AFFILIATE PROGRAM - PJJ UUM
Fill out the form carefully for registration
Student Name
*
First Name
Last Name
Student ID
*
YOUR I/C
*
Phone Number
*
-
Area Code
Phone Number
Your E-mail
*
Program
*
BBA
BPM
BCOMM
BIFB
BCIM
BMA
Current Semester
*
Please Select
SEMESTER 1 - 2
SEMESTER 3 - 4
SEMESTER 5 - 6
SEMESTER 7 - 8
SEMESTER 9 - 10
SEMESTER 11 -12
Your Current CGPA (PMK)
*
3.00
Which your Learning Center
*
UUM Sintok
Langkawi
Ipoh
Melaka
Kuala Lumpur
Johor Bahru
Kuantan
Kota Bharu
Kuching
Sibu
Miri
Kota Kinabalu
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Industry Background
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Your working organization
*
Your position in organization
*
Your working experience (based on no of year)
*
1-5
6-10
11-15
16-20
20-25
> 26
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