Application For UTHM Aeronautical Programmes For 2014/2015 Intake

Application For Admission To UTHM Aeronautics Programme (September 2014 Intake)
Make sure you check the entry requirements and English language requirements of each program before applying. This information is available here : Application requirements.
- Select Programme*
- Full Name*
- Identity Card Number :*
  e.g.: xxxxxx-xx-xxxx
- Birth Date*
  
  MonthDayYear
- Place of Birth*
- Gender*
- Religion*
- Race/Ethnic*
- Citizenship
- Marital Status
- Phone Number (Mobile)*
  
  Area CodePhone Number
- Phone Number (Home)
  
  Area CodePhone Number
- Present Address*
- My present address is the same as my permanent address.*
  
  YesNo
- Permanent Address*
- E-mail*
- Height (m)*
- Weight (kg) *
- BMI
- Have you ever suffered any of these medical conditions?
  
  Nasal problemColor blindStutter problemRestricted movementVertigo (fear of height)Claustrophobia (fear of darkness and confined spaces)Other disability (please specify)
- SPM/SPMV/EQUIVALENT
- Year of Examination*
- Stream
- Name of Secondary School
- SPM Examination Result
- Bahasa Melayu*
- English*
- Mathematics*
- Physics*
- Chemistry
- Additional Mathematics
- STPM
- Year of Examination
- Stream
- Name of Institution
- STPM Examination Result
- Physics
- Matmetics/Pure Mathematics/ Applied Mathematics
- Chemistry
- MATRICULATION/FOUNDATION
- Name of Educational Institution
- Matriculation Stream
- Year of Entry
- Year of Completion
- Matriculation Result
- CPA
- Mathematics/Engineering Mathematics
  e.g: A
- Chemistry/Engineering Chemistry
  e.g: A-
- Physics/Engineering Physics
  e.g: B+
- Biology
  e.g: A+
- Mechanical Engineering Studies
  e.g: B
- DIPLOMA STUDIES
- Name of Diploma
- Name of Educational Institution
- Name of Qualification
- Year of Entry
- Year of Completion
- CPA
- Malaysian University English Test (MUET)
- Date Issue
  
  MonthDayYear
- MUET result (band)
  
  65432 or below
- PROFESSIONAL QUALIFICATIONS (if applicable)
- Name of Qualification
- Year of Completion
- If you have taken ICAO English Test, state your level :
  
  6543 or below
- Father/Guardian
- Father's/Guardian's Name*
- Identitiy Card Number*
  e.g. : xxxxxx-xx-xxxx
- Occupation
- Gross Monthly Income*
- Number of Dependents
- Phone Number (mobile)
- Phone Number (office)
- Employer's Name
- Mother
- Mother's/Guardian's Name*
- Identitiy Card Number*
  e.g. : xxxxxx-xx-xxxx
- Occupation
- Gross Monthly Income
- Employer's Name
- Phone Number (mobile)
- Phone Number (office)
- Upload copy of STPM/MATRICULATION/FOUNDATION/DIPLOMA result.*
  
  Upload a File
  Rename your file as your name. Use scanned document for a good quality. Smartphone captured picture is acceptable provided that the picture is clear. Cancelof
- Upload copy of MUET result. *
  
  Upload a File
  Rename your file as your name. Use scanned document for a good quality. Smartphone captured picture is acceptable provided that the picture is clear. Cancelof
- Upload copy of SPM result.*
  
  Upload a File
  Rename your file as your name. Use scanned document for a good quality. Smartphone captured picture is acceptable provided that the picture is clear. Cancelof
- Upload copy of passport size photo*
  
  Upload a File
  Rename your file as your name. Use scanned document for a good quality. Smartphone captured picture is acceptable provided that the picture is clear. Cancelof
- By clicking the submit button, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if enrolled, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein.
- Remarks (if any):
- I have read and agree to the above statement*
  
  I agree
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Application For Admission To UTHM Aeronautics Programme (September 2014 Intake)