.
Please fill in the blank space on the application form below. Make sure you fill in all fields marked *
.
 A. Personal Detail
.
Name :  *
.
IC Number :  *
.
Email :  (example:name@yahoo.com)
.
Address :  *
.
. :
.
City :  *
.
Postcode :   *     *
.
Student's Phone Number :
.
Parent's Phone Number :
.
 B. Program Options
.
Program Option 1 : *
.
Program Option 2 : *
.
Program Option 3 : *
.
 C. Academic Background
.
SPM :
:
:
 A+ to A- *
B+ to B- *
C+ to C- *
    (Sum the number of subjects with A, B and C into the appropriate box)
     
English : Credit Pass Failed *
Mathematics : Credit Pass Failed *
Science / Additional Science / Physics / Chemistry / Biology : Credit Pass Failed *
.    
STPM (If Applicable) : PRINCIPAL
(Principal is the subject of grade A to C)
.    
Last School : *
.    
State :
.
         
Where have you heard about City U? : -
         
  TV/Radio Friends Exhibition Newspaper
  Offer letter Website SMS  
  Others : *
         
         
 
E. Important Notes

The personal data you have provided in this form will be used by or on behalf of City UC to send you further details, including its events, academic programmes and marketing information.

Maklumat peribadi yang anda berikan pada borang ini akan digunakan oleh atau pihak-pihak yang berkaitan dengan City UC untuk menghantar kepada anda maklumat lanjut berkaitan acara-acara yang akan dianjurkan, program akademik dan maklumat pemasaran.

 

F. Declaration and Agreement by Applicant

I declare that the information provided by me in this application form is true and correct.

I acknowledge and agree :-
a) That City UC reserves the right to vary or reserve any decision regarding admission or enrollment made on the basis of incorrect or incomplete information given by me.
b) To abide by all academic, administrative and examination rules and regulations of the programme and to uphold the integrity and good name of City UC at all times.
c) City UC shall have absolute right as it deems fit to defer, close or not to commence any programme; and to review, change and update subject curriculum in any programme.
e) To abide by the City UC Code of Honour, as outlined in the General Rules and Regulations in the relevant City UC Student Handbook.