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This document contains an application form for the Center of Distance Education at the Faculty of Management, Multimedia University. The application requests personal details, education qualifications, contact information, employment history, referee details, and a declaration. It lists Bachelor of Management courses and requires the applicant to select one. Completed applications should be submitted to the Distance Education Office along with academic certificates.

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45 views4 pages

Working

This document contains an application form for the Center of Distance Education at the Faculty of Management, Multimedia University. The application requests personal details, education qualifications, contact information, employment history, referee details, and a declaration. It lists Bachelor of Management courses and requires the applicant to select one. Completed applications should be submitted to the Distance Education Office along with academic certificates.

Uploaded by

Sparrow Kit
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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CENTER OF DISTANCE EDUCATION

FACULTY OF MANAGEMENT

Section A
Application & Personal Data
Name:
(same
as I/C)
Addres
s:

City:

State:

I/C
Numbe
r

Postcode:

Gender:

E-mail:

Tel
Num :

Fax Num :

Hp
Num :

Marital
Status:

Section B

CENTER OF DISTANCE EDUCATION


Ground Floor, FOM Building,
Faculty of Management,
Multimedia University, Jalan Multimedia,
63100 Cyberjaya, Selangor.
Tel : 03-83125763/5748/5752
Email : [email protected]
Website : www.mmu.edu.my/~cirde

Qualification
Qualification

School/College

Result

SRP / PMR
SPM
- Bahasa Malaysia
- Bahasa Inggeris
- Mathematic
STPM
- Pengajian Am
- ______________
- ______________
- ______________
- ______________
Diploma :
Major / Course
___________________
* MUET (if have
taken please
attach the result)

Section C
Courses Offered: ( Please tick the selected course)
1- Bachelor Of Management (Honours)
2- Bachelor Of Management (Honours) Human Resource
Management
3- Bachelor Of Management (Honours) Marketing
Management

CENTER OF DISTANCE EDUCATION


Ground Floor, FOM Building,
Faculty of Management,
Multimedia University, Jalan Multimedia,
63100 Cyberjaya, Selangor.
Tel : 03-83125763/5748/5752
Email : [email protected]
Website : www.mmu.edu.my/~cirde

Year
Completed

Section D
EMPLOYMENT AND EXPERIENCE
Please provide brief details on occupation, job level and working
experiences. These details may be relevant to the assessment of your
application.
Name and Address of
employer

Dates of
Employment

Position
Held

CENTER OF DISTANCE EDUCATION


Ground Floor, FOM Building,
Faculty of Management,
Multimedia University, Jalan Multimedia,
63100 Cyberjaya, Selangor.
Tel : 03-83125763/5748/5752
Email : [email protected]
Website : www.mmu.edu.my/~cirde

Job Description

Section E
REFEREE
Give name, position and address of your recent or current employer to
support your application:
Name:

Address:

Position:

Postcode:

Telephone:

E-mail:

Fax:

Signature Of
Referee:

Recommendat
ion:

Section F
DECLARATION:
I declare that the details and other information given in this application
form are complete and true. I understand the University may vary or
reverse any decision made on the basis of incorrect or incomplete
information that will lead to cancellation of my enrolment.
Signature of Applicant:
Date:
Completed forms should be attached together with the academic certificate with certified true copy to the Distance Education Office.
All application forms are treated with confidentiality and no details will be released to any individuals without permission of the
Director of Distance Education.

CENTER OF DISTANCE EDUCATION


Ground Floor, FOM Building,
Faculty of Management,
Multimedia University, Jalan Multimedia,
63100 Cyberjaya, Selangor.
Tel : 03-83125763/5748/5752
Email : [email protected]
Website : www.mmu.edu.my/~cirde

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