WP/INTEC/SA/18b/01

Edit on: 1-November-2017

APPLICATION FOR ADMISSION FORM

(Please fill up in Block Letters)

PERSONAL DETAILS
NAME
IC/PASSPORT / GENDER
CITIZENSHIP / RELIGION
HOME PHONE / MOBILE PHONE
EMAIL ADDRESS
PERMANENT ADDRESS
PARENTS DETAILS
FATHER’S NAME
OCCUPATION & EMPLOYER
MOBILE PHONE / EMAIL
MOTHER’S NAME
OCCUPATION & EMPLOYER
MOBILE PHONE / EMAIL
CONTACT PERSON IN THE EVENT OF EMERGENCY
NAME
MOBILE PHONE / EMAIL
ADDRESS
PREFERRED PROGRAM
(Please use color to fill in the tick box. Example: and write (X) at the preferred Program/Major). You can only choose 1 program/major. Please make sure your qualification meets the entry requirements before applying for the program.
PREPARATORY PROGRAMS
American Credit Transfer Program
Intake: Jan May
July Sept / A-Level
Program
Intake: Jan May
July Sept / South Australian Certificate of Education (SACE) International Program
Intake: Jan March
May July
Actuarial Science
Agricultural Science Engineering
Animation / Graphic
Arts
Bio-Technology
Business Administration
Economics
Engineering
Finance
Geology
Geophysics
IT / Computer Science
International Relations
Mathematics
Political Science
Psychology
Science
Social Science
Statistics / Accountancy
Actuarial Science
Architecture
Arts
Biology
Business
Chemistry
Dentistry
Economy
Engineering
Finance
Geology
Law
Mathematics
Medicine
Pharmacy
Physics
Pure Science
Social Science
Engineering - German (May & Sept intake) / Accountancy
Actuarial Science
Agricultural Sc.
Architecture
Astronomy
Bio-Technology
Business Admin.
Engineering
Dentistry
Economics
Environmental Studies
Finance and Banking
Forensics Science
Geology
Geophysics
Geoscience / Health, Safety & Environment
IT / Comp. Science
Int. Relation
Law
Mathematics
Medical Imaging
Medicine
Nano-Technology
Pharmacy
Psychology
Quantity Surveying
Science
Sports Science
Statistics
Veterinary Science
JAPAN Program
(May Intake) / KOREAN Program
(May Intake) / *Middle East Program
(May Intake) / Intensive Bridging Program
(January Intake)
Technical (2 years) / Engineering
Animation
Info. Technology
Korean Language / Medicine
Dentistry
Pharmacy
Islamic Banking / Package 1
Package 2
Package 3
Package 4
Engineering
Architecture
Preparatory (1 year)
Science / *Applicant requires an offer letter from Ministry of Education for this program
Non-Science
I-SPEAK LANGUAGE / DIPLOMA PROGRAMS
Arabic Language / June Intake October Intake
German Language / Diploma in Business Management
Korean Language / Diploma in Public Management and Governance
Japanese Language (coming soon) / Diploma in Scientific Halal Practices
PROFESSIONAL ACCOUNTANCY PROGRAMS
Intakes: January MarchMay July/AugustSeptember/October
Certified Accounting Technician (CAT) – May intake / Association of Chartered Certified Accountants (ACCA) – Full Time
Certificate in Business Accounting (CBA)– May intake / Association of Chartered Certified Accountants (ACCA) – Part Time
Certificate in Finance, Accounting & Business (CFAB) – May intake / N/A / Malaysian Institute of Certified Public Accountants (MICPA)
N/A / Chartered Institute of Management Accountants (CIMA) / N/A / Institute of Chartered Accountants in England and Wales (ICAEW)
HIGHEST ACADEMIC QUALIFICATION
SCHOOL / COLLEGE / UNIVERSITY
LAST EXAMINATION / QUALIFICATION
YEAR COMPLETED / CGPA (if applicable)
RESULTS
(for SPM / O Level / equivalent)
No. / Subjects / Grade
1. / Bahasa Malaysia/ Malay Language
2. / Bahasa Inggeris/ English
3. / Matematik/ Mathematics
4. / MatematikTambahan/ Additional Mathematics
5. / Fizik/ Physics
6. / Kimia/ Chemistry
7. / Biologi/ Biology
8. / Sains/ Science
9. / Pendidikan Islam/ Islamic Studies
10 / Pendidikan Syariah Islamiah/ Islamic Syariah Studies
11. / PrinsipAkaun/ Priciple Account
12.
13.
SPECIAL CIRCUMSTANCES
Do you have any disability, impairment or long-term medical condition which may affect your studies?
YesNo
If you do, please provide / attach extra information so that INTEC Education College can assist you during your study here.
ELIGIBILITY FOR DICSOUNTS
Top Scorer(5%)
Alumni (5%)
Early Bird (10%)
Sibling(10%)
Staff (20%)
Please attach supporting documents for you to be eligible for any of above mentioned discounts.
ACCOMMODATION
Yes, I Need HostelNo – my house is nearby
DECLARATION
Student's Declaration
I certify that the information and all the certified copies of the certificates are true. I acknowledge that INTEC has the right to cancel/change the offer if any of the information or copies of the certificates are found to be false or if my qualification does not meet the program’s requirements. / Parents' / Guardian's Declaration
I have understand all of the admission conditions and agree to pay all the study fees required by INTEC Education College.
Date: / Date:

Documents required

Please attach with this application form the required documents as follows:

1 x certified true copy of actual/forecast results or transcripts
1 x certified true copy of IC / Passport (for international applicant)
Medical documents (if applicable)
Discount documents (if applicable)

Data protection

By completing this form you consent to INTEC Education College storing and processing the data you provide. We’ll hold your information in accordance with the Data Protection Act 2010. We do not pass your details to third parties, except where you have given express permission.

Submission

Please submit the completed form to:

Student Admission & Records Unit, Student Affairs Department

INTEC Education College

Jalan Senangin Satu 17/2A, Seksyen 17

40200 Shah Alam

Selangor Darul Ehsan

Attn: Ms. Nor Izyati Md. Rahim

Ms. Maryam Sofia Saipuddin

Tel:03-5522 7075 /7081

Fax:03-5522 7082

Email:

UiTM Private Education Sdn Bhd (947874-D), Jalan Senangin Satu 17/2A, Seksyen 17, 40200 Shah Alam, Selangor

Tel: 03-5522 7000 / 7075 /7061 / 7081 Email:

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