6/3/2017 ehapp.uthm.edu.my/index.

php/hostel/cetakpopup

Print

ONLINEAPPLICATIONTOSTAYINRESIDENTIALCOLLEGE(SENIORSTUDENTS)
UNIVERSITITUNHUSSEINONNMALAYSIA
TARIKHCETAK:03/06/2017
A)APPLICANTINFORMATION

Name:ALIFIZZANIBINZAINOLADNAN
ICNo./PasportNo.:960425015311 MatrikNo.:AD150106
DateOfBirth:25/04/1996 Age:20Years
Religion:Islam Race:Malay
Gender:Male MaritalStatus:Single
HomeAddress:84,JALANCERMAI,KGJAMBU,TAIPING84,JALANCERMAI,KGJAMBU,TAIPING
34000TAIPINGPERAK
TelephoneNo.:058073161 MobileNo.:0125037666
CurrentAddress:
BILIKG5C001,BLOKG5CKOLEJTUNFATIMAH
86400PARITRAJA,BATUPAHATJOHOR
NameofGuardian/Spouse:ZAINOLADNANBINSANI
Address:84,JalanCermai,KampungJambu
34000TaipingPERAK

B)REQUESTEDCOLLEGEINFORMATION
Session/Semester CollegeNameFirstChoice CollegeNameSecondChoice
1 20172018/1 TUNFATIMAH

C)REASONAPPLYINGFORHOSTEL
Reason
sayahendaktinggaldikolejkediamaninikeranaiamemudahkansegalapergerakansayadalamuniversitisertasaya
1
tiadakenderaanuntukbergerakjikasayatinggaldiluarkawasanuniversiti.

D)COCURICULARACTIVITIES
Session/
StartDate EndDate Organiser Location Activity Post/Achievement Level
Sem
PUSAT PROG.
PEMBANGUNAN PERMULAAN
1 15/16/1 11/09/2015 11/09/2015 DAN BILIKKULIAHDIUTHM GRADUAN PARTICIPANT UNIVERSITY
PENGEMBANGAN PELAJARBARU
PELAJAR SESI20152016
KOLEJ KAMPUNGKANGKAR SAFARI
2 15/16/1 29/10/2015 31/10/2015 KEDIAMANTUN MERLIMAU,PARITSULONG, KANGKAR PARTICIPANT UNIVERSITY
FATIMAH JOHOR MERLIMAU
KELAB KELAB
HEAD
3 15/16/1 01/09/2015 31/08/2016 TAEKWONDO UTHM TAEKWONDO UNIVERSITY
COMMITTEE
(ITF)UTHM (ITF)UTHM
KOLEJ
SEKITARKOLEJKEDIAMAN GOGREENTF
4 15/16/2 25/03/2016 25/03/2016 KEDIAMANTUN PARTICIPANT UNIVERSITY
TUNFATIMAH 2016
FATIMAH
KELAB KELAB
HEAD
5 15/16/2 01/09/2015 31/08/2016 TAEKWONDO UTHM TAEKWONDO UNIVERSITY
COMMITTEE
(ITF)UTHM (ITF)UTHM
KELAB
DEWANAKTIVITIKKTDI TAEKWONDO HEAD
6 15/16/2 14/05/2016 14/05/2016 TAEKWONDO UNIVERSITY
UTHM FORLADIES COMMITTEE
(ITF)UTHM
KEJOHANAN
PASUKAN
INDOOR
20152016 MENDAYUNG& RUANGLEGARSQUAREONE
7 19/02/2016 21/01/2016 ROWINGPIALA AWARD INTERVARSITY
/1 PUSATSUKAN MALL,BATUPAHAT
(HEPA)UTHM
UTHM
KEBGSAAN

http://ehapp.uthm.edu.my/index.php/hostel/cetakpopup 1/3
6/3/2017 ehapp.uthm.edu.my/index.php/hostel/cetakpopup
8 20152016 19/02/2016 21/01/2016 PASUKAN RUANGLEGARSQUAREONE KEJOHANAN AWARD INTERVARSITY
/1 MENDAYUNG& MALL,BATUPAHAT INDOOR
PUSATSUKAN ROWINGPIALA
UTHM (HEPA)UTHM
KEBGSAAN
KEJOHANAN
PASUKAN
INDOOR
20152016 MENDAYUNG& RUANGLEGARSQUAREONE
9 19/02/2016 21/01/2016 ROWINGPIALA PARTICIPANT INTERVARSITY
/1 PUSATSUKAN MALL,BATUPAHAT
(HEPA)UTHM
UTHM
KEBGSAAN
KOLEJ FORUM
20152016 PARKIRKENDERAAN(KKTF
10 20/05/2016 20/05/2016 KEDIAMANTUN PERNIKAHAN PARTICIPANT UNIVERSITY
/2 DANKKTDI)
FATIMAH VSPELAJARAN
UTEMINDOOR
20152016 PUSATBOWLING ROWING
11 05/06/2016 05/07/2016 2ndPlace INTERVARSITY
/2 ANTARABANGSAMELAKA CHAMPIONSHIP
2016
UTEMINDOOR
20152016 PUSATBOWLING ROWING
12 05/06/2016 05/07/2016 2ndPlace INTERVARSITY
/2 ANTARABANGSAMELAKA CHAMPIONSHIP
2016
UTEMINDOOR
20152016 PUSATBOWLING ROWING
13 05/06/2016 05/07/2016 PARTICIPANT INTERVARSITY
/2 ANTARABANGSAMELAKA CHAMPIONSHIP
2016
KONSERVASI
20152016 KELAB AIRTERJUNBERKELAH SUB
14 26/05/2016 28/05/2016 AIRTERJUN UNIVERSITY
/6 KEMBARA MARANPAHANG COMMITTEE
BERKELAH
KEMBUKIT PROGRAM
20152016 KELAB
15 08/10/2015 10/10/2015 PERJUANGAN,JELEBU,NEGERI KEMBARA PARTICIPANT UNIVERSITY
/ KEMBARA
SEMBILAN MUDA2015
PROGRAM
20162017 KELAB AIRTERJUNBERKELAH, KONSERVASI
16 26/05/2016 28/05/2016 PARTICIPANT UNIVERSITY
/1 KEMBARA PAHANG AIRTERJUN
BEKELAH2016
KEMENTERIAN
KEJOHANAN
20162017 PENDIDIKAN KOMPLEKSSUKANAIR
17 10/08/2016 10/09/2016 FITMALAYSIA 2ndPlace INTERVARSITY
/1 TINGGI PRECINT6,PUTRAJAYA
2016
MALAYSIA
KEMENTERIAN
KEJOHANAN
20162017 PENDIDIKAN KOMPLEKSSUKANAIR
18 10/08/2016 10/09/2016 FITMALAYSIA 1stPlace INTERVARSITY
/1 TINGGI PRECINT6,PUTRAJAYA
2016
MALAYSIA
KEMENTERIAN
KEJOHANAN
20162017 PENGAJIAN KOMPLEKSSUKANAIR
19 10/10/2016 16/10/2016 VARSITYBOAT AWARD NATIONAL
/1 TINGGI PRECINT6,PUTRAJAYA
RACE2016
MALAYSIA
KEMENTERIAN
KEJOHANAN
20162017 PENDIDIKAN KOMPLEKSSUKANAIR
20 10/08/2016 10/09/2016 FITMALAYSIA 2ndPlace INTERVARSITY
/1 TINGGI PRECINT6,PUTRAJAYA
2016
MALAYSIA
KEMENTERIAN
KEJOHANAN
20162017 PENDIDIKAN KOMPLEKSSUKANAIR
21 10/08/2016 10/09/2016 FITMALAYSIA PARTICIPANT INTERVARSITY
/1 TINGGI PRECINT6,PUTRAJAYA
2016
MALAYSIA
KEMENTERIAN
KEJOHANAN
20162017 PENDIDIKAN KOMPLEKSSUKANAIR
22 10/08/2016 10/09/2016 FITMALAYSIA 1stPlace INTERVARSITY
/1 TINGGI PRECINT6,PUTRAJAYA
2016
MALAYSIA
KEMENTERIAN
KEJOHANAN
20162017 PENDIDIKAN KOMPLEKSSUKANAIR
23 10/08/2016 10/09/2016 FITMALAYSIA PARTICIPANT INTERVARSITY
/1 TINGGI PRECINT6,PUTRAJAYA
2016
MALAYSIA
KEMENTERIAN
KEJOHANAN
20162017 PENGAJIAN KOMPLEKSSUKANAIR
24 10/10/2016 16/10/2016 VARSITYBOAT AWARD NATIONAL
/1 TINGGI PRECINT6,PUTRAJAYA
RACE2016
MALAYSIA
KEMENTERIAN
KEJOHANAN
20162017 PENGAJIAN KOMPLEKSSUKANAIR
25 10/10/2016 16/10/2016 VARSITYBOAT PARTICIPANT NATIONAL
/1 TINGGI PRECINT6,PUTRAJAYA
RACE2016
MALAYSIA

E)DISCIPLINARYACTION
Iconfessthati
Neverfaceddisciplinaryactionintheresidentialcolleges/university

http://ehapp.uthm.edu.my/index.php/hostel/cetakpopup 2/3
6/3/2017 ehapp.uthm.edu.my/index.php/hostel/cetakpopup

http://ehapp.uthm.edu.my/index.php/hostel/cetakpopup 3/3