Date Course - 1st Choice **
Course - 2nd Choice Course - 3rd Choice
Intake ** Intake Year
Accommodation Yes No ** Required Field
 
Personal Particular
Name ** Gender
Nationality ** Place of Birth
IC / Passport Number ** Passport Exp Date
Race Marital Status
Religion Date of Birth
Blood Group
 
Contact Information
Phone - Home Phone - Mobile
Email **
Permanent Address Mailing Address
Permanent Postcode Mailing Postcode
Permanent State Mailing State
Permanent Country Mailing Country
 
Emergency Contact
Name Relationship
Contact

Exam Result (Local Student)
School/Institution Exam
Result:
B.Malaysia Principles of Accounts
English Basic Economics
Mathematics Biology
Science Chemistry
History Physics
Geography Add.Mathematics
Others:
Subject Grade Subject Grade


Exam Result (International Student)
School/Institution Exam & Year
Result:
Biology Chemistry
Physics English
Mathematics Add.Mathematics
Science
Others:
Subject Grade Subject Grade

 

* Please fill in your result for Qualification Validation.
* After you have done the online application, please scan your IC or passport copy and your results to marketing@mahsa.edu.my.
* Please include your NAME AND PHONE NUMBER when you email to us so that we can contact you within 3 working days.
* If you do not receive our call within 3 working days, please call us at +603-5102 2200 or Toll Free: 1800 88 0300 (within Malaysia only) to check your application status.


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