The on-line application form will prompt you to six (6) data forms where you are to provide the following:
• Personal Information • Course Application Details • Academic Qualification • Co-curriculum Activities • Particulars of Parent/Guardian • Declaration by Applicant
This On-line application is only valid with the PAYMENT of RM60.00 as processing fee, which can be done using online through Public Bank's Payment E-Banking.
You have to 'Upload' the relevant documents at the end of this form to support your application.
Please use these data forms to provide Universiti Tunku Abdul Rahman (UTAR) with information to support your application for admission. When you have completed the data forms, please use theNEXT button at the bottom of the screen to check the information that you have keyed in. A screen with the information that you have furnished will be made available for checking. Please click on theEDIT button to do any amendment. However, if there is no amendment needed, please proceed by clicking on the SUBMIT FORM button to save and submit the information.
UNIVERSITI TUNKU ABDUL RAHMAN
Wholly owned by UTAR Education Foundation (Company No. 578227-M)
Application Form - May 2014 Intake
(Foundation Programmes for Admission to Bachelor Honours Degree Programmes)
Section A: To be completed by applicant
I. PERSONAL INFORMATION
Name (as in NRIC):
*
I.C. No. (Malaysia Identity Card No.):
- - *
Nationality:
*
Date of Birth:
/ / (dd/mm/yyyy)*
Gender:
FEMALE MALE
Address:
*
Postal Code:
*
State:
*
Contact No:(H)
(H/P):
*
E-Mail:
Race:
others: (Please specify) *
Religion:
others: (Please specify) *
Disability/ Handicap
No Disability/Handicap Deaf but can hear with hearing-aid Colour blind Blind Paralyzed Deaf Mute Stutter Polio *
others
II. COURSE APPLICATION DETAILS
You can select up to a maximum of 5 choices.
1st Choice:
*
2nd Choice:
3rd Choice:
4th Choice:
5th Choice:
III. ACADEMIC QUALIFICATION
Last School/Institution Attended
Name of School/Institution:
*
Address of School/Institution:
Qualification
Actual results Forecast/ trial result
No.
Subjects
Grade
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Actual results Forecast/ trial result
No.
Subjects
Grade
1
2
3
4
5
6
7
8
9
10
11
Other Qualification:
Name of Institution:
Level of Study:
Name of Award:
CGPA:
OR
Grade:
Year of Completion:
English Language Proficiency: (Please fill in your grade)
Actual results Forecast/ trial result
IELTS
.
TOEFL
ENGLISH 1119/O-LEVEL
MUET
IV. CO-CURRICULUM ACTIVITIES
Sports:
Uniform:
Club / Societies:
V. PARTICULARS OF PARENT/GUARDIAN
Name of Parent/Guardian :
*
Address of Parent/Guardian :
*
Relationship :
*
Occupation :
*
Contact No : (Home)
*
(Office) :
VI. DECLARATION BY APPLICANT
I declare that the above information provided by me in connection with this application is true and correct. I understand that Universiti Tunku Abdul Rahman reserves the right to withdraw the offer of admission or ask me to leave the University at any time if such information is found to be false or incorrect.
I understand and agree to the University using and processing my personal data as contained in this form. I have read, understood and agreed to the Personal Data Protection Statement of the University (click to read PDP statement). You may access and UPDATE your personal data by writing to us at admission@utar.edu.my
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