Financial Guarantee Form
I agree to be the Guarantor of the student named: …………………….………………………………… Passport/ IC No:……………………… during the period of the course ………………………………………… (Name of the Course) at Multimedia University, Jalan Multimedia, 63100 Cyberjaya, Selangor or Multimedia University, Jalan Ayer Keroh Lama, 75450 Melaka, (delete where appropriate) Malaysia. If he/she leaves the University, I guarantee that I shall pay all debts incurred by this student to the Multimedia University. With this, I guarantee that in the period of his/her studies, the student concerned will abide by the constitution of the university regulations. If he/she is found to have committed any offence, I shall pay compensation of fines as required by the Multimedia University or any Court of Law. My personal particulars are as follows: (a)
Name:
:……………………………………………………
(b)
Passport No./ IC No
:.....………………………………………………….
(c)
Occupation/ Post
:…………………………………………………...
(d)
Employer
: …………………………………………………..
(e)
Office/ Employer’s Address
:………………………………………………….
(f)
Office Telephone No.
:…………………………………………………...
(g)
Home Address
:……………………………………………………..
(h)
House Telephone No.: ………………………………………………………
(i)
Monthly salary
:……………………………………….(basic)
I swear that all information given above is correct and true. Yours faithfully,
…………………………. Guarantor’s Signature
Date: ……………………..
Postal Address …………………………………… …………………………………… …………………………………….
Permanent Address …………………………………… …………………………………… …………………………………….
Note: Those qualified to be guarantors: 1. Family member/individual whose job is permanent and has a net income of not less than RM2000.00 (USD667.00) a month 2. Financial institution, such as banks and other government organisations