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Online Student Application Form
Personal and contact information
Name
IC No
Sex
Age
Race
Religion
Telephone
Marital Status
H/P
Correspondence Address
Course Preferences
Course apply for
GRADE
Bahasa Malaysia
English Language
General Science / Physics / Chemistry / Biology
Additional Mathematics / Modern Mathematics
Any Credit In ONE other Subject
Attachment
Certified Malaysian Identity Card
Certified Examination Results
Certified Co-curriculum
School Leaving Certificate
REMARK
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* 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.
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