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| Personal Particulars |
| Name |
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| Home Address |
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| Gender |
Male
Female |
| Age |
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| Citizenship |
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| Occupation |
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| School / Institution / Organisation |
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| Organisation/ School Address |
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| Telephone |
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| Mobile/Handphone |
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| Email |
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| Academic Qualification |
| Highest Academic Qualification |
E.g. Degree, Diploma, SPM |
| Grades |
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| English Language Proficiency |
IELTS Score:
TOEFL Score:
Other:
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Area of Study Interested In
E.g. Accounting, Business, Engineering, Medicine, etc |
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2.
3. |
| Mode of Study Interested In |
Full Time (On Campus)
Part Time
Distance Learning
If Other, please specify:
For Twinning Degree Programme, indicate choice of country to complete your Bachelor Degree: |
| Level of Study Interested In |
Short Courses
Pre-University
Certificate
Semi Professional Studies
Bachelor Degree
Professional
Diploma
Master/Postgraduate/PhD. |
| Study Budget |
< RM5,000
RM5,000 - RM10,000
RM10,000 - RM20,000
RM20,000 - RM50,000
> RM50,000
If Other, please specify:
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| Preferred Campus Environment |
City
Outskirt
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| Preferred Institution (if applicable) |
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2.
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| Choice of Country for Further Study (if applicable) |
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