Lost & Confiscated Record
KYS Student Affairs Department
A. Record Type & Student
Record Type
*
Select
Lost & Found
Confiscated
Student Type
*
Select
Student
Prefect
College Reg. No.
*
Full Name
*
Mobile No.
*
Finder / Staff
Form
*
Select
1
2
3
4
5
Class
*
Select
Amanah
Rajin
Taat
Ikhlas
Jujur
Gigih
Cekal
House
*
Select
Rahman
Razak
Hussein
B. Item Details
Item
Category
Select
High-Value Items
Electronics
General Items
Brand / Model
Serial / IMEI
Quantity
Location Found / Confiscated
Date
Time
Additional Notes
Housemaster/Housemistress Verification
All phones, iPads, or laptops that are found or confiscated will be checked for their contents by the Housemaster/Housemistress.
Therefore, students must provide the device password and their mobile phone number for contact.
Device Type
Device Password *
Student Mobile Number *
Verified by HM/HS
Admin Note
C. Payment
Release fee:
RM 5.00 (Student)
•
RM 10.00 (Prefect)
. Please pay via DuitNow QR or bank transfer, then upload the receipt below.
Scan to Pay (DuitNow QR)
Bank Details (for bank transfer)
BANK SIMPANAN NASIONAL (BSN)
Account No.:
0412141100030742
Account Name:
KYS STUDENT AFFAIRS
WhatsApp proof to
010-5463 157
.
Fine Amount (auto)
Payment Method
Select
Cash
QR
Bank Transfer
Upload Receipt *
Choose File (JPG, PNG, PDF)
Max 5MB. Required for submission.
Received By (Admin Staff)
Select Staff
Mdm. Morni
Mdm. Natasya
D. Student Acknowledgement & Signature
Acknowledgement Date
Sign below. Required for submission.
Clear Signature
Preview & Confirm
Reset Form
View Submission PDF
Preview Submission
X
Edit Form
Confirm & Submit