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Registration External Membership UiTM Library
Full Name
Identification Card No.
Occupation
Email
Phone Number
Office/Institute Address
Mailing Adress
Library Location
---Please Choose---
Shah Alam
Puncak Alam
Puncak Perdana
Dengkil
Sg.Buloh/Selayang/Teluk Intan
Segamat
Pasir Gudang
Jasin
Alor Gajah
Bandaraya Melaka
Seremban 3
Kuala Pilah
Rembau
Tapah
Seri Iskandar
Arau
Bertam
Permatang Pauh
Sg.Petani
Machang
Kota Bharu
Dungun
Kuala Terengganu
Bukit Besi
Raub
Jengka
Samarahan
Samarahan 2
Mukah
Kota Kinabalu
Tawau
Alumni UiTM
Yes
No
Upload photo passport format
(*JPG/PNG Format)
I acknowledge that the personal information provided is true and can be contacted.
I am responsible for library materials in case the materials are damaged or lost.
I am responsible to return the library books before the loan period expires and understand the late fines charges for external members that will be imposed.
I understand and shall abide by all the stipulated rules and regulations of the Library and terms of application.
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