To be filled up by the PTPTN Officer - UCSI University

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To be filled up by the PTPTN Officer

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Total loan amount approved

Total Loan Amount to be received

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SIGN HERE

Same as or after the

Agreement Date

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Same as or after the Agreement Date

SIGN HERE

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SIGN HERE

Same as of after the Agreement Date

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Same as of after the Agreement Date

SIGN HERE

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SIGN HERE

Same as of after the Agreement Date

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Stick RM 10 SETEM HASIL here. The PTPTN officer will validate it. Please purchase two pieces of setem hasil from the post office and stick on each agreement.

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SIGN HERE

Kindly get the signature from SAA

administrator or refer to the List of Witnesses.

Date is to be filled up

by the PTPTN Officer.

Check your details.

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To be filled up

by the PTPTN

Officer

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SIGNE HERE

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SIGN HERE

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SIGN HERE

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SIGN HERE

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SIGN HERE

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SIGN HERE

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DO NOT fill up any date

DO NOT fill up any date

SIGN HERE