Download iLQaM Room Booking Form - UiTM

Borang: iLQAM/ UT/ 001 (Pindaan 02)
INSTITUT KEPIMPINAN DAN PENGURUSAN KUALITI (iLQAM)
Tingkat 5, Bangunan Akademik II, Universiti Teknologi MARA, 40450 Shah Alam, Selangor
Tel: 03-55442718/ 3203 Fax: 03-55443740
RESERVATION FORM OF VENUE & ITEM(S)
(This form has to be submitted to iLQAM Office at least four (4) days before programme)
DETAILS OF APPLICANTS
Name of Applicant :
Designation & Staff ID :
Faculty/Division/Centre/Unit :
HP Number :
Date of use
: __/__/__ until __/__/__
Time if Use
: __/__/__ until __/__/__
Name of Programme :
Name of Organiser :
Number of Participants : Staff ______ Student ______
FACILITIES & ITEMS REQUIRED
No Name of Item(s) Quantity (Unit)
1 Audio System
2 Microphone
3 LCD Projector
4 LCD Screen
5 Visualizer
For iLQAM Use only
Check List
( ) Information is complete.
( ) Programme schedule is attached.
( ) Application is certified by
Dean/Head of Division/Centre/Unit
Venue required:
( ) Auditorium 1
( ) Auditorium 2
( ) Studio TV
( ) Seminar Room 1
( ) Seminar Room 2
( ) Resource Room
( ) VIP Room
( ) Dining Hall
( ) Starbucks
Form received and checked by:
Name :
Signature :
Date :
6 DVD/ VCD/ CD Player
7 Flip Chart/ Mini White Board
I hereby agree and will adhere to all conditions stipulated by iLQAM. I am fully
responsible to all conditions that must be adhered to on the usage of venue.
Applicant’s Signature
Certified by
___________________
______________________________
(Date ) (Dean/Head of Department/Centre/Unit
& Official Stamp)
APPLICATION
( ) APPROVED
( ) REJECTED
Officer’s Signature:
__________________________
Assistant Vice Chancellor
iLQAM/ Head of Department
iLQAM/ Assistant Registra
iLQAM
Name :
Date :
Stamp :
Updated on 04 Januari 2011

Borang: iLQAM/ UT/ 001 (Pindaan 02)
CONDITIONS FOR USE OF VENUE AT iLQAM
1. Application must be made using the specific Reservation Form of Venue and Item(s).
2. Application must be submitted at least four (4) days before programme is expected to be
conducted.
3. For application that involves students, application must be tendered by Lecturer/Head of
Programme who acts as Advisor of the activities to be conducted.
4. Applicant must attach PROGRAMME SCHEDULE when submitting the application form. Any change
of time must notify at least two (2) days before programme begins.
5. Food and drinks are not allowed into the venue (s) to be utilised. Preparation of food and drinks for
participants is only allowed at the Dining Hall and Concierge only.
6. Please ensure venue(s) which is/are utilised be in clean and well arranged condition.
7. Please ensure cleanliness at the dining hall and pantry which are used is taken care by the appointed
Caterer of the respective programme for the preparation of food and drinks.
8. Please adhere to time. Applicant is responsible for any delay.
9. Applicant is not allowed to move or remove any item(s) from the room/venue utilised. Please refer
to the Technical staff on duty in case of any changes required in terms of setting and inconvenience that
arise.
10. Participants must be well dressed and tidy while utilising the surrounding area at iLQAM.
11. Applicant is required ti contact iLQAM to confirm application at least two (2) days before the
programme takes place.
12. iLQAM has the right to cancel application in case reserved venue(s) is/are utilised for iLQAM’s training
programme(s) and for oficial event(s) of UiTM.
Updated on 04 Januari 2011