"*" indicates required fields Step 1 of 3 33% Type of AidType of Aid Requested*Tuition Fee AidLiving AidResidenceName*Identification Card Number*Date Of Birth* MM slash DD slash YYYY Gender*MaleFemaleRace*Religion*Handphone Number*Email* Bank Name*Bank Account Number*Mailing Address*City / State*Postcode*Residence*Boarding SchoolRentPermanentLiving with*FamilyGuardianAcademic InformationCourse Program*Faculty of Studies*Semester*Last Examination Result*Educational Institute*Examination Result**If the applicant is a diploma student in semester 1, please state the examination results for SPM/STPM. *If the applicant is a semester 2 student, please state the latest examination results. Parent / Guardian InformationName*Relationship*Identification Card Number*Age*Please enter a number from 0 to 100.Marital Status*Not MarriedMarriedRace*Handphone Number*Occupation*Employer*Salary / Income Per Month*Sibling InformationNumber of SiblingsAdditional OptionNameAgeStatusEducation LevelLiving Together ( Yes / No ) Add RemoveHousehold Rate IncomeHousehold Income*Household income refers to the total gross salary or income of the parent/guardian (including land/house rental income/other assistance if any) DeclarationI / one of the family members is confirmed to be disabled / OKU, please stateYesNoI / one of the family members have a chronic disease, please indicateYesNoI have received financial assistance from government agencies / private / zakat or othersYesNoPlease specify*Applicant's declaration* I declare all the details stated are true.AttachmentCopy of Identity Card / PassportMax. file size: 512 MB. Copy of Matric CardMax. file size: 512 MB. Salary Slip / Income Confirmation / Pension SlipMax. file size: 512 MB. Copy of Examination ResultsMax. file size: 512 MB. Supporting Documents (OKU / Other Chronic Pain)Max. file size: 512 MB.
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