Skip to content
Facebook
Rss
Email
News & Event
Testimonials
Search for:
Home
About Us
About Us
Our Vision & Mission
Our Services
Universities & Colleges
Universities & Colleges By Country
Universities & Colleges by Programme
Courses & Entry Requirement
Pre-University
Foundation in Science (Integrated Programme)
Higher School Certificate ( University Sumatera Utara Pathway Programme)
Degree Courses
Perubatan / Medicine (MBBS)
Pergigian / Dentistry (BDS)
Farmasi / Pharmacy (B.Pham)
Engineering (B.Eng)
Architecture
Agriculture & Forestry
Fishery
Science
Geology
Arts & Social Science
Veterinary Medicine & Animal Sciences
Diploma Courses
Diploma in Golf Management
Certificate Courses
Hospitality, Culinary Arts & Tourism
English Programme / TOEFL / IELTS
Accountancy
Ship Building, Ocean Engineering & Nautical Studies
Aircraft Maintenance Engineering
Pilot Programme
Korean Language Classes
Admission
Course Fee Guide
Enrolment Procedure
Online Application Form
Study Loans / Scholarship
Gallery
Contact Us
Contact Us
Newsletter Subscription Form
Search for:
Online Application Form
Home
>
Enrolment Procedure
>
Online Application Form
Online Application Form
Application for Year of Study
*
2019
2020
2021
2022
2023
2024
2025
Programme of Choice
First Choice
*
Please select
Master of Business Administration (MBA)
Master in Pharmacy
Bachelor in Accountancy (Hons)
Bachelor in Biomedical Science
Bachelor in Business Computing (Hons)
Bachelor in Chiropractic
Bachelor in Computer Engineering (Hons)
Bachelor in Computer Forensic (Hons)
Bachelor in Computer Science (Hons)
Bachelor in Creative Multimedia (Hons)
Bachelor in Culinary Arts Management
Bachelor in Dental & Surgery (BDS)
Bachelor in Dietitian
Bachelor in Early Childhood Education (Hons)
Bachelor in Engineering & Technology
Bachelor in Education - TESL (Hons)
Bachelor in Event Management
Bachelor in Fashion Design With Marketing
Bachelor in Finance (Hons)
Bachelor in Food Service Technology (Hons)
Bachelor in Forensic Science
Bachelor in Game Design and Animation (Hons)
Bachelor in Graphic Design (Hons)
Bachelor in Hospitality Management
Bachelor in Information & Communication Technology (Hons)
Bachelor in Islamic Studies (Adab/Dakwah/Syari'ah/Tarbiyah/Ushuluddin)
Bachelor in Medical and Bachelor in Surgery (MBBS)
Bachelor in Medical Science (Hons)
Bachelor in Medical Biotechnology
Bachelor in Mobile and Wireless Technology (Hons)
Bachelor in Multimedia
Bachelor in Nutrition
Bachelor in Nursing Science
Bachelor in Pharmaceutical Chemistry
Bachelor in Pharmacy (Hons)
Bachelor in Psychology
Bachelor in Technology (Electrical & Electronic) (Hons)
Bachelor in Tourism Management
Bachelor in Traditional Chinese Medicine
Bachelor in Optometry (Hons)
Diploma in Accountancy
Diploma in Aircraft Maintenance Engineering
Diploma in Architecture
Diploma in Automotive Engineering
Diploma in Aviation Maintenance
Diploma in Business Computing
Diploma in Business Management
Diploma in Civil Engineering
Diploma in Computer Engineering
Diploma in Computer Forensic
Diploma in Counselling and Guidance
Diploma in Culinary Arts
Diploma in Diagnostic Imaging (Radiography)
Diploma in Early Childhood Education
Diploma in Education - TESL
Diploma in Electrical & Electronic Engineering
Diploma in Electro Mechanical Engineering
Diploma in Environmental Health
Diploma in Event Management
Diploma in Fashion Design
Diploma in Food Science
Diploma in Games Design and Animation
Diploma in Goods & Manufacturing Practice
Diploma in Golf Management
Diploma in Graphic Design
Diploma in Healthcare Management
Diploma in Hospitality Management
Diploma in Information Technology
Diploma In Interior Architecture
Diploma in Management
Diploma in Marketing
Diploma in Marine Engineering
Diploma in Mechanical Engineering
Diploma in Mechatronics
Diploma in Medical Assistant
Diploma in Medical Laboratory Technology
Diploma in Medical Science
Diploma in Mobile and Wireless Technology
Diploma in Multimedia Design
Diploma in Nautical Studies
Diploma in Nursing
Diploma in Occupational Safety & Health
Diploma in Occupational Therapy
Diploma in Pharmacy
Diploma in Physiotherapy
Diploma in Sport Science
Diploma in Tourism & Travel Management
Diploma in Traditional Chinese Medicine
Diploma in Geomatic Engineering
Diploma in Geographic Information
Diploma in Property Management
Diploma in Landscape Architecture
Diploma in Quantity Survey
Diploma in Beauty & Health
Diploma in Biotechnology
Diploma in Management
Diploma in Creative Multimedia
Diploma in Journalism Broadcasting
English Programme (TOEFL)
English Programme (IELTS)
Certificate in Engineering
Certificate in Business
Certificate in Computing
Foundation in Science
Foundation in Business
Foundation in Medical Studies
Foundation in Hospitality
Plus 2 Indian Programme (CBSE Programme)
Veterinary Programme - Certificate Level
Veterinary Programme - Diploma Level
Veterinary Doctor - Degree Level
Aviation Programme - Pilot Training
Aviation Programme - Flight Attendants/Cabin Crew
Aviation Programme - Guest Service Agent
Aviation Programme - Ramp Agent
Australian Program - Year 12 Western Australian Certificate of Education (WACE)
Australian Program - Bridging Programs
Australian Program - Western Australian Universities Foundation Program (WAUFP)
Sijil Kemahiran Malaysia - Cosmetology - Beautician
Sijil Kemahiran Malaysia - Cosmetology - Bridal Make-Up
Sijil Kemahiran Malaysia - Cosmetology - Make ñUp Artistry
Sijil Kemahiran Malaysia - Cosmetology - Aesthetician
Sijil Kemahiran Malaysia - Cosmetology - Manicure / Pedicure
Sijil Kemahiran Malaysia - Cosmetology - Automobile- Mechanic
Electrical / Electronic Engineering - Mechatronics Engineering
Electrical / Electronic Engineering - Information Technology
Second Choice
*
Please select
Master of Business Administration (MBA)
Master in Pharmacy
Bachelor in Accountancy (Hons)
Bachelor in Biomedical Science
Bachelor in Business Computing (Hons)
Bachelor in Chiropractic
Bachelor in Computer Engineering (Hons)
Bachelor in Computer Forensic (Hons)
Bachelor in Computer Science (Hons)
Bachelor in Creative Multimedia (Hons)
Bachelor in Culinary Arts Management
Bachelor in Dental & Surgery (BDS)
Bachelor in Dietitian
Bachelor in Early Childhood Education (Hons)
Bachelor in Engineering & Technology
Bachelor in Education - TESL (Hons)
Bachelor in Event Management
Bachelor in Fashion Design With Marketing
Bachelor in Finance (Hons)
Bachelor in Food Service Technology (Hons)
Bachelor in Forensic Science
Bachelor in Game Design and Animation (Hons)
Bachelor in Graphic Design (Hons)
Bachelor in Hospitality Management
Bachelor in Information & Communication Technology (Hons)
Bachelor in Islamic Studies (Adab/Dakwah/Syari'ah/Tarbiyah/Ushuluddin)
Bachelor in Medical and Bachelor in Surgery (MBBS)
Bachelor in Medical Science (Hons)
Bachelor in Medical Biotechnology
Bachelor in Mobile and Wireless Technology (Hons)
Bachelor in Multimedia
Bachelor in Nutrition
Bachelor in Nursing Science
Bachelor in Pharmaceutical Chemistry
Bachelor in Pharmacy (Hons)
Bachelor in Psychology
Bachelor in Technology (Electrical & Electronic) (Hons)
Bachelor in Tourism Management
Bachelor in Traditional Chinese Medicine
Bachelor in Optometry (Hons)
Diploma in Accountancy
Diploma in Aircraft Maintenance Engineering
Diploma in Architecture
Diploma in Automotive Engineering
Diploma in Aviation Maintenance
Diploma in Business Computing
Diploma in Business Management
Diploma in Civil Engineering
Diploma in Computer Engineering
Diploma in Computer Forensic
Diploma in Counselling and Guidance
Diploma in Culinary Arts
Diploma in Diagnostic Imaging (Radiography)
Diploma in Early Childhood Education
Diploma in Education - TESL
Diploma in Electrical & Electronic Engineering
Diploma in Electro Mechanical Engineering
Diploma in Environmental Health
Diploma in Event Management
Diploma in Fashion Design
Diploma in Food Science
Diploma in Games Design and Animation
Diploma in Goods & Manufacturing Practice
Diploma in Golf Management
Diploma in Graphic Design
Diploma in Healthcare Management
Diploma in Hospitality Management
Diploma in Information Technology
Diploma In Interior Architecture
Diploma in Management
Diploma in Marketing
Diploma in Marine Engineering
Diploma in Mechanical Engineering
Diploma in Mechatronics
Diploma in Medical Assistant
Diploma in Medical Laboratory Technology
Diploma in Medical Science
Diploma in Mobile and Wireless Technology
Diploma in Multimedia Design
Diploma in Nautical Studies
Diploma in Nursing
Diploma in Occupational Safety & Health
Diploma in Occupational Therapy
Diploma in Pharmacy
Diploma in Physiotherapy
Diploma in Sport Science
Diploma in Tourism & Travel Management
Diploma in Traditional Chinese Medicine
Diploma in Geomatic Engineering
Diploma in Geographic Information
Diploma in Property Management
Diploma in Landscape Architecture
Diploma in Quantity Survey
Diploma in Beauty & Health
Diploma in Biotechnology
Diploma in Management
Diploma in Creative Multimedia
Diploma in Journalism Broadcasting
English Programme (TOEFL)
English Programme (IELTS)
Certificate in Engineering
Certificate in Business
Certificate in Computing
Foundation in Science
Foundation in Business
Foundation in Medical Studies
Foundation in Hospitality
Plus 2 Indian Programme (CBSE Programme)
Veterinary Programme - Certificate Level
Veterinary Programme - Diploma Level
Veterinary Doctor - Degree Level
Aviation Programme - Pilot Training
Aviation Programme - Flight Attendants/Cabin Crew
Aviation Programme - Guest Service Agent
Aviation Programme - Ramp Agent
Australian Program - Year 12 Western Australian Certificate of Education (WACE)
Australian Program - Bridging Programs
Australian Program - Western Australian Universities Foundation Program (WAUFP)
Sijil Kemahiran Malaysia - Cosmetology - Beautician
Sijil Kemahiran Malaysia - Cosmetology - Bridal Make-Up
Sijil Kemahiran Malaysia - Cosmetology - Make ñUp Artistry
Sijil Kemahiran Malaysia - Cosmetology - Aesthetician
Sijil Kemahiran Malaysia - Cosmetology - Manicure / Pedicure
Sijil Kemahiran Malaysia - Cosmetology - Automobile- Mechanic
Electrical / Electronic Engineering - Mechatronics Engineering
Electrical / Electronic Engineering - Information Technology
Country of Choice
First Choice
*
Please select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia (Local Name: Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia, South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Second Choice
*
Please select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia (Local Name: Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia, South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Third Choice
*
Please select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia (Local Name: Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia, South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Student Particulars
Full Name as per IC
*
Identity Card / Passport Number
*
Date of Birth
*
Gender
*
Male
Female
Mobile Number
*
Home Landline Telephone Number
Postal Address
*
Parents / Guardians Particulars
Parent/Guardian's Name
*
Relationship
*
Contact Number
*
Email address
*
Occupation
*
Monthly Income (RM)
*
Student's Qualifications
Academic Qualifications
*
SPM
O Level
Others
Year
*
School Name
*
Mandatory Subjects
Bahasa Malaysia (For Malaysian Only)
Please select
A+
A
A-
B+
B
C+
C
D
E
G
English Language
*
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Mathematics
*
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Additional Mathematics
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Chemistry
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Physics
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Biology
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Other Subjects
Subject
Please select
Biologi
Ekonomi Asas
English for Science & Technology
Fizik
Geografi
Kejuruteraan Awam
Kejuruteraan Elektrik & Elektronik
Kejuruteraan Jentera
Kimia
Lukisan Kejuruteraan
Matematik Tambahan
Pendidikan Seni
Perdagangan
Prinsip Akaun
Sains
Sains Tambahan
Teknologi Kejuruteraan
Grade
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Subject
Please select
Biologi
Ekonomi Asas
English for Science & Technology
Fizik
Geografi
Kejuruteraan Awam
Kejuruteraan Elektrik & Elektronik
Kejuruteraan Jentera
Kimia
Lukisan Kejuruteraan
Matematik Tambahan
Pendidikan Seni
Perdagangan
Prinsip Akaun
Sains
Sains Tambahan
Teknologi Kejuruteraan
Grade
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Subject
Please select
Biologi
Ekonomi Asas
English for Science & Technology
Fizik
Geografi
Kejuruteraan Awam
Kejuruteraan Elektrik & Elektronik
Kejuruteraan Jentera
Kimia
Lukisan Kejuruteraan
Matematik Tambahan
Pendidikan Seni
Perdagangan
Prinsip Akaun
Sains
Sains Tambahan
Teknologi Kejuruteraan
Grade
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Subject
Please select
Biologi
Ekonomi Asas
English for Science & Technology
Fizik
Geografi
Kejuruteraan Awam
Kejuruteraan Elektrik & Elektronik
Kejuruteraan Jentera
Kimia
Lukisan Kejuruteraan
Matematik Tambahan
Pendidikan Seni
Perdagangan
Prinsip Akaun
Sains
Sains Tambahan
Teknologi Kejuruteraan
Grade
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Subject
Please select
Biologi
Ekonomi Asas
English for Science & Technology
Fizik
Geografi
Kejuruteraan Awam
Kejuruteraan Elektrik & Elektronik
Kejuruteraan Jentera
Kimia
Lukisan Kejuruteraan
Matematik Tambahan
Pendidikan Seni
Perdagangan
Prinsip Akaun
Sains
Sains Tambahan
Teknologi Kejuruteraan
Grade
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Subject
Please select
Biologi
Ekonomi Asas
English for Science & Technology
Fizik
Geografi
Kejuruteraan Awam
Kejuruteraan Elektrik & Elektronik
Kejuruteraan Jentera
Kimia
Lukisan Kejuruteraan
Matematik Tambahan
Pendidikan Seni
Perdagangan
Prinsip Akaun
Sains
Sains Tambahan
Teknologi Kejuruteraan
Grade
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Subject
Please select
Biologi
Ekonomi Asas
English for Science & Technology
Fizik
Geografi
Kejuruteraan Awam
Kejuruteraan Elektrik & Elektronik
Kejuruteraan Jentera
Kimia
Lukisan Kejuruteraan
Matematik Tambahan
Pendidikan Seni
Perdagangan
Prinsip Akaun
Sains
Sains Tambahan
Teknologi Kejuruteraan
Grade
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Subject
Please select
Biologi
Ekonomi Asas
English for Science & Technology
Fizik
Geografi
Kejuruteraan Awam
Kejuruteraan Elektrik & Elektronik
Kejuruteraan Jentera
Kimia
Lukisan Kejuruteraan
Matematik Tambahan
Pendidikan Seni
Perdagangan
Prinsip Akaun
Sains
Sains Tambahan
Teknologi Kejuruteraan
Grade
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Subject
Please select
Biologi
Ekonomi Asas
English for Science & Technology
Fizik
Geografi
Kejuruteraan Awam
Kejuruteraan Elektrik & Elektronik
Kejuruteraan Jentera
Kimia
Lukisan Kejuruteraan
Matematik Tambahan
Pendidikan Seni
Perdagangan
Prinsip Akaun
Sains
Sains Tambahan
Teknologi Kejuruteraan
Grade
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Subject
Please select
Biologi
Ekonomi Asas
English for Science & Technology
Fizik
Geografi
Kejuruteraan Awam
Kejuruteraan Elektrik & Elektronik
Kejuruteraan Jentera
Kimia
Lukisan Kejuruteraan
Matematik Tambahan
Pendidikan Seni
Perdagangan
Prinsip Akaun
Sains
Sains Tambahan
Teknologi Kejuruteraan
Grade
Please select
A+
A
A-
B+
B
C+
C
D
E
G
Higher Secondary School Certificate/Diploma
STPM
A Level
Matriculation
Foundation in Science
Others
Year
CGPA / Pointer / Aggregate / Percentage
School Name
Mandatory Subjects
Pengetahuan Am (For Malaysian only)
English Language
Mathematics
Physics
Chemistry
Biology
Other Subjects
Other Academic Qualification
Qualification
Certificate
Diploma
Degree
Master
Doctorate
University / College
Programme
Performance / Results
Duration of Study
Graduation Year
Hostel Accomodation
Do you need hostel accomodation?
*
Yes
No
How do you know about Jay Excel Medic?
*
Search Engine e.g. Google, Yahoo, Bing, etc.
Facebook of Jay Excel Medic
Radio
Friend
Newspaper and Education Fair
Declaration
*
I declare the information provided in connection with this application is true and correct. I understand that Jay Excel Medic reserves the right to vary or reserves any decision regarding admission or enrolment made on the basis of incomplete information. I also agree to abide by all Jay Excel Medic rules and regulations.
Please enable JavaScript to submit this form.
Send
This field should be left blank
Go to Top
