Course Enrollment Form

    Section 1: Personal Information 个人资料

    SECTION 2: ACADEMIC QUALIFICATION 学历

    SECTION 3 : PARENT / GUARDIAN QUALIFICATION 家长/ 监护人资料

    SECTION 4: EMERGENCY CONTACT 紧急联络

    Person 1:

    Person 2:

    SECTION 5 : Documents to be submitted 要提交的文件 (each file size attached not exceed 1mb 随附文件大小不可超过1mb)

    SECTION 6 : Medical/Disability Details (Of Applicable) 医疗/病疾详细信息(适用)

    Yes 是No 否


    SECTION 7 : Preliminary Information 初步资料 (Tick where applicable 请在合适的地方打钩)

    SECTION 8 : Financial Assistance/Loan 贷学金 初步资料 (Tick where applicable 请在合适的地方打钩)

    Yes 是No 否

    RM4,850 or below (B40) RM4,850或一下(B40)Between RM4,851 & RM10,970 (M40) 介于RM4,851 & RM10,970之间(M40)More than RM10,971 (T40) 超过RM10,971(T40)

    SECTION 9 : Parent's & Student's Declaration 家长与学生声明



    I hereby declare that the information provided and documents submitted in connection with this application are true and correct. 本人谨此声明, 所提供的资料和提交的文件是真实及正确。