PLEASE READ THESE INSTRUCTIONS BEFORE YOU APPLY


INSTRUCTIONS

The on-line application form will prompt you to six (6) data forms where you are to provide:

• Personal Information
• Course Application Details
• Academic Qualification
• Co-curriculum Activities
• Particulars of Parent/Guardian
• Declaration by Applicant

Please use these data forms to provide Universiti Tunku Abdul Rahman (UTAR) with information to support your application for admission. When you have completed the data forms, please use the NEXT button at the bottom of the screen to check the information that you have keyed in. A screen with the information that you have furnished will be made available for checking. Please click on the EDIT button to do any amendment. However, if there is no amendment needed, please proceed by clicking on the SUBMIT FORM button to save and submit the information.
UNIVERSITI TUNKU ABDUL RAHMAN
Wholly owned by UTAR Education Foundation (Company No. 578227-M)
Application Form - May 2010 Intake
(Bachelor's Honours Degree Programmes)
 
Section A: To be completed by applicant
I. PERSONAL INFORMATION
Name (as in NRIC): *
I.C. No.
(Malaysia Identity Card No.):		 - - * Nationality: *
Date of Birth: / / (dd/mm/yyyy)* Gender: FEMALE MALE
Address: *
Postal Code: * State: *  
Contact No:(H) (H/P): *
E-Mail:
Race: others: (Please specify) *
Religion: others: (Please specify) *
Disability/ Handicap No Disability/Handicap Deaf but can hear with hearing-aid Colour blind Blind Paralyzed
Deaf Mute Stutter Polio *
others (Please specify)
 
II. COURSE APPLICATION DETAILS
You can select up to a maximum of 5 choices.
   
1st Choice:
*
2nd Choice:
3rd Choice:
4th Choice:
5th Choice:
"Bachelor of Medicine and Bachelor of Surgery" Applications must be submitted by 31st March 2010 and shortlisted applicants will be called for an interview for further consideration during the first 2 weeks of April 2010
III. ACADEMIC QUALIFICATION
 
Last School/Institution Attended
Name of School/Institution:

*
Address of School/Institution:
Qualification
Actual results  Forecast/ trial result
No. Subjects Grade
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Actual results  Forecast/ trial result
No. Subjects Grade
1
2
3
4
5
6
7
8
9
10
11
Other Qualification:
Name of Institution:
others: (Please specify)
Level of Study:
Name of Award:
CGPA: OR Grade:
Year of Completion:
KTAR Qualification:
Graduated   Still pursuing
Name of Institution: KOLEJ TUNKU ABDUL RAHMAN (TAR COLLEGE)
Level of Study:
Course / Campus of Study:
Major:
CGPA:
Year of Completion:
English Language Proficiency: (Please fill in your grade)
Actual results  Forecast/ trial result
IELTS . TOEFL ENGLISH 1119/O-LEVEL MUET
 
IV. CO-CURRICULUM ACTIVITIES
Sports:

Uniform:

Club / Societies:

 
V. PARTICULARS OF PARENT/GUARDIAN
Name of Parent/Guardian : *
Address of Parent/Guardian : *
 
Relationship : *
Occupation : *
Contact No : (Home) * (Office) :
 
VI. DECLARATION BY APPLICANT

I declare that the above information provided by me in connection with this application is true and correct. I understand that Universiti Tunku Abdul Rahman reserves the right to withdraw the offer of admission or ask me to leave the University at any time if such information is found to be false or incorrect.