ENQUIRY FORM 2010 / 2011

Name I/C No.

Address
(Postcode) (State)
Phone (H) (H/P) (Fax)
E-mail
Qualification O-Level A-Level SPM / SPMV STPM Polytechnic

IKM / ILP / MLVK Others ……………………………………………………………………………….

ACADEMIC / PROFESSIONAL QUALIFICATIONS
A. SPM / SPM(V) / O-LEVEL Year : School :
Subject Gred Subject Gred
1 Bahasa Melayu 11 EST
2 Bahasa Inggeris 12 Sains Tambahan
3 Matematik 13 Prinsip Akaun
4 Matematik Tambahan 14 Perdagangan
5 Sains 15 Kejuruteraan Awam
6 Agama Islam 16 Kejuruteraan Jentera
7 Sejarah 17 Lukisan Kejuruteraan
8 Fizik 18
9 Kimia 19
10 Biologi 20

B. STPM / A-LEVEL Year : School :

Subject Gred
1
2
3
4
5
6

C. OTHER CERTIFICATE / DIPLOMA Year : School :

Semester CGPA Semester CGPA

1 5
2 6
3 7
4 8

Interested Course
(Please state at least one
courses)