House Tel No.
_______________
Mobile No.
_________________
Permanent address __________________________________________________
vii.
_______________
Religion
_________________
E-mail _________________
__________________________________________________
viii.
B.
Correspondence
__________________________________________________
Address (if different
From above)
__________________________________________________
FAMILY PARTICULARS
Name of Parent(s)
& Siblings
Relationshi
p
Status / Occupation
Monthly
Gross
Income
RM
1
Total Income
C.
PARTICULARS OF ACADEMIC QUALIFICATIONS
(Please submit certified true copies of the relevant certificates)
Year /
Semest
er
SPM
Results (CGPA / Grade)
A
B
C
D
E
School / Institution
G
STPM
Diploma
D.
ACTIVITIES / SPORTS
(Please submit certified true copies of the relevant certificates)
YEAR
POSITION
SOCIETY / CLUB /
ACTIVITIES
YEAR
LEVEL REPRESENTED
SPORTS
YEAR
POSITION / LEVEL
OTHER ACTIVITIES
2
Programmes (Choose ONE only)
(
(
) Diploma in Risk Management
) Diploma in Information Technology
(
(
(
) BA Hons in Business Management 3+0
) BA Hons in Accounting & Finance 3+0
) BSc Hons in Forensic Computing 3+0
I confirm that the above information is correct and true.
Applicant’s Signature
Date
Document Checklist
2 Passport size photographs
Photocopies of applicant’s and both parents’ IC (front & back – 2 copies)
Guarantor’s IC (if required)
Certified true copies of academic certificates & transcripts (SPM, STPM.
etc)
Leaving school certificate/Sijil berhenti sekolah
Both parents’ latest payslip (certified true copy)