MSU International Student Online Application

Programme of Choice
*First Choice :   Intake :   Year :
*Second Choice :   Intake :   Year :
*Third Choice :   Intake :   Year :
 
Personal Details
*Full Name
(as per passport)		 : *Surname/Family Name :
*Passport Number :   *Passport Expiry Date :
*Nationality/Citizenship : *Date of Birth :
*Gender : *Age (yrs) :  
Religion : *Marital Status :
Mobile Number : *Telephone Number :
*Email : Facebook URL :
*How did you first know about MSU? :      
*Postal Address : *Permanent Address :
       
*Postcode : *Postcode :
*City/Province/State :
*City/Province/State :
*Country : *Country :
 
Family Background
Guardian's Details
Full Name
Passport    
Mailing Address
 
Home Tel Num.
Mobile Num.
Age (yrs)
Nationality
Religion
Occupation
Post / Position
Name of Employer
Address of Employer
Monthly Income

Name Of Siblings
(and others supported by parents)		 Sex (M/F) Age (yrs) Current School / Institution Level Sponsorship
 
Contact Person During Emergency Situation
Name : Relationship With Applicant :
Address (in Malaysia) : House Tel Num. :
    Handphone Num. :
Postcode :      
 
*Please indicate how you are introduced to MSU :

Exhibition Agent
Recommendation Social Media :
University Website Print Media :
MSU Alumni Others :
           
Qualification Details
*School/Institution/College/Universities :
*Level : *Program of study
/subject		 :
*Qualification/Result : *Month and Year of completion :
           
Employment Details

Employment Status :

 
 Year Occupation Level Employer
1.
2.
           
Sponsor Particular
Particulars of the applicant's sponsor (person / organisation responsible for payment of all fees).
Name
 :   Passport Number :
Correspondence Address
:   Relationship :
:   Telephone :
Postcode
 :        
           
Hostel Accomodation
* Do you want hostel accomodation ? : Yes No
           
Medical History
Please indicate if you have ever suffered from or experienced or received treatment for the following diseases and condition :
Bronchial Asthma Yes No Diabetes Mellitus Yes No Psychiatric Illness Yes No
Hypertension Yes No Heart Diseases Yes No HIV / AIDS Yes No
Hearing Problem Yes No Kidney Diseases Yes No Others
           
Please attached the following documents : All document must be in pdf format and name properly
*Passport Size Picture
(pure white color background
- JPEG format)
 :        
*Passport Copy :        
*Ceritificate/Diploma/Degree :        
*Transcript result :  
Other documents:    
Other documents: