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KYS BUSINESS SCHOOL - MARCH INTAKE 2019 ONLINE APPLICATION FORM
Email address *
1. Full Name: *
(as per NRIC)
2. Programmes Option *
Required
3. Date of birth *
MM
/
DD
/
YYYY
4. Gender
5. Race
6. Identification Number (NRIC) *
(e.g.: 900203455656)
7. Email *
8. Current Address
9 City / Town
9.1 Postcode
9.2 State
10. Phone / Mobile Number (01x-xxxxxxx) *
11. Secondary School's Name *
12. Highest study qualification *
12.1 SPM Result (upload a copy of SPM result) *
Required
13. Co-curricular Activities - Please indicate the most recent activities in which you assumed leadership position(s)
[Year] [Position Held] [Society/Club/Sports/Activity] [Level of Achievement]
14. Awards and Commendation
[Year] [Awards/Commendations Received] [Institution]
15. Family Details -Please fill in the details of all your immediate family members and/or guardian(s)
[Full Name] [Relationship] [Age] [Occupation] [Status]
16. Monetary Assistance from Other Organizations - Please state any monetary assistance currently and/or previously received from other organizations
[Organization Name] [Amount (RM)] [Period (yyyy-yyyy)] [Form of Assistance (Scholarship/Loan)]
17. Do you or any of your immediate family members are suffering or have suffered any medical conditions (mental and/or physical) which require regular or prolonged medical treatment?
17.1 If "Yes" please provide full details
18. Declaration and agreement by applicant *
Required
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