Request edit access
IELTS Preparatory Workshop
Duration : 2 days (16 hours)
Date : 14 & 15 December 2018 (UTAR Sungai Long)
4 & 5 January 2019 (UTAR Sungai Long)
10 & 11 January 2019 (UTAR Kampar)
19 & 20 July 2019 (UTAR Sungai Long)
18 & 19 July 2019 (UTAR Kampar)
11 & 12 October 2019 (UTAR Sungai Long)
2 & 3 December 2019 (UTAR Kampar)
13 & 14 December 2019 (UTAR Sungai Long)
Time : 8.30 am - 5.30 pm
Fee : RM 283 (Public)
RM 226 (Students / Staff / Alumni)
Email address *
Which IELTS test module are you taking? *
Required
Venue and date: *
Name *
Your answer
I.C. / Passport No. *
Your answer
Student ID No.
UTAR Students/Alumni/Staff are REQUIRED to fill in Student/Staff ID No.
Your answer
Address *
Your answer
Nationality *
Your answer
Contact No. *
Your answer
I would like to make payment through *
Please refer to the payment methods below the form.
Required
Remark (if any)
Your answer
"Your data privacy is important to us. Personal data collected will be protected in accordance to Personal Data Protection Act 2010. Please visit https://www.utar.edu.my/PrivacyNotice_English.jsp to view our Privacy Notice".
Payment Methods:
1. Cash
Pay at UTAR Division of Finance.
Cash deposit at UTAR Public Bank account no. 3118325015.

2. Cheque
Pay at UTAR Division of Finance.
Cheque deposit at UTAR Public Bank account no. 3118325015.

3. Public Bank Credit / Debit Card
Pay at UTAR Division of Finance.

4. Interbank Transfer
Interbank transfer to UTAR Public Bank account no. 3118325015.

Important:
Please fax the bank-in slip / receipt to fax no. 603-9019 3880 (Sungai Long) / 605-4667796 (Kampar) or
Email the bank-in slip / receipt to cee@utar.edu.my
Please indicate the participant's name and name of programme in the bank-in slip / receipt.

Terms & Conditions:
1. Fees stated above are subject to changes without prior notice.
2. All fees must be paid before/on the date stated in the proforma invoice. Late payment of fees may result in the registration being rejected.
3. All fees paid are neither refundable nor transferable.
4. Payment can be made by Cheque / Bank Draft / Money Order / Postal Order or through e-banking and in the exact amount as stated in the proforma invoice.
5. Confirmation of registration is upon receipt of payment.
6. Personal data collected will be protected in accordance to Personal Data Protection Act 2010.
7. The University reserves the right to make any amendments and/or changes to the programme if warranted by circumstances beyond its control. The University also reserves the right to cancel the programme if the number of participants is not sufficient. However, the University shall notify the participant 3 days prior to the programme for any changes. The fees paid will be fully refunded if the University cancels the programme.
*
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service