ENROLMENT TO UNDERGRADUATE PROGRAMS
ONLINE APPLICATION
CONTINUE APPLICATION.
CHOOSE PROGRAM
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1st Choice
Please select option program 1
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2nd Choice
Please select option program 2
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3rd Choice
Please select option program 3
PERSONAL DETAILS
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Name
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Postal Address
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Postcode
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City
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State
Please Select
JOHOR
KEDAH
KELANTAN
MELAKA
NEGERI SEMBILAN
Others
PAHANG
PERAK
PERLIS
PULAU PINANG
SABAH
SARAWAK
SELANGOR
SINGAPURA
TERENGGANU
W.P. KUALA LUMPUR
W.P. LABUAN
W.P. PUTRAJAYA
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Country
MALAYSIA
OTHERS
Identification Card (I.C) Details
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New NRIC
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Date of Birth
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Nationality
MALAYSIAN
OTHERS
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Race
Please Select
BAJAU / ILANAU
BIDAYUH
BRUNEI
BUMIPUTERA
CINA
DAYAK
IBAN
INDIA
IRANUN
KADAZAN / DUSUN
LAIN-LAIN - EXP
LAIN-LAIN - MSIA
LUNBAWANG
MELANAU
MELAYU
MURUT
ORG ASLI SEMENANJUNG
PERIBUMI
SIAM
SIKH
UNDEFINED
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Religion
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ANIMISME
BUDDHISM
CHRISTIAN
HINDUISM
ISLAM
OTHERS
SIKH
UNDEFINED
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Gender
MALE
FEMALE
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Marital Status
SINGLE
MARRIED
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Telephone Information (At least 1 phone number must be entered)
Home
eg. 0332806013
Handphone
eg. 0133485180
Email
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Permanent Address
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Postcode
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City
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State
Please Select
JOHOR
KEDAH
KELANTAN
MELAKA
NEGERI SEMBILAN
Others
PAHANG
PERAK
PERLIS
PULAU PINANG
SABAH
SARAWAK
SELANGOR
SINGAPURA
TERENGGANU
W.P. KUALA LUMPUR
W.P. LABUAN
W.P. PUTRAJAYA
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Country
MALAYSIA
OTHERS
Particular of Parents (Mother/Father/Guardian/Emergency Contact)
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Name
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Correspondence Address
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Postcode
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City
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State
Please Select
JOHOR
KEDAH
KELANTAN
MELAKA
NEGERI SEMBILAN
Others
PAHANG
PERAK
PERLIS
PULAU PINANG
SABAH
SARAWAK
SELANGOR
SINGAPURA
TERENGGANU
W.P. KUALA LUMPUR
W.P. LABUAN
W.P. PUTRAJAYA
*
Country
MALAYSIA
OTHERS
Family Income
RM1500 KE BAWAH
RM1501-RM2500
RM2501-RM3500
RM3501-RM2500
RM5000 KE ATAS
Phone Number
Office Number
Fax Number
