UUM Press | Printing/Graphic Order Form (Internal)

A. APPLICANT INFORMATION / MAKLUMAT PEMOHON

Name / Nama

Position / Jawatan

Department / Pusat Tanggungjawab

Telephone / Telefon

Fax / Faks

Email / E-mel

Application Date / Tarikh Permohonan

B. SERVICE DETAILS / JENIS PERKHIDMATAN

Service Details (Please tick (√) in the box provided) / Jenis Perkhidmatan (Sila tandakan (√) petak yang berkenaan)

Book/Journal / Buku/Jurnal Pamphlet / Pamphlet Form / Borang Poster / Poster Brochure / Brosur Name Card / Kad Nama Others / Lain-Lain

Title / Tajuk

Material Category / Kategori Bahan

Pamphlet / Risalah Form / Borang Poster / Poster Brochure / Brosur Name Card / Kad Nama Others / Lain-Lain

Material Attached / Bahan Yang Disertakan

Electronic Copy / Salinan Elektronik Printed Copy / Salinan Bercetak

Submission Date / Tarikh Penyerahan

Date Required / Tarikh Diperlukan

C. EDITORIAL SERVICES / PERKHIDMATAN EDITORIAL

Please tick (√) required editorial services: / Sila tandakan (√) perkhidmatan editorial yang diperlukan:

Editing / Penyuntingan Proof Reading / Bacaan Pruf

D. GRAPHIC SERVICES / PERKHIDMATAN GRAFIK

Graphic Services (Please tick (√)): / Perkhidmatan Grafik (Sila tandakan (√)):

Design Rekaletak Ilustrasi Lukisan Warna Imbasan

Number of Pages (Graphics) / Jumlah Halaman (Grafik)

Graphic Size / Saiz Grafik

Graphic Notes / Catatan Grafik

E. PRINTING SERVICES / PERKHIDMATAN PERCETAKAN

Print Quantity / Jumlah Cetakan

Number of Pages to Print / Jumlah Halaman Cetak

Print Size / Saiz Cetakan

Paper (Cover) / Kertas (Kulit)

Paper (Content) / Kertas (Isi)

Print Color (Cover) / Warna Cetakan (Kulit)

Print Color (Content) / Warna Cetakan (Isi)

Binding Type / Jenis Jilid

Binding Method / Kaedah Jilid

Cover Type / Jenis Kulit

Printing Notes / Catatan Percetakan

F. PAYMENT INFORMATION / MAKLUMAT BAYARAN

Payment Method / Kaedah Bayaran

Department Vot Number / Nombor Vot PTJ Format: Alphanumeric with auto-hyphens / Aksara alfanumerik dengan sempang automatik (XX-XX-XX)

Officer in Charge / Pegawai Bertanggungjawab Officer responsible for financial approval / Pegawai yang bertanggungjawab untuk kelulusan kewangan

Payment Method Information / Maklumat Kaedah Bayaran

Vot Transfer / Pindahan Vot: For internal UUM customers only / Untuk pelanggan dalaman UUM sahaja
Vot Number / Nombor Vot: Mandatory for internal UUM customers / Wajib untuk pelanggan dalaman UUM. Alphanumeric characters are allowed / Aksara alfanumerik dibenarkan.
Financial Approval / Kelulusan Kewangan: Application requires approval from relevant financial officer / Permohonan memerlukan kelulusan dari pegawai kewangan yang berkenaan

Select Scan File *

Click to select file

PDF, JPG, JPEG, PNG only (Max: 10MB)

Important Note: After upload, status will automatically change to "APPROVED BY PTJ"

Attention

Ensure all signatures and PTJ stamps are clearly visible
File must be high resolution (minimum 300dpi for printing)
PDF files must not be password protected
File will be permanently saved in UUM Press system
Upload can only be done ONCE for each application
Status will automatically change to "APPROVED BY PTJ" after successful upload

DECLARATION BY HEAD OF DEPARTMENT / PERAKUAN KETUA PUSAT TANGGUNGJAWAB

• I declare that all the material to be printed are not in contravention of the provisions of the laws/ Copyright Act 1987, Internal Security Act 1960, and related acts. / Saya mengesahkan semua bahan yang hendak dicetak tidak menyalahi peruntukan undang-undang/ Akta Hak Cipta 1987, Akta Keselamatan Dalam Negeri 1960, Akta Kontrak 1950 dan akta-akta yang berkaitan.

• Payment of this publication material is charged to RC vot through vot deducation (if relevant) / Pembayaran bahan penerbitan ini dikenakan kepada vot PTJ melalui potongan vot (jika berkaitan).

INTERNAL APPLICATION PROCEDURE / PROSEDUR PERMOHONAN DALAMAN

Fill in all information above including payment method
Click "Submit Application" to get official PDF form
PRINT the PDF form and get approval signature
Get financial approval from responsible officer
Save verification code (D-XXXXXX) for scan upload
Scan signed form and upload through system
UUM Press will contact you for further process