I. PERSONAL PARTICULARS
Name:
NRIC No:
Date of Birth : Age:
Address:
Tel: Email:
II. ACADEMIC DETAILS
SPM Result:(Please include a copy)
Subject / Grade / Subject / Grade
Knowledge of Languages(Excellent, Average)
Language / Written / Spoken
III. co-academic ActivitIES
School Sports/Clubs/Societies / Position held / Period of Involvement
Special knowledge/Skills (in music, drama, dance etc.)
Awards/training/medals/prizes received
Description / Year
IV. family background
Parents/Guardians
Name:
NRIC No : Relationship:
Occupation: Income:
Company Address:
Tel: Email:
Name:
NRIC No: Relationship:
Occupation: Income:
Company Address:
Tel: Email:
Siblings
Name / Age / School
V. STUDENT QUESTIONs
Please answer the following questions in the space provided or attach an additional page, if necessary.
  1. Why do you want to become an IB student? What aspects of the program most appeal to you? How do you feel that the IB Program may help you reach your future goals?
  1. The IB Program is a program for students who are highly motivated academically. Please provide an example of something that you do, or have done, that demonstrates that you are an academically highly motivated student. Include a brief explanation.

Vi. declaration
I hereby acknowledge that all information provided or shall be provided by me in this form or through any other supporting documents are true and accurate and MCKK shall be at liberty to decline my application herewith if any information provided by me is found to be false and inaccurate.
This form may be reproduced in Portable Document Format (PDF), photocopied or facsimile, and the reproduced form shall be binding on me as the original.
By signing below, I hereby acknowledge that I have read, understood and agree to the above statement(s).
______
Signature of Applicant Date
______
Signature of Parent/Guardian Date
Student Name:
NRIC No. :

The student above is applying for admission to the International Baccalaureate Diploma Programme at The Malay College Kuala Kangsar. The two-year curriculum is comprised of rigorous and comprehensive advanced studies. It demands motivated and achievement-oriented students. The IB Diploma Programme goals include development of inquiring, knowledgeable, caring students who will strive to create a better, more peaceful world through intercultural understanding and respect.

Please provide a brief statement as toyour opinion of the above student’s ability to succeed in an academically rigorous program that requires dedication, self-discipline, and a strong work ethic.

(Please complete reverse side)

Place a mark in each category most befitting of the student’s exhibition of each the outlined skills or traits. If you have had no occasion to observe a particular skill or trait, indicate so in the table.

Exceptionally / Consistently / Occasionally / Rarely / Not
Observed
Intellectual Curiosity
Passion for Learning
Critical Thinking Skills
Communication Skills
Personal Integrity
Cultural Open-Mindedness
Empathy and Respect for Others
Leadership Skills
Adaptive in Unfamiliar
Situations
Self-Awareness
Healthy Reaction to
Setbacks
Self-Discipline
Ability to Collaborate
Determination
Resourcefulness
Organizational Skills
Declaration
I hereby acknowledge that all information provided or shall be provided by me in this form or through any other supporting documents are true and accurate and MCKK shall be at liberty to decline the application if any information provided by me is found to be false and inaccurate.
By signing below, I hereby acknowledge that I have read, understood and agree to the above statement(s).
______
Name: Date
______
Name & Signature of Principal Date

Please return this form to the applicant in a sealedenvelope with your signature across the seal.

Thank you for your time.

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