KURSUS INTENSIF KETERAMPILAN BAHASA MELAYU
MALAY LANGUAGE PROFICIENCY INTENSIVE COURSE
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Nama Pertama/First Name   *
Nama Tengah/Middle Name
Nama Keluarga/Family Name
Jantina/Gender *
Tarikh Lahir/Date of Birth *
MM
/
DD
/
YYYY
Warganegara/Citizen
No. Pasport/Passport No. *
E-Mel/Email *
Telefon/Telephone
Alamat Surat-menyurat/Postal address *
Bahasa Ibunda/First Language *
Pekerjaan/Profession *
Pilihan Pakej/Package Chosen
Boleh pilih lebih daripada 1 / Can tick more than 1)
Kelas Individu/Individual Class
Kelas Berdua/Group of Two
Kelas Bertiga atau Berempat/Group of Three or Four
Pakej 1 (Tatap Muka)/Package 1 (F2F)
Pakej 2 (Dalam Talian)/Package 2 (Online)
Tahap/Level
Apa yang ingin anda capai menerusi kursus ini? / What do you hope to achieve from this course? *
Required
Apakah minat anda? What are your interests? *
Required
Penaja (jika ada)/Sponsor (if any)
Suggestion accommodation
Kolej Ibu Zain / Campus Accommodation
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Evo Soho Suites (Outside campus, near Bangi)
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Catatan / Notes
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