Version: 01
Revision: 00
Effective: June 2021
Workstation: ODDSDCE, CFS
Ref No.: .: IIUM/501/12/7/3/14
OFFICE OF THE DEPUTY DEAN, STUDENT DEVELOPMENT & COMMUNITY ENGAGEMENT
CENTRE FOR FOUNDATION STUDIES, IIUM
PROGRAMME PROPOSAL FORM (PPF)
REMINDER: PLEASE FILL UP THE FORM COMPLETELY For Office Use:
Please tick (/) if applicable
1. PROGRAMME
i. Name of Programme : Renjana CiTRA’s Night Community Service
International
Fund Raising
Acquiring Sponsorship
ii. Organiser/s : CiTRA Club
Other :
(Please Specify)
iii. Venue :
iv. Start Date : 4th June 2022 End Date :
v. Expected No. of Participant (s): International: Local:
vi. Collaborations:
2. TYPES OF PROGRAMME (Please tick (/) which relevant)
Student Department Invitational Joint Credited
Driven Driven Programme Programme Programme
(not entitled for STAR’s Point)
Others
(Please Specify)
3. DEPT./MAHALLAH:
4. SOCIETY/CLUB/MRC/HISBAH: CiTRA Club
5. TYPE OF ACTIVITY: Participation Competition Others (Please specify)
6. LEVEL OF ACTIVITY (Please tick (/) which relevant)
University National International Society/Department Compulsory Programme
(not entitled for STAR’s Point)
7. VARIATION OF ACTIVITY (Please tick (/) which relevant)
Attending Ceremony Cultural Intellectual Spiritual
Bulletin/ Newsletter Debate Leadership Sport
Community Service Educational Trip Recreational Training
Counseling Entrepreneurship Social Gathering Uniform Bodies
Annual General Meeting Promotion/booth Seminar/Conference
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8. SUSTAINABLE DEVELOPMENT GOALS (Please Tick (/) Which Relevant)
Goal 3: Good Health & Well Being
Goal 1: No Poverty Goal 2: Zero Hunger
Goal 4: Quality Education Goal 5: Gender Equality Goal 6: Clean Water & Sanitation
Goal 7: Affordable & Clean Energy Goal 8: Decent Work & Goal 9: Industry, Innovation &
Economic Growth Infrastructure
Goal 10: Reduce Inequality Goal 11: Sustainable Cities & Goal 12: Responsible Consumption &
Communities Production
Goal 13: Climate Action Goal 14: Life Below Water Goal 15: Life on Land
Goal 16: Peace, Justice & Goal 17: Partnership for the
Strong Institution Goals
9. MAQASID SHARIAH (Please Tick (/) Where Relevant)
Faith Life Intellect Lineage Wealth
10. MISSION OF IIUM (Please Tick (/) Where Relevant)
Islamisation Internationalization Integration
11. STUDENT IN-CHARGE
MATRIC
POSITION NAME MOBILE NUMBER SIGNATURE
NUMBER
Programme Manager MUHAMMAD DANIAL QAYYUM BIN MOHAMMAD 212412 018-6651225
AKASHAH
Secretary of Club INA SORAYA BINTI SHAHRUL NAZMAN 211579 011-28884281
Treasurer of Club NUR AMANI NABIHAH BINTI OMAR 213669 010-4482031
President of Society/ AISYAH FAQIHAH BINTI RAHMAT 210532 012-2032864
Association /Club
*PLEASE REFER TO DISCLAIMER
12. FINANCIAL REQUIREMENT: Balance of budget available:
9.1 Budget requested from :-
ii. Mahallah : RM
i. ODDSDCE: RM 1872.50
Transportation : Quantity :
9.2 Total Budget : RM 1872.50
Type :BUS / MINIBUS / VAN / LORRY / 4WD / MPV
Other sources of income (Sponsor etc : please attach):-
9.3 1. RM
2. RM
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13. RECOMMENDATION
i. ADVISOR OF CLUB/FELLOW ii. ASSISTANT DIRECTOR/PRINCIPAL/HOD
(for joint/collaboration programme, signature of the main organiser is
required in the Joint Programme Form)
Remarks Recommended
Remarks :
Budget recommended : RM
Signature and stamp :
Transport :
Date : 23/4/2022
Signature and stamp :
Date :
14. RECOMMENDATION / APPROVAL
i. DEPUTY DEAN / PRINCIPAL ii. CHAIRMAN OF SPAC
Remarks : Remarks :
Budget recommended/Approved :RM Budget recommended/Approved :RM
Transport: Transport:
Signature and stamp : Signature and stamp :
Date: Date:
iii. DEPUTY RECTOR (STUDENT AFFAIRS) (if applicable)
Remarks :
Signature and stamp :
Date :
1. APPROVAL FROM THE EXECUTIVE DIRECTOR OF FINANCE DIVISION AND RECTOR OF IIUM (if applicable)
i. EXECUTIVE DIRECTOR, FINANCE DIVISION ii. RECTOR
Remarks : Remarks :
Signature and stamp : Signature and stamp :
Date : Date :
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GUIDELINES:
1. Please submit 1 original PPF and 1 proposal paper (please refer to the guideline/checklist below for submission of the proposal)
with the completed form to the staff in-charge.
2. Duration for Submission of Proposal are as follows:-
LEVEL OF PROGRAMME SUBMISSION OF WORKING PAPERS TO THE OFFICER IN-
CHARGE
Invitational Not less than 9 days before the date of programme
University/Club level Not less than 21 days before the date of programme
National level & Programmes that Not less than 3 months before the date of programme
require sponsorship from outside,
regardless of level
Regional/International level Not less than 6 months before the date of programme
3. All banners, buntings, media statements and official letters must be approved by the relevant offices.
4. The Programme Report and Financial Report forms must be submitted to the staff in-charge not more than 14 days after the
programme.
5. Please refer to the relevant Department/Centre/Division/Unit/Mahallah officers, Advisors and E-book Guidelines and
Procedures on Student Activities for detailed guidelines.
6. All selling/cooking activities must get recommendation from Central Amenities Unit before the programme proposal is
submitted for approval.
* DISCLAIMER: The University’s Authority shall not be held responsible for any insufficient of sponsorship fund or overspent of approved
budget. The programme organizer/s shall be fully accountable to the third parties for any other expenses declared under sponsorship allocation
and any additional expenditure of approved budget.
