ENROLMENT TO UNDERGRADUATE PROGRAMS

ONLINE APPLICATION
  EDUCATION BACKGROUND
(The University reserves the right to withdraw the OFFER if any information given is found to be false or misleading or if entry requirements are not met)
   
  SPM / SPMV / O-Level
  Please ensure that only SPM Result (ACTUAL) is given.
   
 
* Certificate Type
* Year
Stream(science/art)
* School
* Institution Name
* Grade
   
 
No Subject Grade
1 Bahasa Malaysia
2 Matematik
3 Bahasa Inggeris
4
5
6
7
8
9
10
11
   
  HEALTH DECLARATIONS
   
  HAVE YOU HAD ANY HEALTH PROBLEMS?
YES
NO
If Yes, Please Specify :
   
  HAVE YOU HAD COLOUR BLIND SYMPTOMS (CONFIRMED BY DOCTOR)?
YES
NO
   
  HAVE YOU HAD ANY DISABILITY?
YES
NO
If Yes, Please Specify :
   
  INTRODUCER
   
  Who introduced Unisel to you? (Please Choose One)

Unisel Staff (Name & Staff No) :
Unisel Student (Name & Student ID) :
Agent (Name of Company) :
None of the above
   
  ACCOMMODATION (HOSTEL)
   
  Do you need a hostel to stay in Unisel?

YES
NO

   
  QUESTIONNAIRES
   
  HOW DO YOU KNOW ABOUT UNISEL?
NEWSPAPER
TV/RADIO
UNISEL WEBSITE
Social Media (Blog/Facebook/Tweeter/Youtube)
FLYERS
BLOGS
FAMILY/FRIENDS
UNISEL STAFF
UNISEL ROADSHOWS
EDUCATION EXHIBITION
TEACHERS/COUNSELORS
   
  REASON FOR CHOOSING UNISEL?
PROGRAMMES OFFERED REPUTATION LOCATION FEES FINANCIAL AID
   
WHAT DO YOU LIKE ABOUT UNISEL?
  DECLARATION
 

I certify that the information provided in this application form is correct. The SPM result given is actual (NOT TRIAL). I agree to the condition that the University has the right to reject this application to withdraw the offer of admission or so to terminate my study if any information given is found to be incorrect. I also undertake to observe and ensure payment of all fees and other liabilities are made on time

 
 
* Name