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Benefits of Working in a Group

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D.

FAMILY DETAILS

Name of Father/Mother/Guardian I.C./Passport No. Occupation No. of Dependants

Citizenship Monthly Income Telephone No.

E.

ACADEMIC QUALIFICATIONS (Please attach certified copies of the original certificates/documents and transcripts) Date of Entry (month & year) Date of Leaving (month & year)

Name of School

Location/State/Country

Certificate Obtained

Score/Grade/ CGPA/Division

F.

LANGUAGE PROFICIENCY (Please attach certified copies of the original documents) Type of Examination TOEFL IELTS GCE (A’ Level) Others (specify): Date Taken/Completed Score/Point/Band

No 1. 2. 3. 4.

G.

EXTRACURRICULAR ACTIVITIES (Please attach certified copies of the original documents) Games/Societies Position Held Year

No

GL 33, Ground Floor, Block C, Kelana Square, No. 17 Jalan SS7/26 Kelana Jaya, 47301 Petaling Jaya, Selangor Darul Ehsan. Tel: 03-7880 1777 Fax: 03-7880 1762 www.must.edu.my

H.

FINANCIAL ARRANGEMENTS

How do you expect to be financed during your studies? Self-funding Study Loan Sponsorship Others (please specify)

If self-funding please provide letter indicating your ability to finance your education. If sponsored, please provide details of sponsor:

I.

DECLARATION

I declare that all information and documents provided are true and correct. I acknowledge that MUST may reject my application if at any time the information and documents provided is false or incorrect. I also understand that the University has the authority to terminate my studies even if I am already admitted.

______________________ Signature of Applicant

_______________ Date

For Office Use Only
Reference No Complete/Incomplete 1. Application Recommended by Registrar’s Office Comments: Date In Date Out Student Pass Non-Student Pass 2. Application Approved by Head of Department Date In Date Out Accept Conditional…...

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