MMU