Password Recovery Form

Re: Request for Password Re-Issue for Accessing to SMJK Portal School Name User Account Information: Account Type

Council Council/Principal Web Administrator

School Administrator

User ID Name IC No. New password is to be sent to: Email Address Contact Person Contact Phone Number ----------------------------------------------------------------------------------------------------------------------------

Declaration (By School Principal / Assistant School Principal) By signing below, I hereby confirm that I am authorized to retrieve password on behalf of the school name specified above. Name: ________________________

_________________________________ Authorized Signature and School Chop

Date: ___________________________ Please return the form to: SMJK Web Administrator, Perridot Systems Sdn Bhd Fax : +6 (084)343366

Note: Please print this form with your School’s letterhead.