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Preview Application 2

This document contains an online application submitted by Nur Fatin Najwa binti Roslinorazam to Universiti Kuala Lumpur for the January 2012 intake. She received her SPM in 2010 from SMK Dang Anum with grades ranging from A+ to C+ across 10 subjects. She has applied for 3 diploma programs and does not agree to be offered other programs at UniKL but does agree to other franchise colleges. Personal details provided include her name, IC number, address, parents' information, and monthly income.

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Muhammad Adli Haziq
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54 views2 pages

Preview Application 2

This document contains an online application submitted by Nur Fatin Najwa binti Roslinorazam to Universiti Kuala Lumpur for the January 2012 intake. She received her SPM in 2010 from SMK Dang Anum with grades ranging from A+ to C+ across 10 subjects. She has applied for 3 diploma programs and does not agree to be offered other programs at UniKL but does agree to other franchise colleges. Personal details provided include her name, IC number, address, parents' information, and monthly income.

Uploaded by

Muhammad Adli Haziq
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Universiti Kuala Lumpur Online Application: Intake January 2012

APPLICANT REFERENCE Name IC Number Highest Qualification Submission Date : NUR FATIN NAJWA BINTI ROSLINORAZAM : 930308015542 : SPM : 04-NOV-11 ACADEMIC QUALIFICATION :: SPM / SPMV / REPEAT PAPERS (include at least one science/technical subjects)

Exam Year School Name

: :

2010 SMK DANG ANUM


Grade

Subjects 1. BAHASA MELAYU 2. BAHASA INGGERIS 3. MATEMATIK 4. SEJARAH 5. PENDIDIKAN ISLAM 6. MATEMATIK TAMBAHAN 7. FIZIK 8. KIMIA 9. BIOLOGI 10. TASAWWUR ISLAM PROGRAMME APPLIED

A+ A+ A+ A+ A C+ B+ AA A+

1. D01 - DIPLOMA IN PHARMACY 2. D04 - DIPLOMA IN PHYSIOTHERAPY 3. D02 - DIPLOMA IN RADIOGRAPHY Do you agree if being offered into other programmes in UniKL? : NO Do you agree if being offered into other franchises college? : YES

Universiti Kuala Lumpur Online Application: Intake January 2012


PERSONAL INFORMATION Name NRIC Number : NUR FATIN NAJWA BINTI ROSLINORAZAM : 930308015542

Mailing Address : JB 278,JLN SERKAM MAJU 3,TMN SERKAM MAJU,

77300,MERLIMAU,MELAKA
Postcode State Gender Race Religion Date of Birth Telephone No : 77300 : MELAKA : FEMALE : MALAY : ISLAM : 08-MAR-93 : 0173179147 Email Medical Background Disability : TIDAK CACAT : Citizenship Ethnic Marital Status : : : City :

MERLIMAU

MALAYSIAN MELAYU SINGLE [email protected]

Chronic Disease : NONE Parents/Guardian Information :: Father/Guardian Name : ROSLINORAZAM BIN KALIVAN

Mailing Address : JB 278,JLN SERKAM MAJU 3,TMN SERKAM MAJU,

77300,MERLIMAU,MELAKA
Postcode State Tel. No : 77300 : MELAKA : 01112207288 City :

MERLIMAU

:: Mother/Guardian Name : ROSITA BINTI KADRI

Mailing Address : JB 278,JLN SERKAM MAJU 3,TMN SERKAM MAJU,

77300,MERLIMAU,MELAKA
Postcode State Tel. No : 77300 : MELAKA : 01112806310 City :

MERLIMAU

:: Parents/Guardian Monthly Income Combined Income : RM2,001 - RM3,000 (Information is required for MARA/PTPTN study loan evaluation purposes)

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