Application Form English Course
Application Form English Course
Student’s Details
معلومات الطالب
Full Name (as in your passport)
Passport Date of Birth
Number (Day/Month/Year)
Telephon
Mobile
e
Email
Parent’s Details (Father or Mother)
معلومات احد الوالدين
Passport
Full Name
Number
Phone
Email
Number
Full address of Student (Compulsory for Immigration)
)عنوانك (لإلرسال لدائرة الهجره و المهجرين
House
Street Avenue
Number
Provinc
Area City
e
Post
Country
Code
Educational Background
المعلومات الخاصه بشهادتك الثانويه
End Date
Level of Start date Grade/
(DD/MM/ Field of study Country
Study (DD/MM/YYY) Rate
YYY)
High
school/Seco
ndary
school
Information about requested institute
معلومات عن المعهد
Name of the English center in Duration of study (how many months you want
Malaysia to study?)
إسم المعهد )الفتره الدراسيه (كم شهر
Note1: Please fill in all the white color fields of this form (Size 8) in your computer then send it to our email.
. يرجى ملئ النموذج أعاله باللغه االنجليزيه وإرساله لنا مع مستنداتك األخرى:1 مالحظة