Local Student Application Form

ENROLMENT APPLICATION FORM




1.0 COURSE APPLIED

Registration by : *
Program : *
Year : *
Month *


2.0 PERSONAL DETAILS

Full Name : *
IC Number : *
Date of birth : *
 /  / 
Race :
Gender : *
Marital Status : *
Nationality : *
Religion :


3.0 SPM Result


Bahasa Melayu :
English :
Mathematics :
Additional Mathematics :
Physics :
Chemistry :
Biology :
History :
Islamic Studies :
Moral :
Science :
Principles of Accounting :
Business :
Arts Education :
Basic Economics :
Geography :
Home Economics :
Agricultural Science :
Islamic Worldview :
Malay Literature :
Visual Arts Education :
Invention :
Information Technology :
Tamil Language :
Chinese Language :
Others :


CONDITIONS

1. Minimum entry qualification for all Diploma Programs is SPM with 3 credits.

2. For Diploma in Animation Programme, minimun entry qualification is SPM 3 credits and a PASS in English.


4.0 CONTACT DETAILS

Address:
Phone: *
-
Email Address : *

5.0 DETAIL INFORMATION OF GUARDIAN/ PERSON TO CONTACT FOR EMERGENCY

1. Name:
1. Phone:
-
1. Relationship :
2. Name:
2. Phone:
-
2. Relationship :

 

6.0 Remark and uploaded documents

 

Remark :

Please upload yours :

1) Copy of Identification Card

2)Copy of Birth Certificate

3)Copy of SPM Results

4)Copy of School Leaving Certificate

5) Photos (Passport size)


Upload a File size : 3MB Max per file   Format : jpg, jpeg, png, gif, doc, docx, xls, xlsx only


Identification Card
Birth Certificate :
SPM Results :
School Leaving Certificate :
Other Certificates :
Photos (Passport Size) :
CIMB Account Book (PTPTN only) :
Father's Payslip (PTPTN Only):
Mother's Payslip (PTPTN Only) :
SSPN Account Number(PTPTN Only) :
Zakat Form (Zakat Only):
Father's Identification Card (Zakat Only) :
Mother's Identification Card (Zakat Only) :
Bank Islam Account Number (Zakat Only) :

7.0 Application's Declaration


Please view our student hand book 2016-2017
KIC-Students Hand Book 2016-2017
.
Word Verification:
Accept : *