Student Application Form

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Student Data

Your Full Name:

IC Number:

Nationality:

DateOfBirth:(e.g. 08/05/2008)

Address.

Phone Number

Mobile Number

E-mail:

Race Malay Chinese Indian Other

Religion Islam Christian Buddhist Other

Marital Status Single Married Other

Course Data

Course Applied ====DIPLOMA PROGRAMS==== Accounting & Finance Advertising & Public Relations Business Management Events Management Hotel Management Human Resource Logistics & Supply Chain Purchasing & Resourcing Sales & Marketing Travel & Tourism   ====BACHELOR DEGREES==== Business Administration (BBA) Commerce (BCom) English (BA Eng) Human Resource (BHA) Marketing Administration (BMA) Materials & Logistics (BLA) Project Administration (BPA) Hospitality Administration (BHA)   ============MBA============ Business Management Financial Management Human Resource Mgmt. Marketing Management Organisational Mgmt.

Course start date (e.g. 08/05/2009)

Study Method: Self Study Brief Online Tutor

Payment Mode: 1 time payment 12 monthly installments 24 Monthly installments

Parent's Data (for students below 16 years old)

Parent Name:

Phone Number:

Parent Name:

Phone Number:

Education Background

Name of School:

Qualification Obtained:

Year Obtained:

Name of School:

Qualification Obtained:

Year Obtained:

Name of School:

Qualification Obtained:

Year Obtained:

Name of School:

Qualification Obtained:

Year Obtained:

Name of School:

Qualification Obtained:

Year Obtained:

Work Experience

If you have any work experience, please state below.

Company Name:

Position Title:

Start Date:

End Date:

Job Description

Company Name:

Position Title:

Start Date:

End Date:

Job Description

Company Name:

Position Title:

Start Date:

End Date:

Job Description

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