Accommodation Assistance Form (International Arrival)
Please complete the form. For further assistance please contact:
Ahmad Naqib Shuid (PhD)
Advisor of AMDI Student Association
Infectomic Cluster
Advanced Medical and Dental Institute
Universiti Sains Malaysia
Bertam 13200 Kepala Batas
Penang, Malaysia
Contact: +604562-2087
Email: naqib@usm.my

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Introduction
If you are flying from abroad/international student, please complete this form Accommodation Assistance Form (International Arrival) for accommodation assistance and international arrival consultation by ASA.

*AMDI shall not be responsible or liable for any loss or damage of any kind incurred as a result of the use of the services. Rental negotiation or agreement has to be dealt directly with the owner/land lord.
1.Full name *
2.Nationality *
3.Age *
4.Mobile/WhatsApp No. *
5.Travel itinerary or estimated date & time of arrival at Penang International Airport *
(email full travel/flight itinerary to hafiz.zin@usm.my)
MM
/
DD
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YYYY
Time
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6.Gender *
7.Religion *
8.Marital status *
9.I'm coming *
10.I'm looking for a *
11.I prefer a room/house which is *
12.I prefer room/house with the same gender *
13.I prefer the same religion *
14.My expected rental/month is within *
15.I prefer the house/room distance to AMDI is within *
16.I'm enrolling postgraduate program *
17.For PhD/M.Sc research mode only (proceed to question 18-19)
18.Email address of Supervisor
19.Name of Supervisor
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