Student Application | School-College-University Management System in Malaysia

Personal
Academic
Parents
Emergency Contact
Fees
Final

Personal

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Personal Details

Student Full Name : *

Nationality : *

Place of Birth [Country] : *

Gender : *

Male

Female

Birth Certificate No. :

Race :

Religion :

Contact[WhatsApp] : *

Malaysian Contact : *

Communicative Email ID : *

Programme/Course Applied For : *

No. of Siblings :

Student Personality :

Personal
Academic
Parents
Emergency Contact
Fees
Final

Academic

Last School Information :

Last School Name : *

Joining Date :*

Leaving Date :

School Type : *

International

Local

School Address : *

Country : *

State : *

City : *

Post Code : *

Website Address (if Any):

Personal
Academic
Parents
Emergency Contact
Fees
Final

Parents

Father Details :

Father Name : *

Race :

Religion :

Personal Contact No. : *

Contact No.[Office] :

WhatsApp No. : *

Communicative Email ID :

Occupation : *

Job/Career Details (If any) :

Company Details (If any) :

Home Address : *

Country : *

State : *

City : *

Post Code : *

If Father & Mother address is same, then please check here

Mother Details :

Mother Name : *

Race :

Religion :

Personal Contact No. : *

Contact No.[Office] :

WhatsApp No. : *

Communicative Email ID :

Occupation : *

Job/Career Details (If any) :

Company Details (If any) :

Home Address : *

Country : *

State : *

City : *

Post Code : *

Personal
Academic
Parents
Emergency Contact
Fees
Final

Emergency Contact

Emergency Contact Name :

Relationship to Student :

Personal Contact No. :

Parent / Guardian Address :

Full Address : *

Country : *

State : *

City : *

Post Code : *

Active Personal Email : *

Personal
Academic
Parents
Emergency Contact
Fees
Final

Fees

Fees Paid By(Relation) : *

Bill To(Person Name) : *

Medical Details :

If you have any existing medical conditions, disabilities or psychological trauma then please specify in details.

Yes

Personal
Academic
Parents
Emergency Contact
Fees
Final

Personal Details

Student Full Name:
Nationality:
Passport:
Citizenship/IC/ID No:
Date Of Birth:
Age:
Place of Birth [Country]:
Gender:
Birth Certificate No.:
Race:
Religion:
Contact[WhatsApp]:
Malaysian Contact:
Communicative Email ID:
Programme/Course Applied For:
Placement Level:
Do this Student Require any VISA?
No. of Siblings:
Student Personality:
Fear of Water:

Academic Details

Highest Qualification:
Last School Name:
Joining Date:
Leaving Date:
School Type:
School Address:
Country:
State:
City:
Postcode:
Website Address:

Father Details

Father Name:
Race:
Religion:
Personal Contact No:
Contact No. [Office]:
WhatsApp No.:
Communicative Email ID:
Occupation:
Job/Career Details [If any]:
Company Details [If any]:
Home Address:
Country:
State:
City:
Postcode:

Mother Details

Mother Name:
Race:
Religion:
Personal Contact No:
Contact No. [Office]:
WhatsApp No.:
Communicative Email ID:
Occupation:
Job/Career Details [If any]:
Company Details [If any]:
Home Address:
Country:
State:
City:
Postcode:

Emergency Contact Details

Emergency Contact Name:
Relationship:
NRIC/Passport Number:
Full Address:
Country:
State:
City:
Postcode:
Emergency Contact:
Active Personal Email:

Fees Details

Paid By(Relation):
Bill To(Person Name):

Medical Details

If you have any existing medical conditions, disabilities or psychological trauma then please specify in details.

Details:

I, do hereby declare that the above information furnished by me, here in before is true to the best of my knowledge and belief.

Student Application Form

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