Sunday, May 19, 2019
welcome
  This application is open to Malaysian citizens only.
  Fields with asterisk ( * ) are mandatory.
 
Personal information


Full name *  
NRIC *  Insert (e.g. 960101105000) 
Age *  
Race *  
Gender *   
Marital Status   
Permanent Mailing Address
Home Phone No.   
Mobile Phone No. *  (e.g. 012-1234567) 
Email Address *   


family background


Please enter the details of family members. Parents/Guardians' information are compulsory. For NRIC kinldy use number (e.g. 960101105000)  *
NameNRICRelationshipContact no.OccupationEmployerSalary range 
       


Notification
Applicants should currently be in the first or second year of university to apply. Unable to proceed. Kindly fill in the information which are marked with asterisk (*).