Attach

Recent
Passport Size
Photo
Here
INTERNATIONAL STUDENT
APPLICATION FORM

Programme Applied For:-

Choice 1:

Choice 2:

Choice 3:

Personal Particulars:
(Please Use Block Letters)

Full Name:

Passport No:

Issued by (country): ____________________________________________________________________

Passport Expiry Date: - -

Date of Birth: - -

Email Address: ___________________________________________________________________________

Country of Birth: ____________________________________________________________________________

Citizenship: _______________________________ Religion: _____________________________________

Gender: Male Female

Marital Status: Single Married

If physically handicapped, state nature: __________________________________________________________

Name of Parent: ____________________________________________________________________________

Address: __________________________________________________________________________________

_________________________________________________________________________________________

__________________________________________________________________________________________

Postcode/Zipcode: _______________________________State/Province:________________________________
Country: _____________________________________________________________________________________

Tel: ________________________________Fax: _____________________________________________________

Name of Guardian or Contact Person in Malaysia:

_____________________________________________________________________________________________

Address: ______________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Postcode: _______________________________ State/Province: _______________________________________

Country: ______________________________________________________________________________________

Tel: _________________________________________ Fax: ___________________________________________

Academic Achievement:

GCE ‘O’ Level Others(please specify): __________________________________________________

Name of Institution Attended:

_____________________________________________________________________________________________

Address of Institution:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Date Exam Taken: ______________________________

No. Subject Grades

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.
Academic Achievement:

GCE ‘A’ Level Others (please specify) : __________________________________________________

Name of Institution Attended:

_____________________________________________________________________________________________

Address of Institution:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Date Exam Taken: ______________________________

No. Subject Grades

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.
English Language Achievement:

IELTS TOEFL CBT IBT

Date Exam Taken: ______________________________

Score: __________________________________________

Extracurricular Activities

No. Games / Societies & Position Held Year

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.
DECLARATION

I certify that all the information I have given on this application form is complete and true to the best of my knowledge.
I understand that I am responsible for seeing that official records from schools or other institutions I have attended are
forwarded to Head, International Affairs Division, Universiti Malaysia Sarawak, complete with an English translation
(if the original is not in English), certified by the Principal of my school or a Government official. I understand that
such records become the property of UNIMAS and are not returnable to me. I understand that falsifications of my
application or records are grounds for immediate rejection of my application or, if I have been admitted, dismissal from
the university.

I also agree to:-

i) Abide by the university’s Policies, Rules and Regulations at all times.

ii) Pay all the fees as required on time.
iii) Accept that the university reserves the right to amend and add to existing
fees, policies, rules and regulations as it deems fit.
iv) Accept that the university reserves the right to revise current fees from time
to time giving one month’s advance notice.

______________________________ ____________________________
Applicant’s Signature / Date Parent’s Signature / Date