Kolej ITA Online Application
Please complete the following form with relevant information
FIRST CHOICE *
Please choose the program you prefer
SECOND CHOICE *
If you have any second choice
Intake Date *
Please indicate Month and Year
Your answer
Full Name *
Please give your full name as on NRIC or passport
Your answer
NRIC NUMBER OR PASSPORT NUMBER *
Please provide identity card number or travelling document number
Your answer
ADDRESS *
Please provide your current valid address
Your answer
Home Phone
Please provide your house telephone
Your answer
Email Address
Please provide your email address
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Mobile Phone Number *
Please provide your hand phone number
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Name of your Father / Guardian *
Your answer
Father / Guardian Mobile Phone Number
Your answer
Name of Mother / Guardian *
Your answer
Mother / Guardian Mobile Phone Number
Your answer
YEAR OF SPM EXAMINATION *
Please provide which year you attend the SPM Examination
Your answer
NAME OF SCHOOL
Name of School you completed your previous study
Your answer
Bahasa Melayu Grade
Your answer
Bahasa Inggeris Grade
Your answer
Pedidikan Moral Grade
Your answer
Sejarah Grade
Your answer
Mathematics Grade
Your answer
Science Grade
Your answer
Pendidikan Seni Visual Grade
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Perdangangan Grade
Your answer
Additional Mathematics Grade
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Physics Grade
Your answer
Chemistry Grade
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Biology Grade
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Ekonomi Asas Grade
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Prinsip Perakaunan Grade
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Geografi Grade
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Bahasa Cina Grade
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Other Subject 1 and Grade
Please provide other subject (not listed above) and Grade
Your answer
Other Subject 2 and Grade
Please provide other subject (not listed above) and Grade
Your answer
Other Subject 3 and Grade
Please provide other subject (not listed above) and Grade
Your answer
Other Subject 4 and Grade
Please provide other subject (not listed above) and Grade
Your answer
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