Microsoft IT Academy (180111002)

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Application Form
Personal Particulars (fill whichever applicable)
Student ID
Name
Degree (Major)
Year
Alpha / Beta / Gamma / Delta / Epsilon
Contact no.
E-mail address
Date

I would like to register for:

ASP.NET 4.0 (Visual Studio 2010) - Trimester 1 2011/2012 : RM1000.00*
* Training fee, online learning materials, and exam fee for MTA Web
Note:

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Completed form should be emailed to the respective trainer latest by 18 June 2011 (Friday):
Neoh Kee Lin
Email: klneoh@mmu.edu.my
Room no.: FIT BR4023
Tel.: +60 (3) 8312 5338
Registration is strictly on first-paid-first-served basis, only 30 seats are available per course.
Payment methods:
CIMBClicks
You must have MMU Student ID and CIMBClicks account to use this method:
a. Log on to CIMBClicks website at https://www.cimbclicks.com.my.
b. Select Pay Bills on the top menu.
c. For Payee List, select Multimedia University.
d. Type in your Student ID, Name, and IC no (passport no. for internationsal student), and
Amount. Click Submit button.
e. For Payment Type, select Other. Type Microsoft IT Academy Cyberjaya 180111002 in the
Other box. Click Submit button.
f. Keep a copy of the online payment receipt/acknowledgement.
g. Three days after Step f, collect the official receipt at the Finance counter at STAD building.
Make sure that the description of the receipt specifies Microsoft IT Academy Program.
Credit Card
Pay at the Finance counter at STAD building (office hour only). Official MMU receipt.will be issued
immediately. Make sure the description on the receipt specifies "Microsoft IT Academy Program".

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Other Method
If you cannot pay via any of the above methods, please contact your trainer for separate
arrangement.
Email the CIMBClick payment acknowledgement (pay via CIMBClick) or official MMU receipt number
and date (pay via credit card) to your trainer to secure your seat.
ELMS online account for you to download software and product key will be created and emailed to you
latest during the class. Look for email sent by e-academy.com in your mail box (check Spam/Junk
folder).
Submit the office copy of the official MMU receipt to your trainer during the first class.

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No refund is allowed.