To Name and Address of Employer Nature of Work and From (mm/yyyy) Position Held (mm/yyyy) (Please tick appropriate box) “ ” Had you pursued study at similar level (as the programme you are applying now) at other Institutions of Higher Learning? Yes No If please provide details in the table below : “Yes”, Name of Institution of Higher Learning Level PhD / Doctoral Status of study Master’s Area of study Tick your means of financial support. Enclose a photocopy of supporting document(s), if any. “ ” Others Self-support / Scholarship / External Bank (Please specify): Family Sponsorship Loan If pursue study under scholarship/sponsorship: Name of Scholarship/ Sponsor Address Contact No.(Office) Mobile No. Note For Malaysian applicant, attach letter of sponsorship from sponsoring organization; For International applicant, attach letter of sponsorship from sponsoring organization the appropriate box) (Please tick “ ” 1. Holding any type of Malaysian VISA now? Yes No 2. If the type of VISA: Social visit Student Diplomatic Dependent “Yes”, VISA No. : _____________________________ Expiry date: ___________________ 3. If you are currently or were formerly a student of another University/College/Institute in Malaysia: Name of the University/College/Institute Programme/Course Date of Joining
From (mm/yyyy) To (mm/yyyy) Name and Address of Employer Nature of Work and Position Held (Please tick “ ” appropriate box) Had you pursued study at similar level (as the programme you are applying now) at other Institutions of Higher Learning? Yes No If “Yes”, please provide details in the table below : Name of Institution of Higher Learning Level Master’s PhD / Doctoral Status of study Area of study Tick “ ” your means of financial support. Enclose a photocopy of supporting document(s), if any. Self-support / Family Scholarship / External Sponsorship Bank Loan Others (Please specify): If pursue study under scholarship/sponsorship: Name of Scholarship/ Sponsor Address Contact No.(Office) Mobile No. Note For Malaysian applicant, attach letter of sponsorship from sponsoring organization; For International applicant, attach letter of sponsorship from sponsoring organization (Please tick “ ” the appropriate box) 1. Holding any type of Malaysian VISA now? Yes No 2. If “Yes”, the type of VISA: Social visit Student Diplomatic Dependent VISA No. : _____________________________ Expiry date: ___________________ 3. If you are currently or were formerly a student of another University/College/Institute in Malaysia: Name of the University/College/Institute Programme/Course Date of Joining