KYS Activity Clearance Approval Form

KOLEJ YAYASAN SAAD MELAKA

CLEARANCE / APPROVAL FORM FOR COLLEGE ACTIVITIES

This section (no. 1 to 23) to be completed by the teacher or advisor ONLY.

1.	Date of form submission	:	Day: Time:
2.	Name of class / society / club / team subject / others	:
3.	Activity	:
4.	Venue	:
5.	Date of activity	:	From Day: Time: to Day: Time:
6.	Total of students involve	:	No. of Boys: No. of Girls:
7.	Accommodation venue if staying overnight	:
8.	Accompanying teachers / staff

Checklist ( Please tick √ at the box provided ) :

Attached

Pending

Not
Required

20. Meal(s) request from Dining Hall
Date :	Day :	Breakfast	Morning Tea Break	Lunch	Dinner	Number of food packages required
21. Meals that will not be consumed at the Dining Hall
Date :	Day :	Breakfast	Morning Tea Break	Lunch	Dinner	Number of students who will not be dining at Dining Hall

22.	Name of applicant (teacher/advisor)	:
23.	Signature of applicant (teacher/advisor)	:

24. Clearance / Comments / Approval by HOUSEMASTER / HOUSEMISTRESS

25. Clearance / comments / approval by COORDINATOR

26. Clearance / comments by STUDENT AFFAIRS MANAGER

26.1 : Clearance / Comments / Approval	:	Yes
		No

			STUDENT AFFAIRS MANAGER

27. Clearance / comments by CURRICULUM MANAGEMENT MANAGER

27.1 : Approved / Disapproved	:	Yes
		No

			CURRICULUM MANAGEMENT MANAGER

28. Clearance / comments / approval by GENERAL MANAGER

28.1 : Budget	:	Yes
		No
28.2 : Transportation	:	Yes
		No
28.3 : The usage of premises	:	Yes
		No
28.4 : The usage of Furniture / Equipment (include PA System)	:	Yes
		No
28.5 : Staff Clearance (include O/T)	:	Yes
		No
28.6 : Food	:	Yes
		No
28.7 : Others	:	Yes
		No
28.8 : Clearance / Comments / Approval	:	Yes
		No

GENERAL MANAGER

29 Clearance/comments by PRINCIPAL

FOR ADMINISTRATION DEPT. USE ONLY

Make copies for

1) Housemaster / Housemistress's Office	received by : ...................................	Date : .......................
2) Senior Food & Accommodation Manager	received by : ...................................	Date : .......................
3) Others :
4) Please specify
4.1) Senior A/C Assistant	received by : ...................................	Date : .......................
4.2) Amelia	received by : ...................................	Date : .......................
4.3) Others	received by : ...................................	Date : .......................
5) File	received by : ...................................	Date : .......................

Digital Clearance Form 2026