AIMST UNIVERSITY AIMST-SOP-07-01_FRM001

Kedah Darul Aman, Malaysia No Perakuan Institusi: KPT/J PT/DFT/US/K05

For Office Use Only

Date Received:


APPLICATION FORM FOR ADMISSION TO
FOUNDATION & UNDERGRADUATE PROGRAMMES

The following documents are required to support your application:
MALAYSIAN

INTERNATIONAL
1 Passport size photograph (affixed above)

8-passport size photographs
Certified true copy of Identification Card
Certified true copy of passport
(all pages including empty ones)

Certified true copy of all academic examination
certificates (e.g. SPM / STPM / A-LEVEL)
Certified true copy of all academic examination
certificates

Processing fee : RM 100* (non-refundable)
payable to AIMST SDN.BHD. REV ACCOUNT
Processing fee : USD 150* (non-refundable)
payable to AIMST SDN.BHD. REV ACCOUNT
Note: Please provide an official translation in English where necessary.


Select from the list below:
1
st
: _____________________________________________ Intake*: ___________ Full time/Part time
2
nd
: _____________________________________________ Intake*: ___________ Full time/Part time
3
rd
: _____________________________________________ Intake*: ___________ Full time/Part time














Title: Mr Miss Others ..

NRIC / Passport No.:
Name: (as in NRIC / Passport)



Nationality:
Race: Religion:
Correspondence Address:







Date of Birth: Gender: Male Female
Marital Status: Single Married Others...
Home Tel No.: Fax No.:
Mobile Phone No.:
Email Address:
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A PROGRAMMES PREFERRED
B PERSONAL DETAILS





Please affix passport
size photograph here
Foundati on i n Sci ence (1 Year)
Foundati on i n Sci ence (Leadi ng to Engineeri ng)(1 Year)
Foundati on i n Busi ness (1 Year)
Di pl oma i n Nursi ng (3 years)
Di p. i n Electri cal & El ectroni c Engi neeri ng (2 years) **
Di pl oma i n Physi otherapy (3 years)
MBBS (5 Years)
Bachel or of Dental Surgery (5 Years)

Bachel or of Pharmacy (Hons) (4 Years)
B. Eng (Hons) i n Electri cal & El ectronic Engineering(4 Years)
B.Sc. (Hons) Bi ot echnol ogy (3 Years)
Bachel or of Physi otherapy (Hons) (4 Years)
B.Sc. (Hons) Accounti ng & Fi nance (3 Years) **
B.Sc. (Hons) Business & Marketing (3 Years) **
B.Sc. (Hons) Fi nance & Management (3 Years) **
B.Sc. (Hons) Management Informati on Systems (3 Years) **
** Full Ti me & Part Time Courses avail able f or these programmes.



AIMST-SOP-07-01_FRM001


i. Father / Guardian

Name:(as in NRIC / Passport) Identification Card No:
Correspondence Address: Home Tel No:
Office Tel No:
Mobile Phone:
Postcode: Email Address:
Employer: Monthly Income:
Occupation: Relationship ( if guardian ):

ii. Mother

Name:(as in NRIC / Passport) Identification Card No:
Correspondence Address: Home Tel No:
Office Tel No:
Mobile Phone:
Postcode: Email Address:
Employer: Monthly Income:
Occupation:

iii. Emergency Contact (Other than Parents / Guardian):

Name: (as in NRIC / Passport)
Correspondence Address: Relationship:
Home Tel No:
Office Tel No:
Mobile Tel No:
Email Address:




Institution Qualification Year
1.
2.
3.
4.
5.
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C PARENT / GUARDIAN DETAILS
D ACADEMIC QUALIFICATIONS OF APPLICANT (please attach supporting documents)


AIMST-SOP-07-01_FRM001
English Language Proficiency Extra Curricular Activities:





Are you a former student of AIMST University?
Yes, Please provide your Student ID num ________________
No
Have you applied to AIMST University before this?
Yes
No



Financial Support

Self-financed Sponsored (please attach supporting documents) Others (please specify).




It is MANDATORY for ALL students to stay in the AIMST University Student Residence at Semeling Campus for the
stipulated duration of their course.




Parent / Guardian

I,.hereby agree to pay all the required fees as stated in the
fee structure and in accordance with AIMST Universitys policies. I also agree to the terms of AIMST Universitys fee
refund policy *.

.
Signature of Parent / Guardian Date:

Applicant

I declare that all the information stated in this application and all the documents that will be submitted upon
registration is true and correct. I understand that AIMST reserves the right to change any decision regarding
admission or enrolment made on the basis of incorrect or incomplete information. I agree to abide by all the
academic and administrative regulations of AIMST University.



Signature of Applicant Date:

* A copy of AIMST Universitys fee structure and refund policy will be given at the time of registration.



AIMST University will officially notify you of the outcome of your application. Please take note that submission of the application
does not constitute acceptance into the university.


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Examination Year Grade
1. IELTS
2. TOEFL
3. English 1119
4. MUET
Activities Year Level Remarks
1.
2.
3.
4.
5.
F SOURCES OF FUNDING
G ACCOMMODATION

H DECLARATION

E ACADEMIC RECORD



AIMST-SOP-07-01_FRM001


STUDENT RECRUITMENT DIVISION


Documents Complete

Documents Incomplete

Specify:








Counselled by,




Signature
Name:
Date:

FINANCE AND ACCOUNTS DIVISION

Application Fees Enclosed: Bankers Cheque / Bank Draft No.

Cash : RM..

Others : RM..







Signature
Name:
Date:

STUDENT ADMISSIONS AND RECORDS DIVISION

Documents Complete

Documents required (please specify)..

Checked by :.. Date:..
Rechecked by :.. Date:..
Verified by :.. Date:..






..
Signature
Name:
Date:

SELECTION COMMITTEE/ DEAN






Signature
Name:
Date:



Please return this form to:
STUDENT ADMISSIONS & RECORDS DIVISION
AIMST UNIVERSITY
Semeling, 08100 Bedong, Kedah Darul Aman, Malaysia.



TEL: 604-429 8000
FAX: 604-429 8008
E-MAIL: choose@ai mst.edu.my
WEBSITE: www.aimst.edu.my
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Admission Status Affirm Offer Conditional Rejected
FOR OFFICE USE ONLY
Feedback to Applicant

................
F FO OR R M MO OR RE E I IN NF FO OR RM MA AT TI IO ON N P PL LE EA AS SE E C CO ON NT TA AC CT T