TO STUDENT REGISTRATION

NAME :

I/C NO. :

ADDRESS :

COUNTRIES : choice United State Canada Mexico Spain United Kingdom France Japan China Malaysia other

TEL(H) : TEL(H/P) :

E-MAIL :

GENDER : choice male female

STATUS : choice single married

RELIGION :

Muslim
Buddha
Kristian
other

ACCESSION :

table1

Exam	Result
UPSR
PMR
SPM
STPM
DIPLOMA
OTHER

COURCES :

table2

Year	Result
Degree of Human Resources	3 Years
Degree of Information Technology	3 Years
Degree of Multimedia	3 Years
Degree of Architecture	4 Years
Degree of Engineering	4 Years

COMMENTS/ RESERVES :

(Be Brief and Concise)