Date Course - 1st Choice **
Course - 2nd Choice Course - 3rd Choice
Intake ** Intake Year
Accommodation Yes No ** Required Field
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Name ** Gender
Nationality ** Place of Birth
IC / Passport Number ** Passport Exp Date
Race Marital Status
Religion Date of Birth
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Contact Information
Phone - Home Phone - Mobile
Email **
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Permanent Postcode Mailing Postcode
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Exam Result (Local Student)
School/Institution Exam
B.Malaysia Principles of Accounts
English Basic Economics
Mathematics Biology
Science Chemistry
History Physics
Geography Add.Mathematics
Subject Grade Subject Grade

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


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