BORANG PERMOHONAN BAGI PROGRAM MBA & DBA

APPLICATION FORM FOR MBA & DBA PROGRAM

Untuk Kegunaan Pejabat/ Untuk Kegunaan Pemohon / For Use Applicant

For Use Office
Nama Pemohon / Name
Tarikh Terima Of Applicant
Permohonan /
Received Date
Tarikh Program yang di pohon
tindakan di (Program Application)
ambil / Action
Date Cawangan yang Di Pohon
Lengkap/Tidak / Branch
Status Lengkap
Semakan / Complete/ Not Sesi Akademik /
Review Status Complete Academic Session
(Potong mana
tidak
berkenaan)
Tandatangan
Pegawai /
Officer
Signature

Cop Rasmi /
Official Stamp Tel : 09-7717028 / 7204 Fax : 09-7717162
Email : mgseb@umk.edu.my

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 Senarai Semak Permohonan ke Program Pascasiswazah (MBA & DBA) Mod Kerja Kursus /
Checklist For Postgraduate Program (MBA & DBA) Coursework Mode

LAMPIRAN DOKUMEN /
BIL PERKARA / ITEM ATTACHMENT DOCUMENT
(√/ X)
1 Borang permohonan yang lengkap di tandatangan.
A complete, signed application form.
2 Salinan Kad Pengenalan/Passport Antarabangsa.
Certified copy of Identification Card / International Passport.
3 Salinan transkrip dan skrol Ijazah.
Certified copy of degree certificate and transcript of Bachelor.
4 Salinan transkrip dan skrol Sarjana (Permohonan Doktor
Pentadbiran sahaja).
Certified copy of degree certificate and transcript of Master
(For apply Doctor of Business Administration only).
5 Bayaran wang proses tidak akan dikembalikan sebanyak
RM50 (permohonan tempatan) atau USD20 (permohonan
antarabangsa) yang perlu dalam bentuk pemindahan bank
draf / wang pos / kiriman wang / telegraf, dibayar kepada
Bendahari Universiti Malaysia Kelantan.
Non-refundable application fee of MYR50 (local application) or
USD20 (international application) which should be in a bank
draft/postal order/money order/telegraph transfer form,
payable to Bendahari Universiti Malaysia Kelantan.
6 Bukti penguasaan Bahasa Inggeris (Muet/IELTS/TOEFL).
Evidence of English proficiency (Muet/IELTS/TOEFL).
7 Lain-lain dokumen yang berkaitan.
Other relevant documents.

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 APPLICATION FORM
Please submit the application in 2 copies

Master of Business Administration (MBA)

Passport
Picture

Doctor in Business Administration (DBA)

A. DETAIL OF CANDIDATE
Please tick (√ ) where applicable

CENTRE OF STUDY TYPE OF CLASSES

City Campus (Pengkalan Chepa,Kelantan) Fulltime

Kuala Lumpur (Bukit Jalil, Kuala Lumpur) Part Time

Sarawak Campus (Kuching, Sarawak )

B. PERSONAL DETAILS
Please write in block letter

Full Name (as in the identity card/ passport)

NRIC No. Passport No.

Date of Birth Citizenship

Race Religion

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Marital Status Gender

Correspondence Address

Postcode Country

Permanent Address (if different from correspondence address)

Postcode Country

State of Birth Contact Information

Office
H/phone
Email

Working Experience
Company Name Designation From(Year) To(Year)

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 C. ACADEMIC QUALIFICATIONS

Details of Education

Qualification Name of School/ Year of Name Of Bachelor Grade/

College / University Graduation Degree/ Master CGPA
Sijil Pelajaran Malaysia
*For Local Applicant
Only

Bachelor Degree

Master
*For DBA application
only

Important Note
Kindly attached all related documents with Certified True Copy as below;
• Original copy of academic certificates
• Original copy of Scholarship Offer Letter (If Any)

Examination Year Grade

Malay Language (SPM)

English Language (SPM)

English Test (MUET)

TOEFL

IELTS
* Foreign applicant need to submit TOEFL/IELTS result together with the application form

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 D. DECLARATION

I declare that the statements made in this application form are correct. I am fully aware that
UMK reserves the right to reject my application or terminate my candidature if the information
given above is incorrect or incomplete.

Signature Date

The duly completed application form together with all the required documents and must be
accompanied with RM50.00 (money order or bank draft) processing fee
should be submitted to:

Malaysian Graduate School of Entrepreneurship & Business

Universiti Malaysia Kelantan
City Campus Locked Bag 36,
Pengkalan Chepa 16100,
Kota Bharu, Kelantan
Office : 09 - 7717 028

Universiti Malaysia Kelantan Learning Centre

Lot 1-3, Enterprise 2,
Technology Park Malaysia,
57000 Bukit Jalil, Kuala Lumpur.
Office : 03-8992 3030

E-mail : mgseb@umk.edu.my

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