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1. Please take extra precaution to fill up this application form. All information pertaining to this application should be accurate.
2. Please make sure information on the application form and your Identity card should be the same.
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Personal
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Personal
Student's Basic Information
Upload Photo
Must be recent color photo and file size should be less that 100kb.
Full Name :
*
Enter Full Name
Enter Correct Name
Nationality :
*
Select Nationality Name
IC/Passport No. :
*
Enter IC/Passport No.
Enter Correct IC/Passport No.
Date of Birth :
*
Select Date of Birth
Provide Valid Date Format (YYYY-MM-DD)
Age :
*
Select Age
Place of Birth (Country):
*
Select Place Of Birth
Birth Certificate No. :
Gender :
*
Male
Female
Select Gender
Race :
Select Nationality Name
Religion :
Select Religion
Student Personality :
If you have any existing medical conditions, disabilities or psychological trauma then please specify in details.
Yes
No
Confirm please
Enter details
Student's Contact Info
Malaysian Contact :
*
60 (Malaysia)
Select County Code
Enter Contact No
Enter Correct Contact No
Contact (WhatsApp) :
Select County Code
Recommended: It is recommended to provide one valid Email ID of student/parent/guardian, which will be using for any system auto email-sending, reminder and communication purposes.
Communication Email :
*
Enter Email ID
Enter Correct Email ID
Student's Current Address
Current Address :
*
Write Current Address
Country :
*
Select Country Name
State :
*
No State Available
Select State Name
City :
*
Write City Name
Post Code :
*
Write Post Code
Student's Programme/Course
Programme/Course Applied For :
*
Select Programme
Do this Student Require any VISA? :
*
Yes
No
Choice Student Visa Type
Student's Sibling
No. of Siblings :
Select No. of Siblings
None
1
2
3
4
5
6
7
8
9
10
Select No. Of Siblings
Do you want to register sibling(s) ?
Yes
No
Choose which sibling(s) need to register?
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Personal
Academic
Parents/Guardian's
Fees
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Academic(optional)
Student's Last Academy Information
Not Applicable
Recommended: All fields are optional fields. Recomended to provide all the information as per your knowledge.
Last/Higest Qualification :
Overall Result/Grade :
Upload Result/Certificate/Transcript :
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Last Academy Name :
Academy Type :
International
Local
Select type
Joined Date :
Leaving Date :
Academy Address :
Country :
State :
No State Available
City :
Post Code :
Website Address (if Any):
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Personal
Academic
Parents/Guardian's
Fees
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Parents/Guardian's
Recommended: Please fill up at least one parent/guardian's details.
Father's Details :
Not Applicable
Father's Name :
Enter Father's Full Name
Enter Correct Name
IC/Passport No. :
Enter IC/Passport No.
Enter Correct IC/Passport No.
Race :
Religion :
Personal Contact No. :
Select County Code
Enter Contact No.
Enter Correct Contact No.
WhatsApp No. :
Select County Code
Enter WhatsApp No.
Enter Correct Contact No.
Communication Email :
Enter Email.
Enter Correct Email.
Occupation :
Enter Occupation
Job/Career Details (If any) :
Write details about Job/Career.
Company Details (If any) :
Write details about company (If any).
Contact No.(Office) :
Select County Code
Enter Contact No.
Enter Correct Contact No.
Is father's address the same as
student's current address ?
Home Address :
Enter Home Address
Country :
Select Country Name
State :
No State Available
Select State Name
Select Correct State Name
City :
Enter City Name
Enter Correct City Name
Post Code :
Enter Postal Code
Enter Correct Postal Code
Mother's Details :
Not Applicable
Mother's Name :
Enter Mother's Full Name
Enter Correct Name
IC/Passport No. :
Enter IC/Passport No.
Enter Correct IC/Passport No.
Race :
Religion :
Personal Contact No. :
Select County Code
Enter Contact No.
Enter Correct Contact No.
WhatsApp No. :
Select County Code
Enter WhatsApp No.
Enter Correct Contact No.
Communication Email :
Enter Email.
Enter Correct Contact Email.
Occupation :
Enter Occupation
Job/Career Details (If any) :
Write details about Job/Career.
Company Details (If any) :
Write details about company (If any).
Contact No.(Office) :
Select County Code
Enter Contact No.
Enter Correct Contact No.
Is mother's address the same as student's current address or father's address ?
Home Address :
Enter Home Address
Country :
Select Country Name
State :
No State Available
Enter State Name
Enter Correct State Name
City :
Enter City Name
Enter Correct City Name
Post Code :
Enter Postal Code
Enter Correct Postal Code
Guardian's Details :
Not Applicable
Guardian's Name :
Enter Guardian's Full Name
Enter Correct Name
Relation :
IC/Passport No. :
Enter IC/Passport No.
Enter Correct IC/Passport No.
Race :
Religion :
Personal Contact No. :
Select County Code
Enter Contact No.
Enter Correct Contact No.
WhatsApp No. :
Select County Code
Enter WhatsApp No.
Enter Correct Contact No.
Communication Email :
Enter Email.
Enter Correct Contact Email.
Occupation :
Enter Occupation
Job/Career Details (If any) :
Write details about Job/Career.
Company Details (If any) :
Write details about company (If any).
Contact No.(Office) :
Select County Code
Enter Contact No.
Enter Correct Contact No.
Does guardian's address follows any previous addresses?
Home Address :
Enter Home Address
Country :
Select Country Name
State :
No State Available
Enter State Name
Enter Correct State Name
City :
Enter City Name
Enter Correct City Name
Post Code :
Enter Postal Code
Enter Correct Postal Code
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Personal
Academic
Parents/Guardian's
Fees
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Fees
Fees Paid By :
*
Select Fees Paid By
Select Fees Paid By
Bill To(Person Name) :
Select Person Name
Relation :
Contact Number :
Select County Code
Enter Contact Number.
Enter Correct Contact No.
Recommended: It is recommended to provide one valid Email ID of student/parent/guardian, which will be using for any system auto email-sending, reminder and communication purposes.
Communication Email :
Enter Correct Email ID
Appliaction Fees :
Pay Online
Pay At Center
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Personal
Academic
Parents/Guardian's
Fees
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I, do hereby declare that the above information furnished by me, here in before is true to the best of my knowledge and belief.
Check & confirm your given informations
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Student Data has been Saved Successfully.
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