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APPLICATION FORM

Applicant Number : A1700283


Name of applicant : Mr SHAHBAZ ALAM

Nationality : INDIA

Programme : MASTERS IN ISLAMIC FINANCE PRACTICE

Mode of Programme : Face to Face

Mode of Study : Full time

Intake : September 2017

For Admission Office Use Only

Date Receive/Stamp Reference 1st RoundCheck Initial

A. Personal Details

Full name Gender


MR SHAHBAZ ALAM Male

Nationality
Date of Birth
INDIA
25 December 1994 Expiry Date : 29 March 2027 Passport : P8565671
Religion
Age : 23
Islam

Marital Status
Single

Permanent Mailing Address:


SOUTH MOHALLA
MALMAL
MADHUBANI MADHUBANI
BIHAR
INDIA
Postcode : 847229

Home Telephone Number:


00917289071789
Mobile Telephone Number: Email
0091800210803 shahbaznadwi2@gmail.com
Office Telephone Number:
Correspondence Mailing Address:
SOUTH MOHALLA
MALMAL
MADHUBANI MADHUBANI
BIHAR
INDIA
Postcode : 847229

Home Telephone Number:


00917289071789
Mobile Telephone Number:
00918002108037
Office Telephone Number:

B. Education Details

Qualification Class Graduation Medium of


Degree Awarded Result/CGPA University/College
Level Degree Year Instruction
SCIENCE OF
Bachelor or DARUL ULOOM NADWATUL
ISLAMIC 1st Class 71% 06/2013 ARABIC
Equivalent ULAMA
THEOLOGY
DIPLOMA IN FIQH AL MAHADUL AALI AL
Diploma 1st Class 79% 04/2016 ARABIC
AND IFTAA ISLAMI, HYDERABAD

C. English Proficiency Details

Test Detail Date Taken Points/Grade Obtained


International English Language Testing System (IELTS) 17 April 2017 PURSUING

D. Employment Details

Employment Status Fresh graduate


Company Name
Company Address
Telephone Number
Fax Number
Designation
Position Level Fresh/Entry Level
Years of Service 0 year(s)
Industry
Job Description
E. Industry Working Experience

Industry Experience

F. Health Condition

Normal

G. Financial Particulars

Scholarship Type MIFP Tuition Waiver - International


Status APPLIED

H. Visa Details

Do you hold a Malaysian Visa? No

I. Accommodation Details

Monthly Rate
Occupancy Type Room Type
(RM)

J. Initial Registration Details

No Subject Code Subject Name Credit Hour


1 SH5013 Shariah Aspects of Business and Finance 3
2 IE5033 Economics For Islamic Finance 3
3 QM5023 Quantitative Method 3
4 FN5113 Financial Management & Accounting 3

Declaration

I declare that all the information provided are correct and complete. I hereby give my consent to the University to obtain information relating to my
admission to INCEIF from relevant authorities. I understand that INCEIF reserves the right to request any additional information before a decision on
admission is made. I also accept that INCEIF reserves the right to vary or reserve any decision regarding admission and enrolment made on the
basis of non- attainment of minimum requirements, incomplete or inaccurate information. I have read, agreed and hereby consent to the collection
and processing of my personal information in accordance with the INCEIF Privacy Notice.Finally, if I am accepted to enrol in the Masters in Islamic
Finance Practice (MIFP) programme, I agree to abide by the rules and regulations of the Professional Studies Department (PSD) and INCEIF

Name : Mr SHAHBAZ ALAM


ID Number : P8565671
Date : 10 May 2017
Document Checklist

Document
Document List Documents/Record Status
Description

Processing fee of USD25 Complete


Tuition fee of RM23,250 (optional).
Initial fee (please refer to the proforma invoice). This is applicable if you prefer to
pay the tuition fee on semester basis. The payment of Progressive Payment
Facility of RM700 is required for this option.
Student Services Fee of RM850. This is a recurring fee charged in every long
semester
Security deposit of RM1,000 Complete
Education Malaysia Global Services (EMGS) fee. Complete
Personal Bond (according to nationality). Complete
Student Pass Visa (according to nationality). Complete
Insurance fee.
Medical Check Up fee. Complete
i-Card fee. Complete
Progressive Payment Facility of RM700 (non-refundable).
All pages of passport (including the blank/unstamp pages). Uploaded Complete
Passport sized photo (white background). Uploaded Complete
Certificate/scroll must be certified true copy by the Notary Public/Commissioner Bachelor or
Uploaded Complete
of Oaths/Head of Human Resource Department or equivalent. Equivalent
Diploma Uploaded Complete
Transcript/Statement of results must be certified true copy by the Notary Bachelor or
Uploaded Complete
Public/Commissioner of Oaths/Head of Human Resource Department or Equivalent
equivalent.
Diploma Uploaded Complete
English proficiency evidence must be certified true copy by the Notary
Public/Commissioner of Oaths/Head of Human Resource Department or Uploaded Incomplete
equivalent.
Verification letter from employer certifying on number of years of working
Not Uploaded
experience (applicable for A-Level/STPM/Diploma holder only).
Sponsorship offer letter (if applicable) Not Uploaded
Scholarship offer letter (if applicable) Not Uploaded
Curriculum Vitae / Resume (if applicable) Uploaded Complete
No Objection Certificate (NOC) must be issued by the Ministry of Education/High
Commissioner/Embassy and its must be printed on the letter head of the higher Not Uploaded
authority.
Pre-screening medical check-up. Not Uploaded