Online Student Application Form

Personal and contact information

Name

IC No

Sex

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Age

Race

Religion

Telephone

Email

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Marital Status

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H/P

Correspondence Address

Course Preferences

Course apply for 

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GRADE

Bahasa Malaysia

English Language

General Science / Physics / Chemistry / Biology

Additional Mathematics / Modern Mathematics

Any Credit In ONE other Subject

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Attachment

Certified Malaysian Identity Card

upload

Certified Examination Results

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Certified Co-curriculum

upload

School Leaving Certificate

upload

REMARK

JPG, BMP,TIF, TIFF, WEBP, GIF, HEIC, HEIF, JFI, JFIF, JPE,JPEG is supported.

PDF format is not supported.

* Make sure all "Red Box" is filled if no responding when clicking Submit button

 

REMARK

Once you click submit button, the upload + icon on the attachment will become grey icon. The upload is completed if the upload + icon from grey color become blue color. Please be patient if your line is weak until you can see  "Thank you", we had received your submission.