SECTION A : COURSE APPLIED
COURSE APPLIED
SECTION B : PERSONAL DETAILS  
Name as on ID# / IC / Passport
Other Name
ID# / IC / Passport: Number
Date of Birth
Age
Sex

Nationality
Postal Address
Permanent Address
Telephone No: (House)
Mobile No:
Office No.
Email
SECTION C: PARENT/GUARDIAN DETAILS  
NAME OF PARENT/GUARDIAN
Relationship
ID# / IC / Passport: Number
Guardian Occupation
Guardian Office Address
Guardian Home Address:
Guardian Telephone No: (House)
Guardian Mobile No
Guardian Office No
Guardian Email

SECTION D : ACADEMIC RECORD
Please enclose certified true copies of Forecast Result, Certificates, Diplomas or Degrees

  

Qualification -

SPM/Certificate/Diploma/Degree
Please give detailed academic results:-
School/College/University
SECTION E : WORK EXPERIENCE  
WORK EXPERIENCE: Position
Company
Responsibilities
Years served

Section F

Please advise if you would require the following. 

Please note that terms and conditions will apply to both items. 

 

 

Please TICK one.

Loan applications

Dormitory stay

Please Note:

a) You will be advised if you qualify for the loan application.

b) More information on the dormitory can be obtained upon request.

c) Our offer letter will be emailed to you. Please ensure you have given us your email contact.

d) Our Official Letter of Offer will also be mailed to you/ or you can pick

it up from our office.
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