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  • Gmi Application Form

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    Abdul Rahman
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    This document appears to be an application form for admission to the German-Malaysian Institute. It requests personal details such as name, identity card number, date of birth, nationality, marital status, gender, address, email, and phone numbers. It also asks the applicant to select a preferred diploma program from options like Diploma in Production Technology, Diploma in Industrial Electronics, and Diploma in Engineering Technology. Additionally, it requests education details such as SPM/STPM results, credit hours completed, and the source or introducer that referred the applicant to the program.

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    GMi

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    This document appears to be an application form for admission to the German-Malaysian Institute. It requests personal details such as name, identity card number, date of birth, nationality, marital status, gender, address, email, and phone numbers. It also asks the applicant to select a preferred diploma program from options like Diploma in Production Technology, Diploma in Industrial Electronics, and Diploma in Engineering Technology. Additionally, it requests education details such as SPM/STPM results, credit hours completed, and the source or introducer that referred the applicant to the program.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    88 views1 page

    Gmi Application Form

    Uploaded by

    Abdul Rahman
    This document appears to be an application form for admission to the German-Malaysian Institute. It requests personal details such as name, identity card number, date of birth, nationality, marital status, gender, address, email, and phone numbers. It also asks the applicant to select a preferred diploma program from options like Diploma in Production Technology, Diploma in Industrial Electronics, and Diploma in Engineering Technology. Additionally, it requests education details such as SPM/STPM results, credit hours completed, and the source or introducer that referred the applicant to the program.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

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    GMI

    GMI.AFSA.PO3.FO5

    GERMAN'MALAYSIAN I NSTITUTE

    e4TsBo-K)
    Jalan llmiah, Taman Universiti, 43000 Kajang, Selangor
    Tel: (603) S921 919119344 I Fax: (603) 8921 9001/9003 I http://www.gmi.edu.my

    A.

    PERSONAL DETAILS I BUT'RAN PER'BAD'

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    ldentity Gard N o. I

    Date of Birth /

    No. Kad Pengenalan

    Tarikh Lahir

    National'ity

    KewargafiEporddn

    Marital Status I
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    P,e ikait h w in' a n

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    Malaysian
    Non-Malaysian

    n
    n
    n
    n
    tr

    Single/B ujang

    Birth State I
    Negeri Kelahiran

    n
    n
    n

    Gender I Jantina

    Married lBerkahwin

    n
    n

    MahylMelayu
    Chinese lCina

    Sabah

    Bumiputera
    Bumiputera Sarawak

    MablLelaki
    Female lPerempuan

    Others/Lain-lain:

    lndian//ndia

    Postal Address
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    rnehy:u|At ; : .',,",,'

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    State/Negeri:

    Postcod elPoskod:

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    Mobile/Bimbit:

    Home/Rumah:

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    E-PROGRAM PREFERENCE I Pr[tHAA' PROGRAM

    TDT

    Diploma in Production Technology (Tool & Die Technology)

    MOT

    Diploma in Production Technology (Mould Technology)

    PDM

    Diploma in Product Design & Manufacturing

    CPT

    Diploma in CNC Precision Technology

    EIT

    Diploma in lndustrial Electronics (Electronics & lnformation Technology)

    MEC
    PIC

    Diploma in lndustrial Electronics (Mechatronics)


    Diploma in lndustrial Electronics (Process lnstrumentation & Control)

    NWS

    Diploma in Network Security

    SEPD

    Diploma in Engineering Technology (Sustainable Energy and Power Distribution)

    GAPP

    German A-Level Preparatory Program

    SMT

    Diploma in Engineering Technology (Sheet Metal Fabrication & Product Development)

    MS

    Diploma in Engineering Technology (Manufacturing System)

    IPM

    Diploma in Engineering Technology (lndustrial Plant Maintenance)

    *Sila kepilkan bersama salinan Kad Pengenalan, slip keputusan SPM4SPMV/STPM/Si|ii Teknikal berserta Transkrip setiap semester

    Date:

    Signature:

    n
    tl

    Completed
    Final Semester

    tr

    T
    N
    T
    tr

    SPMISPMV:
    Credit:

    N STPM:

    IKM:
    ILP:

    POLI:
    SKM3:

    n
    n
    n

    Pre-Diploma:
    Matriculation:
    Others:

    tr ELG:
    N

    NELG:

    Sources / lntroducer:

    Training

    for

    Advanced

    TechnoI og

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