Permohonan Kemasukan Universiti Malaysia Perlis

By | March 9, 2018


Permohonan Kemasukan Universiti Malaysia Perlis

Permohonan Kemasukan Universiti Malaysia Perlis,below is Permohonan Kemasukan Universiti Malaysia Perlis

 

STUDENT ADMISSIONS AND RECORDS UNIT
ACADEMIC MANAGEMENT DIVISION
REGISTRY DEPARTMENT
UNIVERSITI MALAYSIA PERLIS
3
rd Floor, KWSP BUILDING, JLN BUKIT LAGI
01000 KANGAR, PERLIS, MALAYSIA
Tel. : +604-9792984 / +604 9797940
Fax. : +604-9798703
E-mail : admission@unimap.edu.my

 
 

APPLICATION FOR ADMISSION TO UNDERGRADUATE PROGRAMME

1. Please complete in BLOCK CAPITAL in BLACK INK and tick boxes as appropriate.
2. All sections must be completed.
3. Incomplete application will not be entertained.
4. Two copies of the application form is required for each application

A. CHOICE OF PROGRAMME
First Choice
Second Choice
Third Choice
Fourth Choice
*The university have right to offer other programme subject to vacancies.

B. PERSONAL DETAILS
Name as stated in the Passport: (in capital letters) Gender:

Title (Mr/Ms): Other name(s): Surname/Family Name: (as in Passport) Marital Status:
Age: Date of Birth: Citizenship: Religion:
Other:
International Passport No.: Date of Expiry: Date & Place of Issue:
Country of Residence: Country/State of Origin:
Postal Address:
Street: Post / Zip Code:
City/State: Country:
Permanent Address (Country of Residence):
Street: Post / Zip Code:
City/State: Country:
STUDENT ADMISSIONS AND RECORDS UNIT
ACADEMIC MANAGEMENT DIVISION
REGISTRY DEPARTMENT
UNIVERSITI MALAYSIA PERLIS

3
rd Floor, KWSP BUILDING, JLN BUKIT LAGI
01000 KANGAR, PERLIS, MALAYSIA
Tel. : +604-9792984 / +604 9797940
Fax. : +604-9798703
E-mail : admission@unimap.edu.my
Photo

(3 copies-one
of them to be
pasted here)
Hindu
Islam Christian
Buddha