Programme Application Form

Please fill in the application form below.

Personal Information

Full Name as per IC

Nationality

IC/Passport

Upload your IC/Passport

Please upload

Accepted files : PDF, JPG, PNG & not more than 15 mb

Date of Birth

Place of Birth

Gender

Race

Phone Number

Email Address

Maritial Status

Upload your passport sized photo

Please Upload

Accepted files : PDF, JPG, PNG & not more than 15 mb

Bank Islam Account No.

SSPN Account No.

Current Address

Address

Country

State

City

Postcode

Permanent Address

Address

Country

State

City

Postcode

Father's Information

Emergency Contact Number

Full Name as per IC

Nationality

IC/Passport

Phone Number

Email Address

Upload Your IC

Please Upload

Accepted files : PDF, JPG, PNG & not more than 15 mb

Upload Latest Payslip

Please Upload

Upload Payslip Bank Statement

Please Upload

Accepted files : PDF, JPG, PNG & not more than 15 mb

Upload Any Supported Documents (If Any)

Please Upload

Mother's Information

Emergency Contact Number

Full Name as per IC

Nationality

IC/Passport

Phone Number

Email Address

Upload Your IC

Please Upload

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

Upload Latest Payslip

Please Upload

Upload Payslip Bank Statement

Please Upload

Accepted files : PDF, JPG, PNG & not more than 15 mb

Upload Any Supported Documents (If Any)

Please Upload

Academic Information

Select Programme

Education Level

Academic Qualification 1

Type of Qualification

Main Country's Institute

Upload Academic Transcript

Please Upload

Upload Academic Certificate

Pleae Upload

Add more Academic

English Proficiency Exam

Examination Name

Marks/Grade

Upload Exam's Result Slip

Please Upload

Accepted files : PDF, JPG, PNG & not more than 15 mb

Any Supported Documents

Resume/CV

Please Upload

Portfolio

Please Upload

I confirm that, to the best of our knowledge, the information given in this form is correct and complete. I have read instructions, in particular those relating to this section. I understand what it says, and abide by the conditions set out there which I accept as condition of this application. By clicking on ‘Submit’ below, you are agreeing to the Limkokwing Terms and Regulations.