Version No.
: 01
Revision No. : 01
Effective Date : 25th March, 2010
PRF
OFFICE OF DEPUTY RECTOR
(STUDENT AFFAIRS)
INTERNATIONAL ISLAMIC UNIVERSITY MALAYSIA
PROGRAMME REPORT FORM
(To Be Submitted Together with Financial Report Form)
(Please use additional attachment for detailed report)
1. Name of
Programme
: _____________________________________________________
2. Organizer
: _____________________________________________________
3. Date
: _______________
5. No. Of
Participants : IIUM Students:
4. Venue
_________
: _______________________
Outsiders: _______________
6. Accompanying Officer : _______________________________________________
7. Budget spent : RM ________
8. VIP Attended :
(Please mention
the session)
Outside Sponsorship:
RM ___________
i. ______________________________________________
ii.______________________________________________
9. Achievements/observation :
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
10. Shortcomings
___________________________________________________________________
___________________________________________________________________
11. Conclusion
____________________________________________________________________
____________________________________________________________________
1
12. Suggestions
___________________________________________________________
___________________________________________________________
__________________________________________________________
__________________________________________________________
13. Please attach the following documents:
i.
At least 3 pieces of pictures.
ii.
Programme Schedule
iii.
Organizing Committee (Name/ Post/ Matric no.)
iv.
Lists of participants (Name/ Matric no.)
v.
Programme book, magazine, bulletin (if any)
PREPARED BY:
CHECKED BY:
..
Secretary of Programme
Name :
H/P No :
Date:
...
President of the Club
Name :
H/P No :
Date:
CHECKED BY:
ENDORSED BY:
..
..
Programme Manager
Student Advisor
Name :
Name :
H/P No :
H/P No :
Date:
Date:
__________________________________________________________________________
(FOR OFFICE USE)
DATA ENTRY IN STARS BY
: ..
(Name)
(Signature and stamp)
Date:
2
NO
NAME
PARTICIPATED
AS
MATRIC
NUMBER
SIGNATURE