Online Application Form

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Online Application Form

PERSONAL DETAILS
PARENTS AND GUARDIANS
DOCUMENTS
PROGRAMME / ADDITIONAL INFO

Your Header Text Here

Applicant Photo

Please take note of the specifications for the required photo:

Photo used for passport application, OR portrait mode (35mm x 50mm) with blue background
File size of less than 2MB
Front-facing photo required, no angled poses

Applicant Details

Email address

Please enter a valid email address (e.g., name@example.com).

Identification Type

Please select a identification type.

National ID / Passport No. Please enter National ID / Passport No. without dash '-'.

Please enter a valid National ID / Passport No.

Salutation / Title

Please select a salutation.

Full Name

Please enter your full name.

Family Name / Surname

Please enter your family name.

Given Name

Please enter your given name.

Let Us Know A Bit More About You

Mobile Phone No.

Date of Birth

Please enter your date of birth.

Gender

Please select your gender.

Marital Status

Please select your marital status.

Religion

Please select your religion.

Race

Please select your race.

Address Line 1

Please enter your address.

Address Line 2

Postcode

Please enter a valid postcode.

Nationality

Please select your nationality.

Country

Please select your country.

State

Please select your state.

City

Please enter your city.

E-invoice (Only Applicable for business purpose)

Tax Identification Number

Exemption Certificate Number

SST Registration Number

Father Details

Name

Please enter the father's name.

National ID / Passport No. Please enter National ID / Passport No. without dash '-'.

Please enter a valid National ID or Passport No.

Mobile Phone No.

Email Address

Income group

Please select an income group.

Mother Details

Name

Please enter the mother's name.

National ID / Passport No. Please enter National ID / Passport No. without dash '-'.

Please enter a valid National ID or Passport No.

Mobile Phone No.

Email Address

Income Group

Please select an income group.

Guardian Details

Name

Please enter the guardian's name.

National ID / Passport No. Please enter National ID / Passport No. without dash '-'.

Please enter a valid National ID or Passport No.

Mobile Phone No.

Email Address

Income Group

Please select an income group.

Identity Card

Front:

Back:

Passport

Upload Passport Document:

Qualifications

Title	Document	Action

Course Preferences

Preferred Course / Programme

Please select a course.

Preferred Intake

Please select an intake.

Do you plan to apply for PTPTN for this programme?

Yes

Not applicable

Please select an option.

Person In Charge

Who is your person in charge?

Please select a person in charge.

Source of Information

How Did You Know About Us

Please select how you heard about us.

Family and University Information

Are you the first children going to the university?

Yes

Please select an option.

Do you require accommodation?

Yes

Please select an option.

Health and Remarks

Do you have medical insurance?

Yes

Please select an option.

Do you have any health remarks or disabilities?

Yes

Please select an option.

Please specify your health remarks or disabilities:

Please specify your health remarks or disabilities.

Additional Feedback

Comments

Please provide comments if applicable.

I certify that the information provided within this form is correct and I understand that the University will withdraw my application if any aspect is found to have been falsified.

Please check this box to certify.

I have read and agree to the Personal Data Protection Act 2010

You must agree before submitting.

Online Application Form

Your Header Text Here

Applicant Photo

Applicant Details

Let Us Know A Bit More About You

E-invoice (Only Applicable for business purpose)

Father Details

Mother Details

Guardian Details

Course Preferences

Person In Charge

Source of Information

Family and University Information

Health and Remarks

Additional Feedback

Thank You for Your Application!