MBA DBA Application Form

Correspondence Address Postcode Country Permanent Address (if different from correspondence address) Postcode Country State of Birth Contact Informati...

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BORANG PERMOHONAN BAGI PROGRAM MBA & DBA APPLICATION FORM FOR MBA & DBA PROGRAM

Untuk Kegunaan Pejabat/ For Use Office

Nama Pemohon / Name Of Applicant

Tarikh Terima Permohonan / Received Date Tarikh tindakan di ambil / Action Date Status Semakan / Review Status

Untuk Kegunaan Pemohon / For Use Applicant

Program yang di pohon (Program Application)

Lengkap/Tidak Lengkap Complete/ Not Complete (Potong mana

Cawangan yang Di Pohon / Branch Sesi Akademik / Academic Session

tidak berkenaan) Tandatangan Pegawai / Officer Signature

Cop Rasmi / Official Stamp

Tel : 09-7717028 / 7204 Fax : 09-7717162 Email : [email protected]

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

BIL 1

PERKARA / ITEM

LAMPIRAN DOKUMEN / ATTACHMENT DOCUMENT (√/ X)

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 City Campus (Pengkalan Chepa,Kelantan)

TYPE OF CLASSES 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 College / University Graduation

Name Of Bachelor Degree/ Master

Grade/ 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 : [email protected]

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