List of Student Forms: NO. Code Form Name Created by

LIST OF STUDENT FORMS
NO. CODE FORM NAME PIC/VERIFIED OF FORM: CREATED BY
1 FORM SC-SE (v1) Registration for Supplementary Exam Finance & Corporate Department SC COLLEGE
2 FORM SC-RRSM (v1) Registration for Re-Enrolment of Single Module Finance & Corporate Department SC COLLEGE
3 FORM SC-WFSC (v1) Application for Withdrawal from SC College Academic Department-Deputy Chief Exec SC COLLEGE
4 FORM SC-DS (v1) Application for Deferment of Studies Academic Department-Deputy Chief Exec SC COLLEGE
5 FORM SC-RDS (v1) Application for Reactivation from Deferment of Studies Finance & Corporate Department SC COLLEGE
6 FORM SC-TFI (v1) Application for Tuition Fees Installments Finance & Corporate Department SC COLLEGE
7 FORM SC-TFIP(SC)(v2) Tuition Fees Installments Payment Plan Form (Short Courses) Finance & Corporate Department SC COLLEGE
8 FORM SC-TFIP(v2) Tuition Fees Installments Payment Plan Form Finance & Corporate Department SC COLLEGE
9 FORM SC-AAMR(v1) Application for Appeal Against Module Results Finance & Corporate Department SC COLLEGE
10 FORM SC-TFLPA(v1) Tuition Fee Late Payment Appeal Form Finance & Corporate Department SC COLLEGE
11 FORM SC-TP(v1) Application for Transfer of Programme Programme Coordinator SC COLLEGE
12 FORM SC-LA (v1) Student Leave Application Form Academic Department-Deputy Chief Exec SC COLLEGE
13 FORM SC-CF(v1) Student Complaint Form Student Management Department SC COLLEGE
14 FORM SC-SF (v1) Student Suggestion Form Student Management Department SC COLLEGE
Student Management Department /Academic

15 FORM SC-PCL (v1) Program Completion Letter Request Form SC COLLEGE
Department-Program Coordinator
16 FORM SC-SHE (v1) Student Health Examination Form Student Management Department SC COLLEGE
Student Management Department /Academic

17 FORM SC-DMF (v1) Application for Drop Module SC COLLEGE
Department-Program Coordinator
Student Management Department / Finance &
18 FORM SC-REE(ES)(v1) Registration for External Examination (Enrolled Student) SC COLLEGE
Corporate Department
Student Management Department / Finance &
19 FORM SC-REE(PC)(v1) Registration for External Examination (Private Candidate) SC COLLEGE
Corporate Department
Finance & Corporate Department / Student
20 FORM SC-DAF(CC) Diploma Application Form-Combine Certificate (LCCI) LCCI
Management Department
FORM SC-RSE (v1)
REGISTRATION FOR SUPPLEMENTARY EXAMINATION

STUDENT PARTICULAR (fill in CAPITAL LETTER)
Name : NRIC. No. :
Programme Name (Code) :
Email Address : Contact No. :
FEE
MODULE CODE MODULE TITLE
RM50.00 PER MODULE
Grand Total
Student Declaration and Agreement

1. I declare that all information given in this form is accurate and complete.
2. I understand that the refund of fees will be in accordance with the Refund Policy of SC COLLEGE.
3. I agree to conform to the related Rules and Regulations of SC COLLEGE.
Name:
Date: Signature of Student:
For office use only
Receipt No. : Receipt Date :
Verified by :
Payment: Kindly make payment by transfer or bank in to UOB Bank: 161-303-885-5 (I.P. SERVICES SDN. BHD.) and
submit a copy of bank in slip to the finance department. An official receipt will be issued via email within 7 working days.
FORM SC-RRSM (v1)
REGISTRATION FOR RE-ENROLMENT OF SINGLE MODULE

Name : NRIC No. :
Intake to Register for RSS/Year :
Subject(s) to be re-enrol :
TOTAL FEE (RM)
CREDIT HOUR RM300/Credit hour
Grand Total

Name:
For office use only
Verified by :
FORM SC-WFSC (v1)
APPLICATION FOR WITHDRAWAL FROM SC COLLEGE

Name : NRIC No. :
Current Intake /Year :
Reason(s) for withdrawal (Tick ( / ) the appropriates box(es))

1. Student related reasons 3. Job related reasons
Medical Frequent business trips
Financial Attend training/course
Family Heavy workload
Emigration Irregular working hours
Entry to other education institution Change of employment
2. Course related reasons 4. Others (please specify)

Loss of interest
Unable to cope with the courses

Name:
For office use only
Status:
Approved
Rejected
Authorized by :
Name :
Signature :
Date :
FORM SC-DS (v1)
APPLICATION FOR DEFERMENT OF STUDIES

Name : NRIC No. :
Deferment Semester/Date :
Module(s) to be deferred :
TOTAL
CREDIT HOUR
Reason(s) for withdrawal (Tick ( ) the appropriates box(es))

2. Course related reasons 4. Others (Please Specify)

Loss of interest

2. I understand that the refund of fees will be in accordance with the Refund Policy of SC COLLEGE
3. I agree to conform to the related Rules and Regulations of SC COLLEGE
Name:
For office use only

Status:
Approved
Rejected
Authorized by :
Name :
Signature :
Date :
FORM SC-RDS (v1)
APPLICATION FOR REACTIVATION FROM DEFERMENT OF STUDIES

Name : NRIC No. :
Deferment Semester/Date : Reactivation Semester/D:
Reactivation Fees : RM200.00
Module(s) to be reactivated :
TOTAL
CREDIT HOUR

Name: Signature of Student:

Date:
For office use only
Verified by :
FORM SC-TFI (v1)
APPLICATION FOR TUITION FEES INSTALLMENTS

SECTION 1:
Name : NRIC No. :

Address :

Current Year/Semester : Apply for Year/Semester :
SECTION 2:
DOCUMENT REQUIRED - CHECKLIST
Student's I/C Photocopy
Parents' Latest 3 Months Salary Slip (Total Parents' Monthly Gross Income below RM4000.00)
Self-Income Salary Slip (Monthly Gross Income must below RM2000.00) - For short courses only
SECTION 3:
I declare that all information given in this form is accurate and complete.
Name:
For office use only
Approval Status : Approve
: Not Approve
: Pending
Approved & Verified by :

(Finance and Corporate Executive)
Date :
FORM SC-TFIP(SC) (v2)
TUITION FEES INSTALLMENTS PAYMENT PLAN FORM

(SHORT COURSES)
Name: Telephone:
NRIC No: Email Address:
Address:
Compulsory : One-time Payment Only upon Registration

Deposit / Registration
Payment Date :
Amount:
Official Receipt No.:
Tuition Fee Installment Plan
Short Courses Total Amount Due :
Installment 1
Payment Date:
Amount:
Installment 2
Payment Date:
Amount:
Installment 3
Payment Date:
Amount:
Terms and Conditions

1. The settlement of subsequent installment must be made before or on every 7th of the following month. If the
installment payment is not made on 7th of the month, a late payment charge of Ringgit Malaysia Two Hundred (RM200) will
will be imposed starting 8th of the month. Student who is still has outstanding fees on the 3rd week of the month
shall be imposed financial holds and/or terminated from the program without further notice.
2. All terms and conditons stated on Student Handbook applies.

I declare that the personal particulars given are true and correct. I have read and fully understand and agree to be
bound by the rules and regulations for the above said course.
Name of Parent (Guarantor):

NRIC No. :
Signature of Parent:
Date:
Name of Student:
NRIC No. :
Signature of Student:
Date:
FORM SC-TFIP (v2)
TUITION FEES INSTALLMENTS PAYMENT PLAN FORM

Name : NRIC No. :
Compulsory : One-time Payment Only upon Registration

Deposit / Registration
Payment Date :
Amount :
Official Receipt No. :
Tuition Fee Installment Plan
Year 1
Semester 1 / Term 1 Total Amount Due :
Installment 1 Installment 2 Installment 3
Payment Date: Payment Date: Payment Date:
Amount: Amount: Amount:
Official Receipt No.: Official Receipt No.: Official Receipt No.:

Student And Parent Declaration and Agreement

Name of Parent (Guarantor) : Name of Student :

NRIC No. : NRIC No. :
Signature of Parent : Signature of Student :
Date : Date :
Year 1



Date : Date :
Year 1
Semester 3 / Term 3
Year 1



Date : Date :
Year 1



Date : Date :
Year 2



Date : Date :
Year 2



Date : Date :
Year 2



Date : Date :
Year 2



Date : Date :
FORM SC-AAMR (v1)
APPLICATION FOR APPEAL AGAINST MODULE RESULTS

Name : NRIC No. :
RESULT FEE (RM)

AWARDED RM50/MODULE
Grand Total

Name:
For office use only
Verified by :
FORM SC-TFLPA (v1)
TUITION FEE LATE PAYMENT APPEAL FORM

Name : NRIC No. :
Current Year/Semester : Apply for Year/Semester :
APPEAL REASON
DOCUMENT REQUIRED - CHECKLIST
Self / Parents' Latest 3 Months Salary Slip

Name:
For office use only
Approval Status : Approve Remarks:
Not Approve
Pending
Approved & Verified by :

(Finance and Corporate Executive)
Date :
FORM SC-TP (v1)
APPLICATION FOR TRANSFER OF PROGRAMME

Name : NRIC No. :
Email : Contact No. :
Programme Name (Code)
:
to transfer (Intake/Year)
Reason(s) for transfer (Tick ( / ) the appropriates box(es))

2. Course related reasons 4. Others (please specify)

Loss of interest

Name of Student:
For office use only
Status:
Approved
Rejected
Authorized by :
Name :
Signature :
Date :
FORM SC-LA (v1) FORM SC-LA (v1)
STUDENT LEAVE APPLICATION FORM STUDENT LEAVE APPLICATION FORM
Completion of this form will assist the review process. Please return it to office Completion of this form will assist the review process. Please return it to office
of Administration. of Administration.
SECTION 1 SECTION 1
Your Details Your Details
Name: Programme: Name: Programme:
NRIC No.: Intake: NRIC No.: Intake:
Address: Date: Address: Date:
Telephone: Telephone:
Email: Email:
SECTION 2 SECTION 2
Leave Details Leave Details
Please Tick (/) Vacation Compasionate Please Tick (/) Vacation Compasionate
Sick Emergency Sick Emergency
SECTION 3 SECTION 3
Declaration Declaration
I declare that all information above are true. I declare that all information above are true.
Name of Student: Name of Parent: Name of Student: Name of Parent:

Signature: Signature: Signature: Signature:
Date: Date: Date: Date:
SECTION 4 SECTION 4
Approval Approval
Approved By: Date: Approved By: Date:
(Deputy Chief Executive-Academic) (Deputy Chief Executive-Academic)
FORM SC-CF (v1) FORM SC-CF (v1)
STUDENT COMPLAINT FORM STUDENT COMPLAINT FORM
Completion of this form will assist the review process. Please return it to office of Administration. Completion of this form will assist the review process. Please return it to office of Administration.
You will be contacted as soon as possible for confidential interview to discuss the complaint. You will be contacted as soon as possible for confidential interview to discuss the complaint.
SECTION 1: SECTION 1:
Your Details Your Details
Name: Telephone: Name: Telephone:

NRIC No.: Email Address: NRIC No.: Email Address:
Address: Address:
Complaint Details Complaint Details
Person (s) against whom complaint is being made: Status: Student Faculty Staff Person (s) against whom complaint is being made: Status: Student Faculty Staff
Unidentified Unidentified
Allegations (includes date and location). Please attach additional sheets as needed. Allegations (includes date and location). Please attach additional sheets as needed.
Has anyone being notified of this incident (s)? If so, who and when? Has anyone being notified of this incident (s)? If so, who and when?
Are they any witnesses to this incident (s)? If so, who? Are they any witnesses to this incident (s)? If so, who?
Declaration Declaration
I declare that the all information and documents provided are complete and true. I declare that the all information and documents provided are complete and true.
Name: Name of Witness: Name: Name of Witness:

Signature: Signature of Witness: Signature: Signature of Witness:
Name of Witness: Name of Witness: Name of Witness: Name of Witness:

Signature of Witness: Signature of Witness: Signature of Witness: Signature of Witness:
FORM SC-SF (v1)
STUDENT SUGGESTION FORM
Completion of this form will assist the review process. Please return it to the front office.
SECTION 1: Your Details

Name: Telephone:
NRIC No. : Email Address:
Address:
SECTION 2: Suggestion Details SECTION 3: Suggestion Details

In which area do you want to suggest for: Please Tick (/) Facilities Academic
Management Administration
Services Others (Please specify)
Please indicate your details suggestion here:
SECTION 4: Declaration
I declare that all information above are true.
Name:
Signature:
Date:
FORM SC-SF (v1)
STUDENT SUGGESTION FORM
Completion of this form will assist the review process. Please return it to the front office.
SECTION 1: Your Details

Name: Telephone:
NRIC No. : Email Address:
Address:
SECTION 2: Suggestion Details SECTION 3: Suggestion Details

In which area do you want to suggest for: Please Tick (/) Facilities Academic
Management Administration
Services Others (Please specify)
Please indicate your details suggestion here:
SECTION 4: Declaration
I declare that all information above are true.
Name:
Signature:
Date:
FORM SC-PCL (v1)
PROGRAM COMPLETION LETTER REQUEST FORM

Note :
a)Please complete this form and return it to SC College Student Management Officer for program completion letter issuance
process.
b)This form will not be processed for students with outstanding fees and incompletion status. Completion letter will be
emailed to the students
SECTION 1 SECTION 2
Student's Details Program Details
Name : Course Enrolled :

NRIC No. : Term Enrolled :
Address :
Telephone:
Email Address :
(This letter will be emailed to student)
SECTION 3
Program Completion Information
Completed Incomplete
SECTION 4
Student Declaration
I declare that all the information provided are complete and true.
Name: Signature:
Submission Date:
For office use only
Verified by : Approved by : Date :

(Student Management Executive) (Program Coordinator)
FORM SC-SHE (v1)
STUDENT HEALTH EXAMINATION FORM
SECTION 1:
Student's Particular (fill in CAPITAL LETTER)
Name : NRIC No. :

Address :
Programme Name
(Code) :
Current Year/Semester :
Gender : (F) (M)
Marital Status : Single
[Please tick (/) ] : Married
: Others :
(please specify)
Guardian's Name :
Contact No. :
SECTION 2:
Certification of Own and Family Illness
Please tick (/) the relevant box
If (/) please state
Family
Disease Self (Sendiri) treatment & disease
(Keluarge)
received
Serious Illness [penyakit
teruk]
Operation [pembedahan]
Tuberculosis [batuk kering]
Diabetes [Kencing Manis)]
Mental Illness [Sakit Mental]

Heart/Arterial [Sakit
Jantung/Saluran
Darah/Darah Tinggi]
Asthma/Allergy
[Lelah/Alahan]
Drug Addiction [Penagih

dadah]
HIV/AIDS
Cancer [Kanser]
Kidney Disease [Buah

pinggang]
Disabled Body Parts [Cacat
anggota]
Other Illness [Lain-lain]
DECLARATION:
I hereby certify that the information given above are correct:
Date :
Student's Signature
SECTION 3:
To be filled by examining doctor
1. Height (Tinggi) :
2. Weight (Berat) :
3. Pulse (nadi) :
4. BP (tekanan darah) : mmHg
5. Urine Examination (Pemeriksaan air kencing)
Sugar (gula) :
Albumin :
Microscopy :
6.a)Pallor :
b)Cynosis :
c)Oedema :
d)Jaundice :
e)Lymphnodes :
f)Skin :
7.Eye Examination (pemeriksaan mata) RIGHT LEFT DOCTOR'S NOTE(s):

a)Unaided vision (penglihatan tanpa
kacamata)
b)Aided Vision (penglihatan dengan
kacamata)
c)Fundoscopy
d)Colour Vision (pemeriksaan warna)
NORMAL ABNORMAL DOCTOR'S NOTE(s):

8.Ear Examination (pemeriksaan telinga)
9.Oral Cavity (ruang mulut)
10.Heart (jantung)
11.Respiratory system (sistem respiratori)
12.Chest x-Ray (x-ray dada)
(Please attach x-ray and report)
X-Ray Date :
X-Ray Ref. No.:
NORMAL ABNORMAL DOCTOR'S NOTE(s):

13.Abdomen & Hernial Orifices (abdomen /
rongga hernia)
14.Nerve system & mental condition
(sistem saraf dan mental)
15.Musculoskeletel system (sistem otot &
tulang)
16.Others (lain-lain)
SECTION 4:
Certification by Doctor
I certify that on this day I have examine ___________________________________________________ , NRIC No. :

_____________________________ and found that:
The above name is in good health

The above name has
The above name is undergoing treatment
Date: Signature of Doctor:

Doctor's Name: Official Stamp of Clinic/ Hospital:
SECTION 5:
Authorisation for Anaesthesia and surgical procedure (Father/Mothers/Guardian)
I, NRIC No.: (Father/Mother/Guardian)

of (Student's Name), hereby authorize SC College or Student Managemnt officer to
sign on my behalf for anaesthesia or carry out a surgical prodecure on the applicant in my absence in the event
of an emergency as confirmed by the attending doctor, when required. I will absolve SC College of any claims or
responsibilities from any unfavourable consequences which may arise from the said procedure.
Name of Father/Mother/Guardian :
Signature of Father/Mother/Guardian :
Date:
Phone No.:
FORM SC-DMF (v1)
APPLICATION FOR DROP OF MODULE
Note: This form is for the use of students who need assistance by the Academic Department in their
Drop Processes
Name : NRIC No. :
Drop Semester/Date :
Module(s) to be dropped :
TOTAL
CREDIT HOUR
Reason(s) for Dropped (Tick (/) the appropriates box(es))

1. Reason: 2. Others (please specify)
Medical
Financial
Family
Emigration

2. I understand that the refund of fees will be in accordance with the Refund Policy of SC COLLEGE
Name:
Date: Signature:
For Programme Coordinator use only:

Comment: :
Status :
Approved
Rejected
Authorized by :
Name :
Signature :
Date :
FORM SC-EE (ES) (v1)
REGISTRATION FOR EXTERNAL EXAMINATION

(ENROLLED STUDENT)
LCCI JANUARY 2018 SERIES EXAMINATION
CLOSING DATE : 23 NOVEMBER 2017
CANDIDATE PARTICULAR (Complete all information & in BLOCK Capitals)
NRIC No.(attach NRIC copy)

Candidate Name (as per NRIC) : :
Nationality : Gender :
Mobile No. : Email Address :
Permanent Home Mailing Address :
Emergency Contact Name : Emergency Contact No. :
SUBJECT **FEE PER TOTAL

LEVEL SUBJECT TITLE
CODE SUBJECT (RM) RM
3 ASE20100 BUSINESS STATISTIC (2015 SYLLABUS) 243.80
1 ASE20091 BOOK KEEPING (2015 SYLLABUS) 194.00
3 ASE20104 ACCOUNTING (2015 SYLLABUS) 243.80
2 ASE2007X BOOK-KEEPING & ACCOUNTING (2015 SYLLABUS) 222.60
3 ASE20097 FINANCIAL ACCOUNTING (2015 SYLLABUS) 243.80
2 ASE20094 COST ACCOUNTING (2015 SYLLABUS) 222.60
3 ASE20098 COST AND MANAGEMENT ACCOUNTING (2015 SYLLABUS) 243.80
Sub Total
Administration Fee 30.00
Grand Total
Notes:The above examination fees are subjected change without prior notice. Please refer to Pearson LCCI website for updated information.
Payment Mode :
Direct Deposit to I.P. SERVICES SDN.BHD. Account No: UOB 161-303-885-5

* Please submit the copy of Bank-Slip together with your exam Registration Form to SC College Office.
* Please write your Full Name and NRIC No. at the front of the Bank-Slip for payment proof.
* Registration form submitted without attachment of Bank-Slip payment proof deemed as incomplete and will not be processed.
* An official Receipt will be issued via email within 7 working days.
TERMS & CONDITIONS

1. All fees paid ARE NON-REFUNDABLE and NON-TRANSFERABLE.
2. If candidate subsequently withdraw from the examinations, no refund will be given.
3. All forms and documents must be submitted to SC College Office strictly according to Closing Date stated in this form. Any late
submission will not be entertained. The respective candidate will need to wait for next opening date for external examination registration.
4. Please ensure that you have chosen the correct subject(s) for external examination registration. No amendment will be allowed after
the Examination Registration Form has been submitted to SC College Office.
5. A photocopy of National Registration Identity Card (NRIC) must be submitted together with this form.
6. The candidate is required to confirm the examination registration details by acknowledging and signing on the excel file prepared by
Student Management & Administration Department before proceed with the submission to Pearson LCCI.
7. Examination Timetable will be emailed to the email address provided in the Registration Form.
8. Examination docket will be emailed to candidate's email address provided in this form approximately fourteen (14) days before
examination start date. If you do not receive your examination docket, please contact Student Management & Administration
Department @ SC College Office at +04 7318333. It is the own responsibility of private candidate to print out and bring
examination docket to examination hall.
9. Notification of certificates / results slips collection will be notified by email or various forms of notifications.
10. Candidates must collect their results and / or certificates from the date the result release up until one (1) year. The certificates will be
disposed of after one (1) year. Please bring an authorized letter if family members or friends will collect certificates / result slip on
behalf of the candidates.
Candidate Declaration and Agreement

2. I understand that the refund of fees will be in accordance with the Refund Policy of SC.
3. I agree to conform to the related Rules and Regulations of SC.
Name of Candidate: Signature of Candidate:
Date:
For office use only
Receipt No.: Receipt Date:
Verified by:
FORM SC-EE (PC) (v1)
REGISTRATION FOR EXTERNAL EXAMINATION

(PRIVATE CANDIDATE)
LCCI APRIL 2018 SERIES EXAMINATION

CLOSING DATE : 23 JANUARY 2018
Passport Size
Photograph (1
copy)
CANDIDATE PARTICULAR (Complete all information & in BLOCK Capitals)
Name (as per NRIC) : NRIC No. (attach NRIC copy) :

Nationality : Gender :
Mobile No. : Email Address :
Permanent Home Mailing Address :
Emergency Contact Name : Emergency Contact No. :
SUBJECT **FEE PER TOTAL

LEVEL SUBJECT TITLE SUBJECT (RM) inc
CODE RM
6% GST
2 ASE20093 BOOK KEEPING & ACCOUNTING (2015 SYLLABUS) 222.60
3 ASE20104 ACCOUNTING (2015 SYLLABUS) 243.80
3 ASE20100 BUSINESS STATISTICS (2015 SYLLABUS) 243.80
3 ASE20098 COST & MANAGEMENT ACCOUNTING (2015 SYLLABUS) 243.80
3 ASE3003 ADVANCED BUSINESS CALCULATIONS 229.00
4 ASE20102 MANAGEMENT ACCOUNTING (2015 SYLLABUS) 259.70
4 ASE20103 ORGANISATIONAL BEHAVIOUR AND PERFORMANCE (2015 SYLLABUS) 259.70
Sub Total
Administration Fee ( Sub Total x 30%)
Grand Total
** The above examination fees are subjected change without prior notice. Please refer to Pearson LCCI website for updated information.
** NOTE : Group Diploma Awards (Group Diploma in Accounting/Cost Accounting/Management Accounting) are only for Legacy Subjects
** NOTE : Diploma awards are only applicable for those taking at minimum 3 eligible subjects in this exam session
Level 2 Diploma in Book-keeping and Accounting (Combination period : 6 months)-DIPBK2
Level 3 Diploma in Accounting and Finance (Combination period: 12 months) - DIPAFI3
Level 3 Group Diploma in Accounting (Combination period : 12 months) - DIPGACC3
Level 3 Group Diploma in Cost and Management Accounting (Combination period : 12 months) : DIPGCMA3
Level 4 Diploma in Accounting & Finance (Combination period : 18 months) : DIPAFI

Payment Mode :
Direct Deposit to I.P. SERVICES SDN.BHD. Account No: UOB 161-303-885-5
* Please submit the copy of Bank-Slip together with your exam Registration Form to SC COLLEGE Office.
* Please write your Full Name and NRIC No. at the front of the Bank-Slip for payment proof.
* Registration form submitted without attachment of Bank-Slip payment proof deemed as incomplete and will not be processed.
* An official Receipt will be issued via email within 7 working days.
TERMS & CONDITIONS
1. All fees paid ARE NON-REFUNDABLE and NON-TRANSFERABLE.
2. If candidate subsequently withdraw from the examinations, no refund will be given.
3. All forms and documents must be submitted to SC College Office strictly according to Closing Date stated in this form. Any late
submission will not be entertained. The respective candidate will need to wait for next opening date for external examination registration.
4. Please ensure that you have chosen the correct subject(s) for external examination registration. No amendment will be allowed after
the Examination Registration Form has been submitted to SC Office.
5. A photocopy of National Registration Identity Card (NRIC) must be submitted together with this form.
6. Please paste a copy of passport size photo in the box provided at the top of the form.
7. An email confirmation on examination registration details will be sent to candidate by SC College within two (2) working days
upon submission of registration form. The candidate is required to confirm the details via replying the email within 24 hours. No response
and / or no reply from the candidate will be deemed as the candidate is agreed on the examination registration details and thus SC College
and will proceed with the submission to Pearson LCCI.
8. Examination Timetable will be emailed to the email address provided in the Registration Form.
9. Examination docket will be emailed to candidate's email address provided in this form approximately fourteen (14) days before
examination start date. If you do not receive your examination docket, please contact Student Management & Administration
Department @ SC College Office at +04 7318333. It is the own responsibility of private candidate to print out and bring
examination docket to examination hall.
10. Notification of certificates / results slips collection will be notified by email or various forms of notifications.
11. Candidates must collect their results and / or certificates from the date the result release up until one (1) year. The certificates will be
disposed of after one (1) year. Please bring an authorized letter if family members or friends will collect certificates / result slip on
behalf of the candidates.
12. Minimum numbers of candidates for the examination are 10 persons registered through the college. Students are required to pay a
surcharge of Ringgit Malaysia Thirty (RM30) per candidate is chargeable on the number of shortfall of candidates should the quantity is
less than 10 for the exam registration.
Candidate Declaration and Agreement

I declare that all information given in this form is accurate and complete and I agree to conform to the related Rules and Regulations of SC College and note that related
information may be used for marketing purposes.
Name of Candidate :
Date
: Signature of Candidate :
For office use only
Receipt No.: Receipt Date:
Verified by:
I.P. SERVICES SDN. BHD. (SC COLLEGE)
No.4, Jalan Kampung Perak, 05100 Alor Setar, Kedah Darul Aman.
Tel: 04-7318333 Fax: 04-7351333 Email: academic@sccollege.edu.my Website: www.sccollege.edu.my
Student Application Process
Applying into SC College

STEP 1: Complete Application and Gather Required Documents
✔ Complete Student Application Form

✔ 2 copies of passport size photographs
✔ 1 copy of Identification Card (NRIC.)
✔ 1 copy of certified true copy academic transcript/ results (SPM/STPM/UEC/O-Levels/Per-U/Others)
✔ 1 copy of certified true copies certificate (course/diploma/degree) - if applicable
STEP 2: Submit Application Form and Supporting Documents

✔ Submit the form to SC College Student Registrar Office
4, Jalan Kampung Perak, 05100 Alor Setar, Kedah Darul Aman.
Tel: +604-7318333 , 7338669
Fax: +604-7351333
Email: admissions@sccollege.edu.my
STEP 3: Pay Fee
✔ How to Pay
Cash or cheque is made payable to I.P. Services Sdn. Bhd.
✔ Payment Method(s)
Full Fees Payment upon Registration
Pay at SC College Registrar Office or

Direct Deposit via e-payment
Bank Account Name : I.P. Services Sdn. Bhd

Bank Name : United Overseas Bank
Bank Account No. : 161 - 303 - 885 - 5
Contact Information
SC COLLEGE
(wholly owned and managed by I.P. Services Sdn. Bhd.)
Tel: +604- 7318333, 7338669
Fax: +604-7351333
Website www.sccollege.edu.my SC College
SC College
SC College
Last Updated : 08 July 2017

Student Application Form 1 of 3
Please complete all relevant sections of this form in BLOCK capitals and in BLACK ink and return it to your
local representative or to SC College Student Registrar Office two weeks before your intended
commencement date.
REGISTRATION NO.: COURSE NO.:

STUDENT RECRUITER: AGENT'S NAME:
SECTION 1 SECTION 2
Student's Details Program Details
Name:
Nama: Please select your intended program of study and
Gender: a starting term. Please select only one term.
M F
Jantina:
Date of Birth:
Tarikh lahir:
Identification Card (NRIC.):
Academic Program
Kad
Pengenalan:
Citizenship:
[ ] Diploma in Accounting & Finance
Warganegara:
Home Address:
Alamat Rumah:
Intake
[ ] March Term
Telephone (home):
[ ] June Term
Telefon
(mobile):
Email Address:
[ ] August Term
Emel:
CORRESPONDENCE CONTACT DETAILS (IMPORTANT)

Name of Parent/ Guardian
Home Address Passport size
Photograph
(2 copies)
Telephone
Contact Email
HOW DO YOU KNOW US ?
Advertisement Education Education Facebook Friends Others

Banner Agent Fair Please state:
Signboard
Mailing Mail School Counselor
Newspapers
SECTION 3
Student Education History and Examination(s)
Please give details of all schools you have attended including high school(s), college(s) and/or university(s). Please
attach additional pages as needed. You must submit copies of academic transcripts from all institutions attended
for academic programme registration.
High/Secondary School Name
Dates of study from to

Graduation Year
Highest Educational Qualification Examination SPM STPM UEC
Higher Education (Last School/Institution Attended)

Institution Name
Date of study from to

Graduation Year
Highest Educational Qualification Certificate Diploma Degree
Academic Programme
SECTION 4
Documents Required - Checklist
2 copies of passport size photograph

1 copy of photocopy NRIC / Passport
1 copy of certified true copies academic transcript/results (SPM/STPM/UCE/O-Levels/Per-U/Others)
SECTION 5
Privacy Policy Statement
In accordance with the Malaysian Personal Data Protection Act ("PDPA") 2010, your personal information collected in this
form ("Personal Data") is processed, retained and used by I.P. SERVICES SDN. BHD. Your personal Data may be
collected from or disclosed to relevant bodies including your parents/guardians/government agencies, etc. for the
verification of your grades, qualifications and/ or experience and/ or as otherwise required of I.P. SERVICES SDN. BHD.
by applicable laws or relevant authorities. After your completion of the programme enrolled for, I.P. SERVICES SDN BHD
may also retain and continue to process your Personal Data or otherwise upon you ceasing to be student of
I.P. SERVICES SDN BHD for achiving purposes, in relation to alumni events and activities and/ or to maintain records of
your grades qualifications and/ or experience as may required by I.P. SERVICES SDN.BHD. and/ or other institutions with
whom you enroll for other programmes hearafter. All documents that you provided to I.P. SERVICES SDN. BHD. become
the property of I.P. SERVICES SDN. BHD. and will not be returned to you. You have the right to access or update your
Personal Data, or make inquiries or submit any concerns thereto, by contacting the Student Management and
Administration Department at academic@sccollege.edu.my

bound by the rules and regulations for the above said course. I am also fully aware that if I meddle with and/or disturb
any of the air-conditioners, electric wire, switches, lights, fans, and/or any other electrical fittings in the premises of
the Institution, I do so at my peril and risk and the Institution shall not be held liable for any loss or damage suffered
by me.
I further confirm and consent to the use by SC College, without charge, my personal information
including photographs, images or recordings of me in any publicity and/or promotional exercise of
SC College, including the publishing of examination results, the award of a prize or scholarship, any
achivement, academic or otherwise.
All terms and conditons stated on Student Handbook applies.
I have read and understood the Terms and Conditions and the Privacy Policy and agree and accept them fully.
Name: NRIC No.

Declaration by Parent/Guardian (if applicant is below 18 years)
I have read and understood the Terms and Condition and the Privacy Policy and agree and accept them fully.
Name of Parent/Guardian: NRIC No.

Date: Signature of Parent/Guardian:
FOR OFFICE USE ONLY
Student No. Course Enrolled Term
Payment Payment Receipt No. Verified by
Authorized Agent's Stamp (if applicable)

Short Course - Student Application Process
Applying into SC College

STEP 1: Complete Application and Gather Required Documents
✔ Complete Short Course Student Application Form

✔ 1 copy of Identification Card (NRIC.)
✔ 2 copies of Passport Size Photographs
STEP 2: Submit Application Form and Supporting Documents

✔ Submit the form to SC College Student Registrar Office
Tel: +604-7318333 , 7338669
Fax: +604-7351333
STEP 3: Pay Fee

✔ How to Pay
Cash or cheque is made payable to I.P. Services Sdn. Bhd.
✔ Payment Method(s)
Full Fees Payment upon Registration
Pay at SC College Registrar Office or
Direct Deposit via e-payment
Bank Account Name : I.P. Services Sdn. Bhd
Bank Name : United Overseas Bank
Bank Account No. : 161 - 303 - 885 - 5
Contact Information
SC College
(wholly owned and managed by I.P. Services Sdn. Bhd.)
Tel: +604- 7318333, 7338669
Fax: +604-7351333
Website www.SCCollege.edu.my SC College
SC College
SC College
Last Updated : 18 Dec 2017

Short Course - Student Application Form 1 of 2
Please complete all relevant sections of this form in BLOCK capitals and in BLACK ink and return it to your
local representative or to SC College Student Registrar Office two weeks before your intended
commencement date.
REGISTRATION NO.: COURSE NO.:

STUDENT RECRUITER: AGENT'S NAME:
SECTION 1 - STUDENT DETAILS

Personal Information Academic Information
Name: Highest Education:

Gender: M F High/Secondary School
Date of Birth: Please state school name:
Identification Card (NRIC. No.):
Diploma
Citizenship: Course & College/University:

Home Address: Degree
Postal Code: City: Course & College/University:
State: Others:
Telephone (home):
Telephone
(mobile):
Email Address:
SECTION 2 - PROGRAM / COURSE DETAILS

Please ( P ) to select your intended program of study.
Passport size
[ ] Basic Book-Keeping & Accounting Intake: ________________
Photograph
[ ] Learn Basic Costing Intake: ________________ (2 copies)
[ ] English Short Course Intake: ________________
SECTION 3 - DOCUMENTS REQUIRED - CHECKLIST
1 copy of photocopy NRIC./Passport 2 copies of passport size photographs
HOW DO YOU KNOW US ?
Advertisement Education Education Facebook Friends Others

Banner Agent Fair Please state:
Signboard
Mailing Mail School Counselor
Newspapers
Short Course - Student Application Form 2 of 2
SECTION 4
Privacy Policy Statement
In accordance with the Malaysian Personal Data Protection Act ("PDPA") 2010, your personal information collected in this
form ("Personal Data") is processed, retained and used by I.P. SERVICES SDN. BHD. Your personal Data may be collected from
or disclosed to relevant bodies including your parents/guardians/government agencies, etc. for the verification of your
grades, qualifications and/ or experience and/ or as otherwise required of I.P. SERVICES SDN. BHD. by applicable laws or
relevant authorities. After your completion of the programme enrolled for, I.P. SERVICES SDN. BHD. may also retain and
continue to process your Personal Data or otherwise upon you ceasing to be student of I.P. SERVICES SDN. BHD., for
achieving purposes, in relation to alumni events and activities and/ or to maintain records of your grades qualifications and/
or experience as may be required by I.P. SERVICES SDN. BHD. and/ or other institutions with whom you enroll for other
programmes hearafter. All documents that you provide to I.P. SERVICES SDN. BHD. become the property of I.P. SERVICES
SDN. BHD. and will not be returned to you. You have the right to access or update your Personal Data, or make inquiries or
submit any concerns thereto, by contacting the Student Management and Administration Department at
academic@sccollege.edu.my

bound by the rules and regulations for the above said course. I am also fully aware that if I meddle with and/or disturb
any of the air-conditioners, electric wire, switches, lights, fans, and/or any other electrical fittings in the premises of
the Institution, I do so at my peril and risk and the Institution shall not be held liable for any loss or damage suffered
by me.
I further confirm and consent to the use by SC College, without charge, my personal information
including photographs, images or recordings of me in any publicity and/or promotional exercise of
SC College, including the publishing of examination results, the award of a prize or scholarship, any
achivement, academic or otherwise.
I have read and understood the Terms and Conditions and the Privacy Policy and agree and accept them fully.
Name: NRIC. No.

Declaration by Parent/Guardian (if applicant is below 18 years)
I have read and understood the Terms and Condition and the Privacy Policy and agree and accept them fully.
Name of Parent/Guardian: NRIC. No.

Date: Signature of Parent/Guardian:
FOR OFFICE USE ONLY
Student No. Course Enrolled Term
Payment Payment Receipt No. Verified by
Authorized Agent's Stamp (if applicable)

List of Student Forms: NO. Code Form Name Created by

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

List of Student Forms: NO. Code Form Name Created by

Uploaded by

Copyright:

Available Formats

LIST OF STUDENT FORMS

NO. CODE FORM NAME PIC/VERIFIED OF FORM: CREATED BY

11 FORM SC-TP(v1) Application for Transfer of Programme Programme Coordinator SC COLLEGE

13 FORM SC-CF(v1) Student Complaint Form Student Management Department SC COLLEGE

Student Management Department /Academic

Student Management Department /Academic

REGISTRATION FOR SUPPLEMENTARY EXAMINATION

Student Declaration and Agreement

For office use only

Receipt No. : Receipt Date :

REGISTRATION FOR RE-ENROLMENT OF SINGLE MODULE

Student Declaration and Agreement

For office use only

Receipt No. : Receipt Date :

APPLICATION FOR WITHDRAWAL FROM SC COLLEGE

Reason(s) for withdrawal (Tick ( / ) the appropriates box(es))

2. Course related reasons 4. Others (please specify)

Student Declaration and Agreement

For office use only

APPLICATION FOR DEFERMENT OF STUDIES

Reason(s) for withdrawal (Tick ( ) the appropriates box(es))

2. Course related reasons 4. Others (Please Specify)

Student Declaration and Agreement

For office use only

APPLICATION FOR REACTIVATION FROM DEFERMENT OF STUDIES

Student Declaration and Agreement

Name: Signature of Student:

For office use only

Receipt No. : Receipt Date :

APPLICATION FOR TUITION FEES INSTALLMENTS

Name : NRIC No. :

Programme Name (Code) :

Student's I/C Photocopy

For office use only

Approval Status : Approve

Approved & Verified by :

TUITION FEES INSTALLMENTS PAYMENT PLAN FORM

Compulsory : One-time Payment Only upon Registration

Tuition Fee Installment Plan

Short Courses Total Amount Due :

Terms and Conditions

Student Declaration and Agreement

Name of Parent (Guarantor):

TUITION FEES INSTALLMENTS PAYMENT PLAN FORM

Compulsory : One-time Payment Only upon Registration

Tuition Fee Installment Plan

Terms and Conditions

Student And Parent Declaration and Agreement

Name of Parent (Guarantor) : Name of Student :

Terms and Conditions

Student And Parent Declaration and Agreement

Name of Parent (Guarantor) : Name of Student :

Terms and Conditions

Student And Parent Declaration and Agreement

Name of Parent (Guarantor) : Name of Student :

Terms and Conditions

Student And Parent Declaration and Agreement

Name of Parent (Guarantor) : Name of Student :

Terms and Conditions

Student And Parent Declaration and Agreement

Name of Parent (Guarantor) : Name of Student :

Terms and Conditions