WMU Application Form

Student Registration Form

Fill out the form carefully for registration
Part 1 : Program
Program*
Application status*

New
Part 2 : Personal Particulars
Student Name as per IC/Passport*

Family NameLast Name
NRIC/Passport no.*
Nationality*
Birth Date*

MonthDayYear
Gender*
Marital Status*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail*
example@example.com
Mobile Number*

Area CodePhone Number
Part 3 : Emergency Contact
Name*
Relationship
Contact Number*
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Immigration pass expiry date

MonthDayYear
Date
Part 4 : Academic Qualifications
Academic Qualifications*
Part 5 : Others
Where did you learn our programs?*

AdvertisementPersonal recommendationWebsite / Social mediaOpen DaySchool eventPublic education fairAgent/Recommender
Do you have any medical condition that needs attention?*

No. I hereby declare that I am physically and mentally fit and there is no other medical condition or disability likely to prevent me or require special attention or care in relation to my study with Wilmington Metropolitan University.Yes. Please provide details.
Part 6 : Document Checklist
Document checklist for Malaysian applicants*
File Upload - Identity Documents and Passport Size Picture*

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File Upload - Latest CV and Education Transcript

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Part 7 : Student's Declaration
I declare that the information provided and documents submitted are true and complete. I understand that any misrepresentation of information may result in Wilmington Metropolitan University (WMU) revoking acceptance or terminating my enrolment.

I further agree to abide by the WMU of Conduct and understand that WMU reserves the right to change policies, programs and fees without notice. I understand that my study in WMU is subject to the approval of my student pass by the Malaysian Immigration Department (for international students only).

I hereby fully understood and agreed that all Fees Paid are NOT REFUNDABLE upon commencement and enrolment of the above course and to be bound by the Term and Conditions of the offer to study at Wilmington Metropolitan University.
Signature of applicant*

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Student Registration Form

Part 1 : Program

Part 2 : Personal Particulars

Part 3 : Emergency Contact

Part 4 : Academic Qualifications

Part 5 : Others

Part 6 : Document Checklist

Part 7 : Student's Declaration