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Complete the form below:
1
Personal Details
2
Academic Records & Co-curricular
3
Extracurricular Activities
4
Declaration
Full Name (as per IC)
*
IC
*
Address
*
Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
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Denmark
Djibouti
Dominica
Dominican Republic
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Ethiopia
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Finland
France
French Polynesia
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Gambia
Georgia
Germany
Ghana
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Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
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Hong Kong
Hungary
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India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
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Kenya
Kiribati
North Korea
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Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
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Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Email
*
Mobile No
*
Gender
*
Male
Female
Details of Parent/Guardian
Name
*
First
Last
IC
Relationship
Mobile Number
*
Email
Occupation
*
Are your parents financing your studies?
*
Yes
No
Academic Records
Name of School
*
State
*
Kuala Lumpur
Putrajaya
Labuan
Penang
Pahang
Perak
Perlis
Johor
Malacca
Negeri Sembilan
Kedah
Kelantan
Sabah
Sarawak
Selangor
Terengganu
Highest term examination passed (or forecast/trials/midsemester)
*
SPM
STPM
A Levels
O-Levels
IGCSE (Year11)
UEC (Senior Middle 3)
Exam Results (forecast/trials/midsemester)
Number of Subjects:
Bahasa Malaysia (Compulsary)
Please Select Grade
A+
A
A-
B+,
B
C+
C
D
E
G
Bahasa Inggeris (English)
Please Select Grade
A+
A
A-
B+,
B
C+
C
D
E
G
Pendidikan Islam /Pendidikan Moral
Please Select Grade
A+
A
A-
B+,
B
C+
C
D
E
G
Sejarah (History)
Please Select Grade
A+
A
A-
B+,
B
C+
C
D
E
G
Math
Please Select Grade
A+
A
A-
B+,
B
C+
C
D
E
G
Bahasa Malaysia (Compulsary)
Please Select Grade
A*
A
B
C
D
E
F
G
Bahasa Inggeris (English)
Please Select Grade
A*
A
B
C
D
E
F
G
Pendidikan Islam /Pendidikan Moral
Please Select Grade
A*
A
B
C
D
E
F
G
Sejarah (History)
Please Select Grade
A*
A
B
C
D
E
F
G
Math
Please Select Grade
A*
A
B
C
D
E
F
G
Bahasa Malaysia (Compulsary)
Please Select Grade
A1
A2
B3
B4
B5
B6
C7
G
C8
F9
Bahasa Inggeris (English)
Please Select Grade
A1
A2
B3
B4
B5
B6
C7
G
C8
F9
Pendidikan Islam /Pendidikan Moral
Please Select Grade
A1
A2
B3
B4
B5
B6
C7
G
C8
F9
Sejarah (History)
Please Select Grade
A1
A2
B3
B4
B5
B6
C7
G
C8
F9
Math
Please Select Grade
A1
A2
B3
B4
B5
B6
C7
G
C8
F9
Other Subject (s) ?
click plus to add more selection
Subject
SPM Grade
Please Select Grade
A+
A
A-
B+,
B
C+
C
D
E
G
Cambridge Grade
Please Select Grade
A*
A
B
C
D
E
F
G
UEC Grade
Please Select Grade
A1
A2
B3
B4
B5
B6
C7
G
C8
F9
Note:
Programmes Applied For
Campus
-- Select Campus --
HELP UNIVERSITY/ACADEMY Damansara Campus
HELP UNIVERSITY Subang 2 Campus
HELP COLLEGE OF ARTS AND TECHNOLOGY
Damansara Campus Porgrammes
-- Select Porgramme --
Pre-University
Foundation in Arts/Science
A-Levels
Diploma Programmes
Diploma in Business
Diploma in Communication
Diploma in Early Childhood Education
Diploma in Information Technology
American Degree Transfer Program (Liberal Arts)
Undergraduate (Degree) – For UEC & STPM Applicants only
Business, Management, Finance, Economics & Accounting
Hospitality & Tourism
Information Technology
Law
Education & Languages
Communication
HELP UNIVERSITY/ACADEMY Damansara Campus Programmes
Subang Campus Porgrammes
-- Select Porgramme --
Pre-University
Foundation in Arts
Diploma Programmes
Diploma in Business
Undergraduate (Degree) – For UEC & STPM Applicants only
Business, Management, Finance, Economics & Accounting
Psychology
HELP UNIVERSITY Subang Campus Programmes
HELPCAT Porgrammes
-- Select Porgramme --
Pre-University
Foundation in Arts/Science
A-Levels
Diploma Programmes
Diploma in Culinary Arts
Diploma in Business
Diploma in Computer Science
Diploma in Accountancy
Diploma in Business Information System
Diploma in Hotel Management
Diploma in Electrical and Electronic Engineering
Diploma in Mechanical Engineering
Undergraduate (Degree) – For UEC & STPM Applicants only
3+0 Anglia Ruskin University Programme
3+0 University of London Programme
Business, Accounting & Finance, Management, Marketing
Computer Science
Electronics / Mechanical Engineering
HELP COLLEGE OF ARTS AND TECHNOLOGY (KL Campus) Programmes
Extracurricular Activities
click plus to add more activities
Activity
(Games, societies, School Prefect, Editorial Board / Awards / Achievements, etc)
Leadership Position Held for above activity
Year
Note:
I declare that the particulars given by me in this form are correct, and that I have read and understood the Terms and Conditions of the Scholarship. I agree to abide by these terms and conditions should my application be successful. I understand that the scholarship will be withdrawn if any information given in this form is found to be inaccurate or fraudulent
*
I Agree
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