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Hostel Registration Form
Please fill in your details to register for hostel accommodation
Personal Information
Full Name
Staff ID
No ID? Use last 4 IC/passport.
Gender
Select
Male
Female
Date of Birth
Nationality
Phone
+60
+62
+65
+66
+63
+880
+91
+977
+95
+81
Email
Employment Information
Department
Position
*
Select Position
TW (Temporary Worker)
Intern (Internship)
Foreigner
MAP
OBB
ODP
Company
Hostel Information
Hostel
Select Hostel
Apartment Taman Bunga Negara
Seksyen 13 OBB
Sri Ixora
WestLite
Block
Select Block
Room
Select Room
Expected Check-out Date
(Optional)
Leave blank if the check-out date is not confirmed yet.
Emergency Contact
Emergency Name
Emergency Phone
+60
+62
+65
+66
+63
+880
+91
+977
+95
+81
Cancel
Submit