Intake 2026 Registration

KPTM/UPTM Intake Registration Form 2026

Register for Universiti Poly-Tech Malaysia Intake November 2023. Please fill in all required student and program details accurately.
NRIC Number
Student Name

First NameLast Name
Birth Date

MonthDayYear
Date
Gender
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Student E-mail
example@example.com
Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Intake
UNIVERSITY POLY-TECH MALAYSIA
KPTM BANGI
KPTM KUANTAN
KPTM KOTA BHARU
KPTM ALOR SETAR
KPTM IPOH
KPTM BATU PAHAT
Should be Empty:

KPTM/UPTM Intake Registration Form 2026