UNIVERSITI PENDIDIKAN SULTAN IDRIS SULTAN IDRIS EDUCATIONAL UNIVERSITY BAHAGIAN AKADEMIK ACADEMIC AFFAIRS DEPARTMENT Sila pastikan borang ini diisi dengan lengkap dan semua dokumen sokongan dalam senarai semakan pada halaman 5 disertakan. Borang dan / atau dokumen yang tidak lengkap tidak akan diproses. Please ensure that this form is completed and all the relevant documents indicate in the check list on page 5 are enclosed. Incomplete forms and / or documents will not be processed. BAHAGIAN A UNTUK DILENGKAPKAN OLEH PEMOHON PART A TO BE COMPLETED BY THE APPLICANT I BUTIR-BUTIR PERIBADI (PERSONAL DETAILS) Nama penuh : Full name : _______________________________________________________________ First name Middle name Last name No. K.P./Pasport : Tarikh Lahir : (dd/mm/yyyy) I.C./Passport no.: ____________________ Date of birth(dd/mm/yyyy) _____________________ Tempat lahir : Bangsa : Place of birth : ______________________ Race – (for Malaysians only): ___________________ Jantina (sila tandakan) : Lelaki Perempuan Kewarganegaraan : Gender (please tick) : Male Female Nationality : ____________________ Status perkahwinan (sila tandakan) : Bujang Berkahwin Lain-lain Marital status (please tick) : Single Married Others Alamat surat-menyurat : Correspondence Address : ______________________________________________________________________________________ ________________________________________________________________________________________________ Negara (Country) : _________________________________ Poskod (Post code) : _______________________ No. telefon (Telephone no.): No. faks (Fax no.): Alamat e-mel (Email address): Sila lekatkan sekeping gambar terbaru (WAJIB) Please affix a recent Photograph (COMPULSORY) AKAD/421/1 PERMOHONAN KEMASUKAN IJAZAH PERTAMA (ANTARABANGSA) APPLICATION FOR FIRST DEGREE ADMISSION (INTERNATIONAL)
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UNIVERSITI PENDIDIKAN SULTAN IDRIS (WAJIB)akademik.upsi.edu.my/admission/international/International... · Alamat surat-menyurat : ... Certified photocopy of letter of scholarship
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UNIVERSITI PENDIDIKAN SULTAN IDRIS SULTAN IDRIS EDUCATIONAL UNIVERSITY
BAHAGIAN AKADEMIK
ACADEMIC AFFAIRS DEPARTMENT
Sila pastikan borang ini diisi dengan lengkap dan semua dokumen sokongan dalam senarai
semakan pada halaman 5 disertakan. Borang dan / atau dokumen yang tidak lengkap tidak
akan diproses.
Please ensure that this form is completed and all the relevant documents indicate in the check list
on page 5 are enclosed. Incomplete forms and / or documents will not be processed.
BAHAGIAN A UNTUK DILENGKAPKAN OLEH PEMOHON
PART A TO BE COMPLETED BY THE APPLICANT
I BUTIR-BUTIR PERIBADI (PERSONAL DETAILS)
Nama penuh :
Full name : _______________________________________________________________
First name Middle name Last name No. K.P./Pasport : Tarikh Lahir : (dd/mm/yyyy)
I.C./Passport no.: ____________________ Date of birth(dd/mm/yyyy) _____________________
Tempat lahir : Bangsa :
Place of birth : ______________________ Race – (for Malaysians only): ___________________
Jantina (sila tandakan) : Lelaki Perempuan Kewarganegaraan :
Gender (please tick) : Male Female Nationality : ____________________
Status perkahwinan (sila tandakan) : Bujang Berkahwin Lain-lain
Marital status (please tick) : Single Married Others