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Please complete in CAPITAL LETTERS and tick ( ) where applicable

Form : IUKL F-51 Issue No: 5 Rev. No: 0 Page No: 1 of 2

1. Programme Applied for : FIRST CHOICE 2. Mode of Study Full-time Part-time (For Malaysian only) SECOND CHOICE 3. Semester March Year : June Sept/Oct THIRD CHOICE

Full Name (Please underline family name)

Correspondence Address

Postcode : State


Country : Nationality Date of Issue : : E-mail : Religion : / m m y y

Maritial Status:

NRIC/Passport No : Date of Expiry :

Place & Country of Issue Contact No :

Ethnic Origin (Malaysian Only): Date of Birth : d d Place of Birth: / Age





Single Widow/ Widower

Married Divorced


Relationship : Contact No Address : :

Occupation :


: :


: Country :

Emergency Contact No :

Form : IUKL-F51

ACADEMIC BACKGROUND (Please enclose certified copies of all certificates and transcripts)
SPM / 'O' LEVEL / SECONDARY SCHOOL CERTIFICATE / EQUIVALENT QUALIFICATION Subject 1 2 3 4 5 6 STPM / A LEVEL OR GRADE 12 EQUIVALENT Subject 1 2 3 4 5 6 OTHER QUALIFICATIONS Highest Qualification Major/Specialisation Year Graduated Name of University/Institution CGPA / Grade : : : : : Medium of Instruction : Grade Precentage 7 8 9 10 11 12 Subject Grade Grade Percentage 7 8 9 10 11 12 Subject Grade

Issue No: 5 Rev. No: 0 Page No: 2 of 2



ENGLISH PROFICIENCY (For International Applicants Only) TOEFL Score Other Qualification : DECLARATION I declare that the information given in this form is true and correct. I understand that my application can be rejected in the event that I have submitted incorrect or incomplete information. Applicants's Signature : Date : or IELTS Score Institution :

INTRODUCER Name NRIC/Passport No. Company Name

: : :

Student/Staff/Agent ID Contact No.

: :

FOR OFFICE USE ONLY Checklist Processing Fees NRIC / Photocopy of Passport (International applicants only) Academic Certificates and Transcripts Result of Application Approved Remarks : Conditional Offer Rejected Programme Health Examination Report Passport-sized photographs

Approved by : Registrar

Date :

CHECKLIST FOR UNDERGRADUATE APPLICANTS Please submit all the following documents along with the Application Form to ensure that your application is complete and can be processed for admission. MALAYSIAN APPLICANTS 1. A non-refundable processing fee of RM50 shall be made by:a) Online payment under the Payee Corporation Name"Infrastructure University Kuala Lumpur" b) Bankdraft/Cheque/Money & Postal Order made payable to: IKRAM EDUCATION SDN BHD (Please include 0.3% commission charge for outstation Cheque/Money Order/Postal Order issued). c) Cash INTERNATIONAL APPLICANTS 1. A non-refundable processing fee of RM2,600 (USD867) shall be made by:a) Telegraphic Transfer to our bank : Payable to : IKRAM EDUCATION SDN BHD Bank : CIMB Bank Berhad

Account No. : 1232-0003163-057 Bank Address : No.1 Persiaran Sinar Pagi, Country Heights, 43000 Kajang, Selangor D.E. Malaysia Swift Code : CIBBMYKL (Please include 0.3% commission charge for outstation Cheque/Money Order/Postal Order issued). b) Cash

2. A copy of Mycard/NRIC.

2. Three (3) photocopies of Passport, all pages including blank pages.

3. Four (4) recent passport sized colour photographs with light blue 3. Four (4) recent colour photographs [size 50mm(H) x 35mm(W)] with background and name written on the reverse. clear, sharp and BLUE background. Name and passport number to state on the reverse side of each photograph. 4. Certified true copies of : SPM/SPMV/O Level Certificates or equivalent, STPM/A Level Certificates or equivalent, Certificates/Diploma with transcripts, Degree/other Academic Qualifications/Professional Qualifications. 5. Certification of Letter of Completion of Study from previous institution with transcripts, if applicants are still waiting for Final results. 6. Any other relevant documents. 4. Two (2) Certified True Copies of : High school certificate or equivalent, A Level or equivalent, Certificate/Diploma with transcripts, Degree/other Academic Qualifications/Professional Qualifications. 5. Certification of Letter of Completion of Study from previous institution with transcripts, if applicants are still waiting for Final results. 6. Two (2) certified true copies of English Proficiency Test/Papers (TOEFL or IELTS preferred). 7. Health Declaration Form. 8. Eligible Letter (EL)/Non-Objection Certificate (NOC) - for SubSaharan African Countries only. 9. Any other relevant documents. Note : 1) If academic records/qualifications are in a Language other than English, it must be accompanied with an approved translation. 2) Current exchange rate USD1 = RM3.0 3) For payment made in US Dollars equivalent, any shortfall due to adverse currency exchange rate may have to be made good by a students at the full discretion of IUKL upon arrival

Mailing Address: Marketing & Communications Division Infrastructure University Kuala Lumpur (IUKL) Ikram Education Sdn. Bhd. Corporate Block, Unipark Suria, Jalan Ikram-Uniten, 43000 Kajang, Selangor Darul Ensan, Malaysia. Tel: +603-8926 6993/ +603-8738 3260 (Local), +603-8738 3339 (International)


Programme Code Name of Programme SETI - School of Engineering and Technology Infrastructure ACE 201 Diploma in Civil Engineering AEE 201 Diploma in Electrical & Electronics Engineering AEE 202 Diploma in Electronics & Communication Engineering AME 202 Diploma in Automotive Engineering AME 201 Diploma in Mechanical Engineering ACE 301 Bachelor of Civil Engineering AEE 301 Bachelor of Electronics Engineering (Hons) AME 302 Bachelor of Mechanical Engineering (Hons) ACE 302 Bachelor of Technology (Hons) in Construction Management AME 301 Bachelor of Technology (Hons) in Automotive ACE 304 Bachelor of Technology (Hons) in Water and Wastewater SOBI - School of Business Infrastructure BBM 201 Diploma in Business Administration BAF 201 Diploma in Accounting BAF 301 Bachelor of Accountancy BBM 301 Bachelor of Business Administration (Hons) in E-Commerce BBM 302 Bachelor of Business Administration (Hons) (Major : Management) BBM 303 Bachelor of Business Administration (Hons) (Major : Marketing) BBM 304 Bachelor of Business Administration (Hons) (Major : Human Resource Management) BBM 305 Bachelor of Business Administration (Hons) (Major : Finance and Banking) BBM 306 Bachelor of Business Administration (Hons) (Major : Islamic Finance and Banking) BBM 307 Bachelor of Business Administration (Hons) (Major: Entrepreneurship) BBM 308 Bachelor of Business Administration (Hons) (Major: International Business) SITI - School of Information Technology Infrastructure CIT 201 Diploma in Information Technology CIT 202 Diploma in Software Engineering CIT 203 Diploma in Network and Mobile Technology CIT 301 Bachelor of Computer Science (Hons) CIT 302 Bachelor of IT (Hons) in Network Technology CIT 303 Bachelor of IT (Hons) in Software Engineering SCLS - School of Communication and Language Studies DLS 201 Diploma in English for Professional Communication DCC 201 Diploma in Corporate Communication DLS 301 BA (Hons) English for Professional Communication DCC 301 Bachelor of Communication (Hons) in Corporate Communication DCC 303 Bachelor in Communication (Hons) in Integrated Marketing Communication DLS 302 Bachelor of Arts (Hons) in TESOL SABE - School of Architecture and Built Environment FBE 201 Diploma in Geomatic Engineering FBE 202 Diploma in Architecture FBE 203 Diploma in Quantity Surveying FBE 204 Diploma in Landscape Architecture FBE 301 Bachelor of Science (Architectural Studies) FBE 302 Bachelor of Architecture FBE 303 Bachelor of Real Estate Management (Hons) FBE 304 Bachelor of Quantity Surveying FBE 305 Bachelor of Landscape Architecture SASF - School of Applied Science and Foundation Studies EAS 201 Diploma in Agricultural Science (Plantation Management) EAS 202 Diploma in Biotechnology EAS 203 Diploma in Sports Management EFS 101 Foundation in Science EFS 102 Foundation in Arts OTHER PROGRAMMES DLS 001 Intensive English Programme (Full-time) DLS 006 Intensive Mandarin Programme (Part-time) DLS 003 English for The Workplace (Part-time) DLS 002 English for Academic Purposes (Part-time) DLS 004 Intensive Arabic Programme (Part-time) DLS 005 Intensive Japanese Programme (Part-time) DLS 007 Preparation for IELTS (Part-time) DLS 008 English Language Enhancement for Undergraduate DLS 009 English for Postgraduate