lCertificate Ioiplora !Higl.`er National Diploma ID"gr""

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RECRUITED BY:
(To be filled up by Agent/Counselor)
Name
:
AgentNo.:m
n.la
AMD 001-7.2
INTERNATIONAL
UNIVERSITY COLLEGE
OF TECHNOLOGY
TWINTECH
-cL
MSC-Status
Company
APPLICATION FOR ADMISSION
Please read Section 6 before completing form and ensure that the form is completed correctly.
1) Please complete in BLOCK
2) Tick ( ) where applicable
LETTERS
Course
lCertificate Ioiplora !Higl.'er
National
Diploma ID"gr""
Semester
Student No.
How do you know about us?
l--l
Rdvertisement
!
open
oay
!
wult
l-l lntroduce byfriends l--l teterurketing
ln
l--l
Education Fair:
l--l oth"rs
Name
(as
per l/C/Passport)
l/C/Passport No.
Place of Birth
Nationality
Race
Religion
Date of Birth
Marital Status
Sex
EMale nFemale
nSingle
Age
Current
Address
Postcode
Telephone No.
Home/Mobile
E-mail
CountrylAteaCode
Permanent Home
Address
Postcode
Telephone No.
E-mail
Countryl Area Code
EMarried
Parent
/
Guardian's Name
Relationship
Occupation
fficeTel.No.
Countryl Area Code
Please list all School
/ College / Professional qualifications that you have taken from Age 15 and their results.
v""'l---l
A. SPM / SPM(V) / O-Level
Bahasa
Melayu I
Fizik
Ll
ILI
sejarah
I
Kejuruteraan nwam
f
Sains
Tambahan
Matematik
MatematikTambahan
Kimia
Biologi
Sains
Prinsip Akaun
Perdagangan
Geografi
Agama lslam
Kejuruteraan Jentera
Lukisan Kejuruteraan
I
I
Bahasa lnggeris
I
v"u'f---l
B.STPM/A-Level
Subject
Gred
Subject
E
a
3
G.
OthersCertificate/Diploma
Gred
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!
4
1
5
e
Year
Semester
CGPA
Semester
1
4
2
5
t
e
D. English Proficiency
CGPA
E
!
How would you rate your proficiency in the English Language? (Please tick in the appropriate box).
Excellent
=
Good
Fair
Weak
Spoken
Written
Reminder: Please attach a copy
Please refer
ofthe results ifany.
to Section 6
We confirm that, to the best of our knowledge, the information given in this form is correct and complete.We have read
the instructions, in particular those relating to this section.We understand the content says and abide by the conditions
set which we accept as conditions of this application.
Applicant's signature
Parent's / Guardian's Signature
Date
Date
1
Fees
1.1
Registration fees are not transferable, refundable and cannot be deferred.
1.2
Failure to settle outstanding fees within the prescribed period may result in exclusion from the University College's
Register.
1.3 Any refund of fees or deposit, where applicable, will be at
the. discretion
of the University College's
Finance
Department.
1.4 Registration fee can be made before or on registration day by cash or cheque / bank draft.
Please do not send cash
payments through post.
2,
Withdrawal
2.1 Students must inform the
Registrar in writing if they are withdrawing from a course of study.
2.2
Please note that in the event of a student failing to complete a course of study, the University College is not obliged
to return any part of the fees paid by or on behalf of the student.
3.
Accomodation
3.1
Upon registration to hostel, student is given a trial stay for 2 weeks and decides either to stay or to quit from the
present hostel. lf he chooses to quit from hostel, he has to fill on Hostel Quit Form in 3 copies for verification and
approval.
the trial duration of stay ends, student MUST complete the 6 monts minimum stay requirement.
study, he is allowed to vacate the house and must follow the quit procedures.
3.2 After
3.3
lf he quits
After completing the minimum requirement 6 month stay, student is given an option to extend or to quit from the
hostel.The maximum stay allowed for every student is for one and half years or equivalent to 3 or 4 semester.
3.4 Management reserve the right to instruct the student to vacate the hostel for any reasonable cause.
3.5 Every student who stay in the hostel must abide
to rules & regulations
as
approved by IUCTT (refer attachments).
4.
Transfer between Courses
4.1
A student may transfer from one Course to another within the University College only with the agreement of the
appropriate authorities. No transfer will be allowed after 14 days from the commencement date of the new
semester.
5.
Rules and Regulations
5.1
All students must abide by the University College Rules and Regulations. Failure to do so may result in expulsion,
suspension, private or public sanctions.
5.2 Any criminal activities on the University College premises
will be reported to the relevant authorities.
5.3 The University College and its management
will not be held responsible for any damages,losses or injuries arising
from the course of studentship with the University College.
5.4 The Disciplinary Board has the authority to suspend
good name and security of its staff and students.
oil
anO expel any student behaving in a manner that affects
5.5 The University College reserves the right to revise the University College rules and regulations
6
the
without prior notice.
The University College reserves the right to accept or reject any application without assigning any reason.
Please attach the following when you submit your application
For Office Use
Check List
1
Completed Application Form.
2
Reply card with stamp RM0.30.
3
Certified copies of Academic Results relevant to entry requirements.
4
Proof of English Language Proficiencye.g.lELTS orTOEFL,if applicable.
5
Photocopy of ldentity Card or Passport (for lnternational Students).
6
4 photographs (passport size) with name written on the reverse.
7
Portfolio consisting 3 pieces of Original Artwork if applicable.
E
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E
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FOR OFFICE USE ONLY
Application Accepted
f-l rutton"r I
Semester Admitted
2
1
conditionaloffer
4
3
6
5
7
8
9
l0
Conditions
Exemptions
English Requirements
Remarks
Counselled by
Name in Full
Date
Name in Full
Date
Enrolled by
Data Entered
Please send
the completed
form to:
l-l
t"tt"r
of Offer lssued
Date
INTERNATIONAT UNIVERSITY COLLEGE OF TECHNOLOGY MINTECH
[srst9nrYfi ff
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Op€rol€d by: Twint€ch Holdings Sdn.Bhd
Block
Tel
Fox
E,
(260301
-A)
Sli Domonsdlo Business Pork, Porsioron lnduslri, Bondol Sli Dqmqnsolo, 52200 Kuolo Lumpul, MAIAYSIA.
i 03-6275
6277 0617,5275 5404 (Moin Compus), 03-6277 3167 / E9 (Wismo Twinl€ch)
lll0,
:03-62747055(ViceChoncellor),03-62742570(Admln),03-5274246.2(Acodomlc),
03-6277
l&3
(Ma1k6fing), 03-6274 2930 (Finonc€), 03-6277 3190 (Wismo Twiniech)
Websiit : htlp://w.iucfi.edu.my