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    Application Form (Undergraduate)

    Uploaded by

    Rohaan
    This document contains an application form for admission to an undergraduate program. It requests personal information such as name, contact details, citizenship, education history, disability status, and employment history. It also lists the documents required for the application such as academic transcripts and certificates, photo ID, and a processing fee. The applicant must sign to consent to the collection and use of their personal data according to the institution's privacy policy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form (Undergraduate)

    Uploaded by

    Rohaan
    5 views2 pages
    This document contains an application form for admission to an undergraduate program. It requests personal information such as name, contact details, citizenship, education history, disability status, and employment history. It also lists the documents required for the application such as academic transcripts and certificates, photo ID, and a processing fee. The applicant must sign to consent to the collection and use of their personal data according to the institution's privacy policy.

    Original Description:

    Original Title

    APPLICATION FORM (UNDERGRADUATE)

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    This document contains an application form for admission to an undergraduate program. It requests personal information such as name, contact details, citizenship, education history, disability status, and employment history. It also lists the documents required for the application such as academic transcripts and certificates, photo ID, and a processing fee. The applicant must sign to consent to the collection and use of their personal data according to the institution's privacy policy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5 views2 pages

    Application Form (Undergraduate)

    Uploaded by

    Rohaan
    This document contains an application form for admission to an undergraduate program. It requests personal information such as name, contact details, citizenship, education history, disability status, and employment history. It also lists the documents required for the application such as academic transcripts and certificates, photo ID, and a processing fee. The applicant must sign to consent to the collection and use of their personal data according to the institution's privacy policy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    CONFIDENTIALITY:

    Information contained herein will be used for admission purposes. Please ensure the form is duly filled in.
    1. Write in CAPITAL LETTERS and tick ( ) where applicable.
    2. Attach certified true copies of the following:
    ■ Actual results of SPM / O Levels, STM / A Levels, Certificate, Diploma, academic transcripts and (Affix a passport
    documents of other academic qualification; size photo here)
    ■ Photocopy of MyKad; and
    ■ Letter of sponsorship, scholarship or financial evidence (if any)
    3. Enclose a processing fee of RM20.00 (Malaysian Ringgit 20.00 only) for Malaysian applicants in the form
    of a Postal Order or Banker’s Cheque made payable to UNITAR CAPITAL SDN. BHD.

    APPLICATION FOR ADMISSION UNDERGRADUATE PROGRAMME


    1. PROGRAMME PREFERENCE
    Programme Name

    Choice 1

    Choice 2

    Choice 3

    Study Mode Full Time Part Time

    2. PERSONAL PARTICULARS
    Full Name
    (as in MyKad)
    MyKad Nationality

    Date of Birth(DD/MM/YYYY) Gender Male Female

    Marital Status Single Married Email

    Address

    Postcode State and Country

    Phone Number (Home) Phone Number (Mobile)


    Permanent Address
    (if different from above)

    Postcode State and Country

    Phone Number

    3. EMERGENCY CONTACT
    Full Name
    (as in MyKad)

    Relationship Nationality

    Address

    Phone Number Fax Number Email

    4a. ACADEMIC QUALIFICATIONS (attach a separate sheet of paper for additional subjects)
    SPM / O Levels or equivalent

    Subjects with a Credit and Above Grade Subjects with a Credit and Above Grade
    4b. ACADEMIC QUALIFICATIONS
    STPM / A Levels or Equivalent

    Subjects with a Principal Pass Grade Subjects with a Principal Pass Grade

    Certificate / Diploma or Equivalent

    Name of CGPA /
    Name of University / College Level of Study
    Programme Grade

    5. WORK EXPERIENCE (if applicable)


    Job Title Name of Organisation Start Date End Date

    6. DISABILITY STATUS
    I do not have a disability or illness that requires special attention

    I have a disability that requires University support

    Wheelchair user / Mobility difficulties Hearing Disability

    Learning Disability Vision Disability

    Dyslexia Others (specify)

    OKU Registration No:

    7. DECLARATION BY APPLICANT
    I attest that I have personally filled in this form and the information contained herein is complete and accurate to the best of my knowledge. I
    understand that withholding information or giving false information will make me ineligible for admission. I also understand that I may be required
    to appear for an interview or to undergo such tests as requested by the University as a condition for admission to the programme of study for which
    I have applied.
    I hereby consent to the collection, use, access, transfer, storage and processing of my personal data as described in UNITAR Privacy
    Policy Notice (http://www.unitar.my/privacy-policy).

    Signature Date

    Recruited by
    Company Name Company Seal Signature

    Contact Person

    FOR OFFICE USE ONLY FOR RECRUITMENT AGENT ONLY

    Processed
    r by (name and signature) Date Company Stamp Contact Person and Signature

    Please send the completed form with relevant supporting documents to:
    edited on 01/12/2014

    UNITAR INTERNATIONAL UNIVERSITY


    3-01A, Level 3, Tierra Crest, Jalan SS6/3,
    Kelana Jaya, 47301 Petaling Jaya, Selangor, Malaysia.
    (Attn: Sales and Marketing Department)
    Tel : +603 7627 7200 Fax : +603 7627 7447
    www.unitar.my

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