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mr 15
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MAJLIS AMANAH RAKYAT (MARA) EMBASSY OF MALAYSIA MOSFILMOVSKAYA ULITSA 50 117192 MOSCOW, RUSSIAN FEDERATION TEL : +7 499 147 1512/15/23 FAX : +7 495 937 9602 Email: [email protected]/[email protected] OTHER CLAIMS STUDENT DETAILS Name: Course: Institution: Year of Home address: E-mail: Tel. Please send the cheque to : Home address Bank A/C Bank Sort Code : A/C No : Bank Address : I would like to submit the following claims for reimbursement: (Please indicate ) X Type of Claims Amount (Ruble) Visa Renewal Insurance Signature of Claimant:................................................................ Date:............................................. I hereby certify that the above claim is/are true and fulfilled the requirement of the university. Signature of Tutor/Head of Department/Dean: Official Stamp Name: . Date: MR 15 MARA REF. NO: 3 3 0 4
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mr 15 borang claim amra
Transcript of mr 15
MAJLIS AMANAH RAKYAT (MARA)EMBASSY OF MALAYSIA
MOSFILMOVSKAYA ULITSA 50 117192 MOSCOW, RUSSIAN FEDERATION
TEL : +7 499 147 1512/15/23FAX : +7 495 937 9602
Email: [email protected]/[email protected]
OTHER CLAIMS
STUDENT DETAILS
Name: Course:
Institution: Year of study:
Home address:
E-mail: Tel. no:Please send the cheque to : Home address Bank A/C
Bank Sort Code : A/C No :Bank Address :
I would like to submit the following claims for reimbursement:(Please indicate )
X Type of Claims Amount (Ruble)Visa RenewalInsurance
Signature of Claimant:................................................................ Date:.............................................
I hereby certify that the above claim is/are true and fulfilled the requirement of the university.
Signature of Tutor/Head of Department/Dean: Official Stamp
Name: .………
Date:
(FOR OFFICIAL USE ONLY: MARA OFFICE OF RUSSIA)
Approved By:The above claim is approved for the sum of: RUB_________
Date:
MR 15
MARA REF. NO: 3 3 0 4
