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Application Form International Student |
Recent Passport Sized Photographelement = $this->elements['photograph']; echo $this->loadTemplate('element_no_label'); ?> |
Section A : Course Details |
Program Code* | element = $this->elements['program_code']; echo $this->loadTemplate('element_no_label'); ?> | Program Name | element = $this->elements['program_name']; echo $this->loadTemplate('element_no_label'); ?> |
Section B : Personal Details |
Full Name* (as in Passport) |
element = $this->elements['full_name']; echo $this->loadTemplate('element_no_label'); ?> |
PASSPORT NO.* | element = $this->elements['passport_no']; echo $this->loadTemplate('element_no_label'); ?> | |||
Gender* | element = $this->elements['gender']; echo $this->loadTemplate('element_no_label'); ?> | Marital Status* | element = $this->elements['marital_status']; echo $this->loadTemplate('element_no_label'); ?> |
Date of Birth* | element = $this->elements['dob']; echo $this->loadTemplate('element_no_label'); ?> | Age | element = $this->elements['age']; echo $this->loadTemplate('element_no_label'); ?> | Nationality* | element = $this->elements['nationality']; echo $this->loadTemplate('element_no_label'); ?> |
Race* | element = $this->elements['race_int']; echo $this->loadTemplate('element_no_label'); ?> | Religion* | element = $this->elements['religion']; echo $this->loadTemplate('element_no_label'); ?> |
Permanent Address* | element = $this->elements['permanent_address_int']; echo $this->loadTemplate('element_no_label'); ?> | |||||
City* | element = $this->elements['permanent_city_int']; echo $this->loadTemplate('element_no_label'); ?> | State* | element = $this->elements['permanent_state_int']; echo $this->loadTemplate('element_no_label'); ?> | Country* | element = $this->elements['permanent_country_int']; echo $this->loadTemplate('element_no_label'); ?> |
Zip Code / Postcode* | element = $this->elements['permanent_postcode_int']; echo $this->loadTemplate('element_no_label'); ?> | Applicant Mobile No.* | element = $this->elements['mobile_no_1']; echo $this->loadTemplate('element_no_label'); ?> | element = $this->elements['mobile_no_2']; echo $this->loadTemplate('element_no_label'); ?> |
Email ID* | element = $this->elements['email_address']; echo $this->loadTemplate('element_no_label'); ?> | Alternate Email ID | element = $this->elements['alt_email_id']; echo $this->loadTemplate('element_no_label'); ?> |
Correspondence Address* | element = $this->elements['correspondence_address']; echo $this->loadTemplate('element_no_label'); ?> | |||||
City* | element = $this->elements['correspondence_city']; echo $this->loadTemplate('element_no_label'); ?> | State* | element = $this->elements['correspondence_state']; echo $this->loadTemplate('element_no_label'); ?> | Country* | element = $this->elements['correspondence_country']; echo $this->loadTemplate('element_no_label'); ?> |
Zip Code / Postcode* | element = $this->elements['correspondence_postcode']; echo $this->loadTemplate('element_no_label'); ?> | Resident Tel No.* | element = $this->elements['resident_tel_no_1']; echo $this->loadTemplate('element_no_label'); ?> | element = $this->elements['resident_tel_no_2']; echo $this->loadTemplate('element_no_label'); ?> |
Section C : Family Information |
In Case of Emergency, Contact: |
Name* | element = $this->elements['en1']; echo $this->loadTemplate('element_no_label'); ?> | Name* | element = $this->elements['en2']; echo $this->loadTemplate('element_no_label'); ?> |
Relationship to you* | element = $this->elements['erty1']; echo $this->loadTemplate('element_no_label'); ?> | Relationship to you* | element = $this->elements['erty2']; echo $this->loadTemplate('element_no_label'); ?> |
Phone Number* | element = $this->elements['epn1']; echo $this->loadTemplate('element_no_label'); ?> | Phone Number* | element = $this->elements['epn2']; echo $this->loadTemplate('element_no_label'); ?> |
Mobile Number* | element = $this->elements['emn1']; echo $this->loadTemplate('element_no_label'); ?> | Mobile Number* | element = $this->elements['emn2']; echo $this->loadTemplate('element_no_label'); ?> |
Email Address* | element = $this->elements['eea1']; echo $this->loadTemplate('element_no_label'); ?> | Email Address* | element = $this->elements['eea2']; echo $this->loadTemplate('element_no_label'); ?> |
Section D : Passport Information |
Passport Issue Place* (as in Passport) |
Passport Issue Date* (as in Passport) |
Passport Expiry Date* (as in Passport) |
element = $this->elements['pip']; echo $this->loadTemplate('element_no_label'); ?> | element = $this->elements['pid']; echo $this->loadTemplate('element_no_label'); ?> | element = $this->elements['ped']; echo $this->loadTemplate('element_no_label'); ?> |
Section E : Academic Details (Examination Results of SPM/STPM) |
Highest Academic Qualification* | Year Taken* | Name of Institution* |
element = $this->elements['ero']; echo $this->loadTemplate('element_no_label'); ?> | element = $this->elements['yt']; echo $this->loadTemplate('element_no_label'); ?> | element = $this->elements['noi']; echo $this->loadTemplate('element_no_label'); ?> |