Registration Form REGISTRATION FORM If you are human, leave this field blank. Courses Certificate in Business Certificate in Computing Certificate in Mechanical Engineering Diploma in Aircraft Maintenance Technology Diploma in Electro-Mechanical Engineering Diploma in Information Technology Diploma in Management Level 2 Perkhidmatan Pembaikan Kenderaan Ringan Level 3 Servis Diagnostik - Kenderaan Ringan Level 4 Operasi Servis - Selepas Jualan Level 3 Operasi Sistem Komputer Level 4 Pentadbiran Sistem Komputer Please upload your SPM result Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 2.1MB PERSONAL PARTICULAR Name IC Number Please enter IC number without dash. Eg: 890102012024 Phone Number Please enter phone number without dash. Eg: 0123456789 Gender Male Female Date of Birth Place of Birth Marital Status Single Married Religion Islam Hinduism Buddhism Christianity OtherOther Race Malay Hakka Hokkien Cantonese Tamil Telugu Malayalam Punjabi Indian Muslim Iban Bidayuh Murut Melanau Bajau Dusun Kadazan OtherOther PARENTS DETAILS Father's Name Father's IC Number Please enter IC number without dash. Eg: 890102012024 Father's Phone Number Please enter phone number without dash. Eg: 0123456789 Father's Occupation Father's Monthly Income Mother's Name Mother's IC Number Please enter IC number without dash. Eg: 890102012024 Mother's Phone Number Please enter phone number without dash. Eg: 0123456789 Mother's Occupation Mother's Monthly Income CORRESPONDENCE DETAILS Residential Address Postcode State Pahang Perak Terengganu Perlis Selangor Negeri Sembilan Johor Kelantan Kedah Pulau Pinang Melaka Sabah Sarawak Country Malaysia Contact Number Please enter phone number without dash. Eg: 0123456789 Permanent Address (if different from above) State Pahang Perak Terengganu Perlis Selangor Negeri Sembilan Johor Kelantan Kedah Pulau Pinang Melaka Sabah Sarawak Country Malaysia Contact Number Please enter phone number without dash. Eg: 0123456789 ACCOMODATION Hostel Yes No MEDICAL HISTORY If you are physically disabled, please state the nature of your disability. If no, please write NIL Any medical condition which may be concern Asthma Color Blindness Heart Condition NIL Allergies, specify Others, please state EMERGENCY CONTACT Contact Name Relationship Correspondence Address Contact Number Please enter phone number without dash. Eg: 0123456789 FINANCIAL SUPPORT Please tick (√) the relevant financial support Study loans (PTPK / PTPTN / MARA / MIED / NLFCS Scholarship I am supporting myself / by my family I am fully sponsored by my employer / home government OtherOther Please upload payment receipt made (min RM100) Drop a file here or click to upload Choose File Maximum upload size: 2.1MB Submit
