Online Admission Application Form UTAR
Content
1/2/2016
Online Admission Application Form
Qualification : OTHER
Ref.
No
(For Office use Only)
Online Submission Ref.
No
: WB1601000648
Date
: 02January2016
To
: Department of Admissions and Credit Evaluation
Universiti Tunku Abdul Rahman
Jalan Sungai Long
Bandar Sungai Long
Cheras, 43000 Kajang, Selangor Darul Ehsan
OR
Jalan Universiti, Bandar Barat,
31900 Kampar
Perak Darul Ridzuan
Dear Sir / Madam,
APPLICATION FOR ADMISSION TO THE BACHELOR'S HONOURS
DEGREE PROGRAMMES
I, EYU WEI SHENG I/C No: 940402016903 would like to apply for admission into the following Bachelor's
Honours Degree Programmes at the Universiti Tunku Abdul Rahman:
1st choice
: BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING
2nd choice
: BACHELOR OF ENGINEERING (HONS) ELECTRONIC AND COMMUNICATIONS ENGINEERING
3rd choice
: BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING
4th choice
: BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING
5th choice
: BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING
Enclosed are the following documents marked (X) as requested
(All documents must be certified by School Principal/Justice of Peace/State
Assemblyman/Member of Parliament)
Certified true copy of actual/forecast SPM/Other equivalent results;
Certified true copy of actual/forecast STPM/ALevels/SAM/CPU/UEC/Other equivalent results;
Certified true copy of School Leaving Certificate;
Certified true copy of Birth Certificate;
Certified true copy of Identity Card;
Certified true copy of MUET (compulsory for STPM holders);
A nonrefundable processing fee of RM60.00 in money order/postal order/bankdraft made
payable to “Universiti Tunku Abdul Rahman”. (Please note that personal cheque/cash is
NOT accepted);
Selfaddressed envelope measuring 7” X 10” affixed with RM1.00 stamp; and
Selfaddressed envelope measuring 3.5” X 6” affixed with RM0.60 stamp.
Submission of 3 portfolios of body figure, still life and landscape on A3sized paper (297mm x
420mm) ONLY for Bachelor of Arts (Hons) Digital Animation;
Submission of 3 portfolios of building on A3sized paper (297mm x 420mm) ONLY for
Bachelor of Science (Hons) Architecture.
If you are using other equivalent qualification(s), for example, Diploma or Advanced
Diploma from a College/Institution/Polytechnic, you are also required to submit together with
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
1/5
1/2/2016
Online Admission Application Form
the application form:
Certified true copy of Certificate of Awards;
Official academic transcripts;
Course structure and syllabi;
Official letter from Private College/Institution of Higher Learning on the Standard
Minimum/Accreditation from the Malaysian Qualifications Agency (MQA); and
All relevant information and materials related to your previous studies from SPM onwards.
Yours sincerely,
.........................................
(EYU WEI SHENG)
I declare that the above information provided by me in connection with this application is true and correct. I
understand that Universiti Tunku Abdul Rahman reserves the right to withdraw the offer of admission or ask me to
leave the University at any time if such information is found to be false or incorrect.
EYU WEI SHENG
__________________________
__________________________
Name of Applicant
Signature of Applicant
Date
UNIVERSITI TUNKU ABDUL
RAHMAN
Wholly owned by UTAR Education Foundation (Company No. 578227M)
Application Form January 2016 Intake
(Bachelor Honours Degree Programmes)
Online Submission Ref. No :
Section A: To be completed by applicant
WB1601000648
I. PERSONAL INFORMATION
Name (as in NRIC):
I.C. No.
EYU WEI SHENG
(Malaysia Identity Card
No.):
940402016903
Nationality:
MALAYSIAN
Date of Birth:
02/04/1994
Gender:
Male
Address:
PKP 65 SEROM 2A SG MATI
LEDANG JOHOR
Postal Code:
84410
State:
JOHOR
Contact No:(H)
069751072
(H/P):
0176288330
EMail:
[email protected]
Race:
Chinese
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
2/5
1/2/2016
Online Admission Application Form
Religion:
Buddhism
Disability/ Handicap
No Disability/Handicap
II. COURSE APPLICATION DETAILS
You can select up to a maximum of 5 choices.
1st Choice:
BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING (Kuala Lumpur
Campus)
2nd
Choice:
BACHELOR OF ENGINEERING (HONS) ELECTRONIC AND COMMUNICATIONS ENGINEERING (Kuala
Lumpur Campus)
3rd
Choice:
BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING (Kuala Lumpur
Campus)
4th
Choice:
BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING (Kuala Lumpur
Campus)
5th
Choice:
BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING (Kuala Lumpur
Campus)
III. ACADEMIC QUALIFICATION
Last School/Institution Attended
Name of
School/Institution:
SMK TENGKU MAHMUD ISKANDAR
Address of
School/Institution:
KM 16, SUNGAI MATI, 84400 JH
Qualification
Actual results
SPM
No.
Subjects
Grade
1
BAHASA MELAYU
C
2
BAHASA INGGERIS
D
3
BAHASA CINA
C
4
SEJARAH
B+
5
MATEMATIK
B
6
FIZIK
B
7
KIMIA
E
8
PRINSIP AKAUN
E
9
PENGETAHUAN MORAL
B
Other Qualification:
Name of Institution:
Level of Study:
UNIVERSITI TEKNOLOGI MALAYSIA (UTM)
others: KOLEJ YAYASAN PELAJARAN JOHOR
DIPLOMA
Name of Award:
CGPA:
3.2200
Year of Completion:
2015
OR Grade:
English Language Proficiency: (Please fill in your grade)
Actual results
IELTS
TOEFL
ENGLISH
1119/OLEVEL
MUET 1
Others
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
3/5
1/2/2016
Online Admission Application Form
IV. COCURRICULUM ACTIVITIES
Sports:
Uniform:
Club /
Societies:
Extras:
V. PARTICULARS OF PARENT/GUARDIAN
Name of
Parent/Guardian :
EYU AH HOCK
Address of
Parent/Guardian :
EYU AH HOCK
Relationship :
FATHER
Occupation :
ELECTRICIAN
Contact No :
(Home)
069751072
(Office)
0122507896
:
VI. DECLARATION BY APPLICANT
I declare that the above information provided by me in connection with this application is true and correct. I
understand that Universiti Tunku Abdul Rahman reserves the right to withdraw the offer of admission or ask me
to leave the University at any time if such information is found to be false or incorrect.
EYU WEI SHENG
__________________________
__________________________
Name of Applicant
Signature of Applicant
Date
Section B: For Office Use
Date Received:
Complete and
Processed:
Incomplete:
Processing fee of RM60.00
Certified true copy of SPM/STPM/ALevels/SAM/CPU
results
Certified true copy of School Leaving Certificate
Birth Certificate/Identity Card
Others ____________________
Name of Staffincharge: Date:
Remarks:
Acknowledgement Slip
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
4/5
1/2/2016
Online Admission Application Form
(Please submit this slip together with the completed application form)
* Name: ___________________________________________________________________________
* Address: _________________________________________________________________________
_________________________________________________________________________________
RE: APPLICATION FOR ADMISSION TO UNIVERSITI TUNKU ABDUL
RAHMAN JANUARY 2016 INTAKE
Your application for admission to Universiti Tunku Abdul Rahman has been received on
_____________________________.
Please be informed that :
You have completed the application form and submitted all certified true copies of the results and
documents as required.
Kindly note the following:
You have not completed fully the application form. Please call us at
039086 0288 (Sungai Long
Campus) or 05468 8888 (Kampar Campus) or email us at [email protected] for further
clarification.
You have not submitted application fee of RM60.00 made payable to “Universiti Tunku Abdul
Rahman” in postal order/money order/ bank draft.
You have not attached certified true copy of your actual/ forecast/ trial SPM/ SPMV/ STPM/ A
Level/ SAM/ CPU/ UEC/ MUET/ other examination results.
You have not attached certified true copy of your Diploma certificate/ transcript/ syllabus/
course structure/ complete Diploma results (KTAR)/ others.
You have not attached certified true copy of your IC/ birth certificate/ school leaving certificate/
others.
Kindly send the outstanding documents to us by ___________________________.
The University is not bound to process your application if you do not submit the documents as
required before or by the stipulated date.
* To be completed by applicant
Department of Admissions and Credit Evaluation
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
5/5
Online Admission Application Form
Qualification : OTHER
Ref.
No
(For Office use Only)
Online Submission Ref.
No
: WB1601000648
Date
: 02January2016
To
: Department of Admissions and Credit Evaluation
Universiti Tunku Abdul Rahman
Jalan Sungai Long
Bandar Sungai Long
Cheras, 43000 Kajang, Selangor Darul Ehsan
OR
Jalan Universiti, Bandar Barat,
31900 Kampar
Perak Darul Ridzuan
Dear Sir / Madam,
APPLICATION FOR ADMISSION TO THE BACHELOR'S HONOURS
DEGREE PROGRAMMES
I, EYU WEI SHENG I/C No: 940402016903 would like to apply for admission into the following Bachelor's
Honours Degree Programmes at the Universiti Tunku Abdul Rahman:
1st choice
: BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING
2nd choice
: BACHELOR OF ENGINEERING (HONS) ELECTRONIC AND COMMUNICATIONS ENGINEERING
3rd choice
: BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING
4th choice
: BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING
5th choice
: BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING
Enclosed are the following documents marked (X) as requested
(All documents must be certified by School Principal/Justice of Peace/State
Assemblyman/Member of Parliament)
Certified true copy of actual/forecast SPM/Other equivalent results;
Certified true copy of actual/forecast STPM/ALevels/SAM/CPU/UEC/Other equivalent results;
Certified true copy of School Leaving Certificate;
Certified true copy of Birth Certificate;
Certified true copy of Identity Card;
Certified true copy of MUET (compulsory for STPM holders);
A nonrefundable processing fee of RM60.00 in money order/postal order/bankdraft made
payable to “Universiti Tunku Abdul Rahman”. (Please note that personal cheque/cash is
NOT accepted);
Selfaddressed envelope measuring 7” X 10” affixed with RM1.00 stamp; and
Selfaddressed envelope measuring 3.5” X 6” affixed with RM0.60 stamp.
Submission of 3 portfolios of body figure, still life and landscape on A3sized paper (297mm x
420mm) ONLY for Bachelor of Arts (Hons) Digital Animation;
Submission of 3 portfolios of building on A3sized paper (297mm x 420mm) ONLY for
Bachelor of Science (Hons) Architecture.
If you are using other equivalent qualification(s), for example, Diploma or Advanced
Diploma from a College/Institution/Polytechnic, you are also required to submit together with
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
1/5
1/2/2016
Online Admission Application Form
the application form:
Certified true copy of Certificate of Awards;
Official academic transcripts;
Course structure and syllabi;
Official letter from Private College/Institution of Higher Learning on the Standard
Minimum/Accreditation from the Malaysian Qualifications Agency (MQA); and
All relevant information and materials related to your previous studies from SPM onwards.
Yours sincerely,
.........................................
(EYU WEI SHENG)
I declare that the above information provided by me in connection with this application is true and correct. I
understand that Universiti Tunku Abdul Rahman reserves the right to withdraw the offer of admission or ask me to
leave the University at any time if such information is found to be false or incorrect.
EYU WEI SHENG
__________________________
__________________________
Name of Applicant
Signature of Applicant
Date
UNIVERSITI TUNKU ABDUL
RAHMAN
Wholly owned by UTAR Education Foundation (Company No. 578227M)
Application Form January 2016 Intake
(Bachelor Honours Degree Programmes)
Online Submission Ref. No :
Section A: To be completed by applicant
WB1601000648
I. PERSONAL INFORMATION
Name (as in NRIC):
I.C. No.
EYU WEI SHENG
(Malaysia Identity Card
No.):
940402016903
Nationality:
MALAYSIAN
Date of Birth:
02/04/1994
Gender:
Male
Address:
PKP 65 SEROM 2A SG MATI
LEDANG JOHOR
Postal Code:
84410
State:
JOHOR
Contact No:(H)
069751072
(H/P):
0176288330
EMail:
[email protected]
Race:
Chinese
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
2/5
1/2/2016
Online Admission Application Form
Religion:
Buddhism
Disability/ Handicap
No Disability/Handicap
II. COURSE APPLICATION DETAILS
You can select up to a maximum of 5 choices.
1st Choice:
BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING (Kuala Lumpur
Campus)
2nd
Choice:
BACHELOR OF ENGINEERING (HONS) ELECTRONIC AND COMMUNICATIONS ENGINEERING (Kuala
Lumpur Campus)
3rd
Choice:
BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING (Kuala Lumpur
Campus)
4th
Choice:
BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING (Kuala Lumpur
Campus)
5th
Choice:
BACHELOR OF ENGINEERING (HONS) ELECTRICAL AND ELECTRONIC ENGINEERING (Kuala Lumpur
Campus)
III. ACADEMIC QUALIFICATION
Last School/Institution Attended
Name of
School/Institution:
SMK TENGKU MAHMUD ISKANDAR
Address of
School/Institution:
KM 16, SUNGAI MATI, 84400 JH
Qualification
Actual results
SPM
No.
Subjects
Grade
1
BAHASA MELAYU
C
2
BAHASA INGGERIS
D
3
BAHASA CINA
C
4
SEJARAH
B+
5
MATEMATIK
B
6
FIZIK
B
7
KIMIA
E
8
PRINSIP AKAUN
E
9
PENGETAHUAN MORAL
B
Other Qualification:
Name of Institution:
Level of Study:
UNIVERSITI TEKNOLOGI MALAYSIA (UTM)
others: KOLEJ YAYASAN PELAJARAN JOHOR
DIPLOMA
Name of Award:
CGPA:
3.2200
Year of Completion:
2015
OR Grade:
English Language Proficiency: (Please fill in your grade)
Actual results
IELTS
TOEFL
ENGLISH
1119/OLEVEL
MUET 1
Others
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
3/5
1/2/2016
Online Admission Application Form
IV. COCURRICULUM ACTIVITIES
Sports:
Uniform:
Club /
Societies:
Extras:
V. PARTICULARS OF PARENT/GUARDIAN
Name of
Parent/Guardian :
EYU AH HOCK
Address of
Parent/Guardian :
EYU AH HOCK
Relationship :
FATHER
Occupation :
ELECTRICIAN
Contact No :
(Home)
069751072
(Office)
0122507896
:
VI. DECLARATION BY APPLICANT
I declare that the above information provided by me in connection with this application is true and correct. I
understand that Universiti Tunku Abdul Rahman reserves the right to withdraw the offer of admission or ask me
to leave the University at any time if such information is found to be false or incorrect.
EYU WEI SHENG
__________________________
__________________________
Name of Applicant
Signature of Applicant
Date
Section B: For Office Use
Date Received:
Complete and
Processed:
Incomplete:
Processing fee of RM60.00
Certified true copy of SPM/STPM/ALevels/SAM/CPU
results
Certified true copy of School Leaving Certificate
Birth Certificate/Identity Card
Others ____________________
Name of Staffincharge: Date:
Remarks:
Acknowledgement Slip
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
4/5
1/2/2016
Online Admission Application Form
(Please submit this slip together with the completed application form)
* Name: ___________________________________________________________________________
* Address: _________________________________________________________________________
_________________________________________________________________________________
RE: APPLICATION FOR ADMISSION TO UNIVERSITI TUNKU ABDUL
RAHMAN JANUARY 2016 INTAKE
Your application for admission to Universiti Tunku Abdul Rahman has been received on
_____________________________.
Please be informed that :
You have completed the application form and submitted all certified true copies of the results and
documents as required.
Kindly note the following:
You have not completed fully the application form. Please call us at
039086 0288 (Sungai Long
Campus) or 05468 8888 (Kampar Campus) or email us at [email protected] for further
clarification.
You have not submitted application fee of RM60.00 made payable to “Universiti Tunku Abdul
Rahman” in postal order/money order/ bank draft.
You have not attached certified true copy of your actual/ forecast/ trial SPM/ SPMV/ STPM/ A
Level/ SAM/ CPU/ UEC/ MUET/ other examination results.
You have not attached certified true copy of your Diploma certificate/ transcript/ syllabus/
course structure/ complete Diploma results (KTAR)/ others.
You have not attached certified true copy of your IC/ birth certificate/ school leaving certificate/
others.
Kindly send the outstanding documents to us by ___________________________.
The University is not bound to process your application if you do not submit the documents as
required before or by the stipulated date.
* To be completed by applicant
Department of Admissions and Credit Evaluation
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
5/5
