Scribd Logo
Upload

Welcome to Scribd!

  • 384 views

    Application Form UTP

    Uploaded by

    Hasan Abdullah
    This 3-page document is a student application form for undergraduate programs at a Malaysian university for foreign students who are non-citizens. It requests personal information like name, date of birth, contact details, family details, academic qualifications, health information, and a declaration. It provides instructions on how to complete the form, checklist of required documents, program entry requirements and codes for common programs like engineering. The goal is to collect all necessary information and documents from applicants to process their application for undergraduate admission.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Application Form UTP

    Uploaded by

    Hasan Abdullah
    384 views3 pages
    This 3-page document is a student application form for undergraduate programs at a Malaysian university for foreign students who are non-citizens. It requests personal information like name, date of birth, contact details, family details, academic qualifications, health information, and a declaration. It provides instructions on how to complete the form, checklist of required documents, program entry requirements and codes for common programs like engineering. The goal is to collect all necessary information and documents from applicants to process their application for undergraduate admission.

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This 3-page document is a student application form for undergraduate programs at a Malaysian university for foreign students who are non-citizens. It requests personal information like name, date of birth, contact details, family details, academic qualifications, health information, and a declaration. It provides instructions on how to complete the form, checklist of required documents, program entry requirements and codes for common programs like engineering. The goal is to collect all necessary information and documents from applicants to process their application for undergraduate admission.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    384 views3 pages

    Application Form UTP

    Uploaded by

    Hasan Abdullah
    This 3-page document is a student application form for undergraduate programs at a Malaysian university for foreign students who are non-citizens. It requests personal information like name, date of birth, contact details, family details, academic qualifications, health information, and a declaration. It provides instructions on how to complete the form, checklist of required documents, program entry requirements and codes for common programs like engineering. The goal is to collect all necessary information and documents from applicants to process their application for undergraduate admission.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    STUDENT APPLICATION FORM FOR UNDERGRADUATE PROGRAMME

    FOREIGN STUDENT (NON MALAYSIAN CITIZEN)


    Affix Passport-sized Photo

    HOW TO COMPLETE THIS APPLICATION FORM

    1 Please use black or blue ink pen only and write clearly using CAPITAL letters only.
    All section must be completed. Please indicate as NA for section that not applicable.

    2 Enclose one set of supporting documents that have been certified by recognised
    authorities, e.g. original issuing body. Supporting documents will NOT be returned. This application form is remain the property of UTP.
    Note: Without supporting document(s), this application will be considered as incomplete and will not be processed

    A PERSONAL INFORMATION NAME


    DATE OF BIRTH - DD/MM/YYYY / / AGE PLACE OF BIRTH

    GENDER-Please mark "X"


    D MALE D FEMALE

    MARITAL STATUS-Please mark "X"


    D SINGLE D MARRIED D DIVORCED D OTHER

    PASSPORT/ID NO

    NATIONALITY

    HOME PHONE- Country Code/Area Code/Number

    CONTACTS
    Please place each dot ',' and the @ symbol in its individual box

    EMAIL
    STREET NO STREET NAME

    HOME ADDRESS
    CITY STATE/PROVINCE

    POSTAL CODE

    COUNTRY

    B FAMILY INFORMATION
    FIRST NAME - Parent or Guardian

    NAME
    RELATIONSHIP NATIONALITY

    HOME PHONE- Country Code/Area Code/Number

    CONTACTS
    Please place each dot ',' and the @ symbol in its own box

    EMAIL

    Page 1 of 3

    C PROGRAMME PREFERENCE - PLEASE REFER TO SECTION J


    1 2 3

    PROGRAMME D ACADEMIC QUALIFICATIONS INFORMATION


    EDUCATIONAL HISTORY
    NO NAME OF SCHOOL/COLLEGE/UNIVERSITY

    BEGIN - MMYY END - MMYY

    DEGREE/DIPLOMA/CERTIFICATE

    1 2 3 4 5 6 E QUALIFICATION DETAILS - Please list down your recent/highest qualification


    NO DEGREE/DIPLOMA/CERTIFICATE SUBJECT OR UNIT GRADE/MARK

    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
    PLEASE WRITE ON SEPARATE PAPER(FOLLOWING THE ABOVE FORMAT) IF SPACE PROVIDED IS NOT ADEQUATE

    F HEALTH INFORMATION Do you EVER diagnose of having any critical disease ?


    D NO D YES, if YES please specify

    Are you physically disabled?


    D NO D YES, if YES please specify

    G DECLARATION I confirm that the information provided on the Applications Form are complete and true to the best of my knowledge and belief. I understand that providing incomplete, incorrect, of false information may result in the denial of my admission and subject me to the requirements and/or disciplinary measures as provided under the University s rules and regulations and I shall have no claim against Universiti Teknologi PETRONAS in relation thereto.

    Date:_______________________

    Signature: ________________________________________

    Page 2 of 3

    H APPLICATION CHECKLIST
    Have you:

    Completed the application form and signed it Attached copy(ies) of passport and/or identity card Attached most recent passport sized photos Attached all relevant secondary and/or tertiary academic transcript and certificates Attached all relevant sports and curriculum certificates (if any)
    Please forward completed application to:

    Admission and Registration Unit, Universiti Teknologi PETRONAS, Bandar Seri Iskandar, 31750 Tronoh, Perak, Malaysia (Attention: Undergraduate for International Student Admission)

    ENTRY REQUIREMENTS

    Applicants must successfully completed High School Certificate/Diploma with average score of 80 percent or B or CGPA of 3.00/4.00.
    Prerequisites for Engineering Programme

    Obtained 80 percent or B or Grade of 3.00/4.00 for Mathematics, Physics, Chemistry, AND any two (2) other relevant subjects such as Additional Mathematics, Geography, Accounting, History, Economics, Commerce, General Science and etc.
    Prerequisites for Technology Programme

    Obtained 80 percent or B or Grade of 3.00/4.00 for Mathematics, AND any four (4) other relevant subjects such as Additional Mathematics, Physics, Chemistry, Geography, Accounting, History, Economics, Commerce, General Science and etc.
    English Language Proficiency

    a) IELTS score of 6.0; OR b) TOEFL paper-based score of 550 or equivalent.

    Note:
    The University reserves the right to alter or discontinue its programs as required. The entry requirement stated on this application form should be used as a general guideline for admission only, the University may change these requirements at any time.

    J PROGRAMME CODE
    PLEASE USE THE FOLLOWING PROGRAMME CODE FOR SECTION C ENGINEERING
    CV00 - CIVIL ENGINEERING ME00 - MECHANICAL ENGINEERING CH00 - CHEMICAL ENGINEERING EE00 - ELECTRICAL AND ELECTRONICS ENGINEERING PE00 - PETROLEUM ENGINEERING GS00 - PETROLEUM GEOSCIENCE CO03 - INFORMATION AND COMMUNICATION TECHNOLOGY CO04 - BUSINESS INFORMATION SYSTEM

    TECHNOLOGY

    Page 3 of 3

    You might also like