Borang Permohonan Program

Nama Penuh Seperti di Dalam Kad Pengenalan (Full Name as per IC)

Kewarganegaraan (Nationality)

No. Kad Pengenalan (IC Number)

Muat Naik Kad Pengenalan (Upload your IC)

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Tarikh Lahir (Date of Birth)

Tempat Lahir (Place of Birth)

Jantina (Gender) Male Female

Bangsa (Race) Malay Aceh Latin Americans African Afro Amerasian Anglo Arab Arbe Aryan Asian Bengali Bangladeshi Banjar Bidayuh Bisaya Bugis Burmese Caucasian Ceylonese Chaga Chinese Chinese Indian Dhivehi Dravidian Dusun/Indian Egyptian Farooqi Ganda Goanese Hang Hausa Hindu Hui Iban Uzbeks Igbo Indian Kazakhs Indo-Mauritians Indonesian Japanese Javanese Kadazan Kamba Kedayan Kelabit Austronesian Kerewe Kikuyu Kinh Korea/Italian Korean Kutai Lebanese Malay Maldivian Iranian Manadonese Melanau Memon Portuguese Melanesia Mongwato Moor Motswana Muganda Mughal Mulatto Nepalese Newar Omani Persian Tagalog Punjabi Rangamati Samaton Saudi Seychellian Shiraz Sikh Sindhi Sinhalese Sino Brunei Sino-Kadazan Sino-Native Sino-Philipino Somali Sousou South Asian Sudanese Sukuma Sunni Susu Tamil Turkish Khmer Vietnamese Jewish Yemeni Khalkh European

No. Telefon (Phone Number)

Alamat Emel (Email Address)

Status Perkahwinan (Maritial Status) Single Married

Muat Naik Gambar Passport (Upload your Passport Image)

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No. Akaun Bank Islam (Bank Islam Account No.)

No. Akaun SSPN (SSPN Account No.)

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Alamat Kad Pengenalan (IC Address)

Alamat (Address)

Negara (Country)

Negeri (State) Wilayah Persekutuan Kuala Lumpur Wilayah Persekutuan Labuan Wilayah Persekutuan Putrajaya Johor Kedah Kelantan Melaka Negeri Sembilan Pahang Perak Perlis Pulau Pinang Sabah Sarawak Selangor

Bandar (City)

Poskod (Postcode)

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Alamat Tetap (Permanent Address)

Alamat (Address)

Negara (Country)

Negeri (State) Wilayah Persekutuan Kuala Lumpur Wilayah Persekutuan Labuan Wilayah Persekutuan Putrajaya Johor Kedah Kelantan Melaka Negeri Sembilan Pahang Perak Perlis Pulau Pinang Sabah Sarawak Selangor Terengganu

Bandar (City)

Poskod (Postcode)

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Maklumat Bapa (Father's Information)

Nombor kecemasan (Emergency Contact Number)

Nama Penuh Seperti di Dalam Kad Pengenalan (Full Name as per IC)

Kewarganegaraan (Nationality)

No. Kad Pengenalan (IC Number)

No. Telefon (Phone Number)

Alamat Emel (Email Address)

Muat Naik Kad Pengenalan (Upload Your IC)

Sila muat naik

Fail yang dibenarkan : PDF, JPG, PNG dan tidak melebihi 15 mb (Accepted files : PDF, JPG, PNG & not more than 15 mb)

Muat Naik Penyata Gaji Terkini (Upload Latest Payslip)

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Muat Naik Penyata Bank Rekod Gaji (Upload Payslip Bank Statement)

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Muat Naik Dokumen Sokongan (Jika Ada) (Upload Any Supported Documents (If Any))

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Maklumat Ibu (Mother's Information)

Nombor kecemasan (Emergency Contact Number)

Nama Penuh Seperti di Dalam Kad Pengenalan (Full Name as per IC)

Kewarganegaraan (Nationality)

No. Kad Pengenalan (IC Number)

No. Telefon (Phone Number)

Alamat Emel (Email Address)

Muat Naik Kad Pengenalan (Upload Your IC)

Sila muat naik

Fail yang dibenarkan : PDF, JPG, PNG dan tidak melebihi 15 mb (Accepted files : PDF, JPG, PNG & not more than 15 mb)

Muat Naik Penyata Gaji Terkini (Upload Latest Payslip)

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Muat Naik Penyata Bank Rekod Gaji (Upload Payslip Bank Statement)

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Fail yang dibenarkan : PDF, JPG, PNG dan tidak melebihi 15 mb (Accepted files : PDF, JPG, PNG & not more than 15 mb)

Muat Naik Dokumen Sokongan (Jika Ada) (Upload Any Supported Documents (If Any))

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Maklumat Akademik (Academic Information)

Program Pilihan (Select Programme) Diploma Teknologi Maklumat Ijazah Sarjana Muda Sains Komputer (Kepujian) Perkomputeran Mudah Alih

Tahap Pendidikan (Education Level)

Kelayakan Akademik 1 (Academic Qualification 1)

Jenis Kelayakan Akademik
(Type of Qualification) SPM STPM Degree Diploma Certificate Matriculation A-Levels O-Levels GCE Masters Doctorate Atestat

Negara Asal Institusi
(Main Country's Institute) Malaysia Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba 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 Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland Indain India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kingdom of Saudi Arabia Kiribati Korea, Democratic Peoples Republic of Korea, Republic of Kuwait Kyrgyzstan Lao Peoples Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Malaysian Maldives Mali Malta Mars Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Pakistani Palau Palestine Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia sdsdsds Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand The Gambia Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Republic of Tanzania United States United States Minor Outlying Islands United States of America Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

Muat Naik Transkrip Akademik
(Upload Academic Transcript)

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Muat Naik Sijil Akademik
(Upload Academic Certificate)

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Tambah Kelayakan Akademik Lain (Add more Academic)

Peperiksaan Penguasaan Bahasa Inggeris (English Proficiency Exam)

Nama Peperiksaan (Examination Name) Pilih Nama Peperiksaan Malaysian University English Test (MUET) International English Language Testing System (IELTS) Test of English as a Foreign Language (TOEFL) Pearson Test of English Academic (PTE Academic)

Markah/Gred (Marks/Grade)

Muat Naik Sijil Peperiksaan (Upload Exam's Result Slip)

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Fail yang dibenarkan : PDF, JPG, PNG dan tidak melebihi 15 mb (Accepted files : PDF, JPG, PNG & not more than 15 mb)

Dokumen Sokongan Tambahan (Any Supported Documents) (Jika Ada)

Resume/CV

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Portfolio

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Saya mengesahkan bahawa, maklumat yang diberikan dalam borang ini adalah tepat dan lengkap. Saya telah membaca arahan, khususnya yang berkaitan dengan bahagian ini. Saya faham akan isi kandungannya, dan mematuhi syarat-syarat yang telah ditetapkan serta terima sebagai syarat utama dalam permohonan ini.

*Dengan menekan butang 'hantar' di bawah, anda bersetuju menerima Terma dan Syarat Limkokwing University of Creative Technology.