Online Application

APPLICATION FOR ADMISSION   PRELIMINARY INFORMATION Course Diploma in Maritime Transportation Management Diploma in Shipping Management Diploma in Port Management How did you come to know about us?  Advertisement  Introduced by friends  Walk - ins  Telemarketing  Open Day Education Fair   PERSONAL INFORMATION Name Photo * not more than 200Kb    Malaysian Student  International Student IC/Passport No Place of Birth Date of Birth Race Nationality Religion Gender  Male  Female Marital Status  Single  Married Age E-Mail Telephone No. Current Address Permanent Home Address   PARENT / GUARDIAN INFORMATION Parent/Guardian Name Relationship Company Name & Address Occupation Telephone No. E-mail   ACADEMIC / PROFESSIONAL QUALIFICATIONS Please fill in all School / College / Professional qualifications that you have undergone from age 15 onwards and their respective results. Date of Examination Name of Examination Name of School Result   DECLARATION I confirm that, to the best of my knowledge, the information given in this form is correct and complete. I have read the instructions, in particular those relating to this section. I understand what it says, and abide by the conditions set out there, which I accept as conditions of this application.  Accept       Decline  submit to mazmin2000@gmail.com