Professional Documents
Culture Documents
Online Admission Application Form UTAR
Online Admission Application Form UTAR
OnlineAdmissionApplicationForm
Qualification:OTHER
Ref.
No
(ForOfficeuseOnly)
OnlineSubmissionRef.
No
: WB1601000648
Date
: 02January2016
To
: DepartmentofAdmissionsandCreditEvaluation
UniversitiTunkuAbdulRahman
JalanSungaiLong
BandarSungaiLong
Cheras,43000Kajang,SelangorDarulEhsan
OR
JalanUniversiti,BandarBarat,
31900Kampar
PerakDarulRidzuan
DearSir/Madam,
APPLICATIONFORADMISSIONTOTHEBACHELOR'SHONOURS
DEGREEPROGRAMMES
I,EYUWEISHENGI/CNo:940402016903wouldliketoapplyforadmissionintothefollowingBachelor's
HonoursDegreeProgrammesattheUniversitiTunkuAbdulRahman:
1stchoice
: BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING
2ndchoice
: BACHELOROFENGINEERING(HONS)ELECTRONICANDCOMMUNICATIONSENGINEERING
3rdchoice
: BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING
4thchoice
: BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING
5thchoice
: BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING
Enclosedarethefollowingdocumentsmarked(X)asrequested
(AlldocumentsmustbecertifiedbySchoolPrincipal/JusticeofPeace/State
Assemblyman/MemberofParliament)
Certifiedtruecopyofactual/forecastSPM/Otherequivalentresults
Certifiedtruecopyofactual/forecastSTPM/ALevels/SAM/CPU/UEC/Otherequivalentresults
CertifiedtruecopyofSchoolLeavingCertificate
CertifiedtruecopyofBirthCertificate
CertifiedtruecopyofIdentityCard
CertifiedtruecopyofMUET(compulsoryforSTPMholders)
AnonrefundableprocessingfeeofRM60.00inmoneyorder/postalorder/bankdraftmade
payabletoUniversitiTunkuAbdulRahman.(Pleasenotethatpersonalcheque/cashis
NOTaccepted)
Selfaddressedenvelopemeasuring7X10affixedwithRM1.00stampand
Selfaddressedenvelopemeasuring3.5X6affixedwithRM0.60stamp.
Submissionof3portfoliosofbodyfigure,stilllifeandlandscapeonA3sizedpaper(297mmx
420mm)ONLYforBachelorofArts(Hons)DigitalAnimation
Submissionof3portfoliosofbuildingonA3sizedpaper(297mmx420mm)ONLYfor
BachelorofScience(Hons)Architecture.
Ifyouareusingotherequivalentqualification(s),forexample,DiplomaorAdvanced
DiplomafromaCollege/Institution/Polytechnic,youarealsorequiredtosubmittogetherwith
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
1/5
1/2/2016
OnlineAdmissionApplicationForm
theapplicationform:
CertifiedtruecopyofCertificateofAwards
Officialacademictranscripts
Coursestructureandsyllabi
OfficialletterfromPrivateCollege/InstitutionofHigherLearningontheStandard
Minimum/AccreditationfromtheMalaysianQualificationsAgency(MQA)and
AllrelevantinformationandmaterialsrelatedtoyourpreviousstudiesfromSPMonwards.
Yourssincerely,
.........................................
(EYUWEISHENG)
Ideclarethattheaboveinformationprovidedbymeinconnectionwiththisapplicationistrueandcorrect.I
understandthatUniversitiTunkuAbdulRahmanreservestherighttowithdrawtheofferofadmissionoraskmeto
leavetheUniversityatanytimeifsuchinformationisfoundtobefalseorincorrect.
EYUWEISHENG
__________________________
__________________________
NameofApplicant
SignatureofApplicant
Date
UNIVERSITITUNKUABDUL
RAHMAN
WhollyownedbyUTAREducationFoundation(CompanyNo.578227M)
ApplicationFormJanuary2016Intake
(BachelorHonoursDegreeProgrammes)
OnlineSubmissionRef.No:
SectionA:Tobecompletedbyapplicant
WB1601000648
I.PERSONALINFORMATION
Name (asinNRIC):
I.C.No.
EYUWEISHENG
(MalaysiaIdentityCard
No.):
940402016903
Nationality:
MALAYSIAN
DateofBirth:
02/04/1994
Gender:
Male
Address:
PKP65SEROM2ASGMATI
LEDANGJOHOR
PostalCode:
84410
State:
JOHOR
ContactNo:(H)
069751072
(H/P):
0176288330
EMail:
sheng_0402@hotmail.com
Race:
Chinese
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
2/5
1/2/2016
OnlineAdmissionApplicationForm
Religion:
Buddhism
Disability/Handicap
NoDisability/Handicap
II.COURSEAPPLICATIONDETAILS
Youcanselectuptoamaximumof5choices.
1stChoice:
BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING(KualaLumpur
Campus)
2nd
Choice:
BACHELOROFENGINEERING(HONS)ELECTRONICANDCOMMUNICATIONSENGINEERING(Kuala
LumpurCampus)
3rd
Choice:
BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING(KualaLumpur
Campus)
4th
Choice:
BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING(KualaLumpur
Campus)
5th
Choice:
BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING(KualaLumpur
Campus)
III.ACADEMICQUALIFICATION
LastSchool/InstitutionAttended
Nameof
School/Institution:
SMKTENGKUMAHMUDISKANDAR
Addressof
School/Institution:
KM16,SUNGAIMATI,84400JH
Qualification
Actualresults
SPM
No.
Subjects
Grade
BAHASAMELAYU
BAHASAINGGERIS
BAHASACINA
SEJARAH
B+
MATEMATIK
FIZIK
KIMIA
PRINSIPAKAUN
PENGETAHUANMORAL
OtherQualification:
NameofInstitution:
LevelofStudy:
UNIVERSITITEKNOLOGIMALAYSIA(UTM)
others:KOLEJYAYASANPELAJARANJOHOR
DIPLOMA
NameofAward:
CGPA:
3.2200
YearofCompletion:
2015
OR Grade:
EnglishLanguageProficiency:(Pleasefillinyourgrade)
Actualresults
IELTS
TOEFL
ENGLISH
1119/OLEVEL
MUET 1
Others
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
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1/2/2016
OnlineAdmissionApplicationForm
IV.COCURRICULUMACTIVITIES
Sports:
Uniform:
Club/
Societies:
Extras:
V.PARTICULARSOFPARENT/GUARDIAN
Nameof
Parent/Guardian:
EYUAHHOCK
Addressof
Parent/Guardian:
EYUAHHOCK
Relationship:
FATHER
Occupation:
ELECTRICIAN
ContactNo:
(Home)
069751072
(Office)
0122507896
:
VI.DECLARATIONBYAPPLICANT
I declare that the above information provided by me in connection with this application is true and correct. I
understandthatUniversitiTunkuAbdulRahmanreservestherighttowithdrawtheofferofadmissionoraskme
toleavetheUniversityatanytimeifsuchinformationisfoundtobefalseorincorrect.
EYUWEISHENG
__________________________
__________________________
NameofApplicant
SignatureofApplicant
Date
SectionB:ForOfficeUse
DateReceived:
Completeand
Processed:
Incomplete:
ProcessingfeeofRM60.00
CertifiedtruecopyofSPM/STPM/ALevels/SAM/CPU
results
CertifiedtruecopyofSchoolLeavingCertificate
BirthCertificate/IdentityCard
Others____________________
NameofStaffincharge:Date:
Remarks:
AcknowledgementSlip
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
4/5
1/2/2016
OnlineAdmissionApplicationForm
(Pleasesubmitthissliptogetherwiththecompletedapplicationform)
*Name:___________________________________________________________________________
*Address:_________________________________________________________________________
_________________________________________________________________________________
RE:APPLICATIONFORADMISSIONTOUNIVERSITITUNKUABDUL
RAHMANJANUARY2016INTAKE
YourapplicationforadmissiontoUniversitiTunkuAbdulRahmanhasbeenreceivedon
_____________________________.
Pleasebeinformedthat:
Youhavecompletedtheapplicationformandsubmittedallcertifiedtruecopiesoftheresultsand
documentsasrequired.
Kindlynotethefollowing:
Youhavenotcompletedfullytheapplicationform.Pleasecallusat
0390860288(SungaiLong
Campus)or054688888(KamparCampus)oremailusatadmission@utar.edu.myforfurther
clarification.
YouhavenotsubmittedapplicationfeeofRM60.00madepayabletoUniversitiTunkuAbdul
Rahmaninpostalorder/moneyorder/bankdraft.
Youhavenotattachedcertifiedtruecopyofyouractual/forecast/trialSPM/SPMV/STPM/A
Level/SAM/CPU/UEC/MUET/otherexaminationresults.
YouhavenotattachedcertifiedtruecopyofyourDiplomacertificate/transcript/syllabus/
coursestructure/completeDiplomaresults(KTAR)/others.
YouhavenotattachedcertifiedtruecopyofyourIC/birthcertificate/schoolleavingcertificate/
others.
Kindlysendtheoutstandingdocumentstousby___________________________.
TheUniversityisnotboundtoprocessyourapplicationifyoudonotsubmitthedocumentsas
requiredbeforeorbythestipulateddate.
*Tobecompletedbyapplicant
DepartmentofAdmissionsandCreditEvaluation
http://portal.utar.edu.my/admission_online/appformBPrint.jsp
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