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BORANG PERMOHONAN/APPLICATION FORM …

1 UM-PT06-PK01-BR001-S04 Pemohon dikehendaki mengisi BORANG Permohonan dan hantarkan ke: Applicants must fill in the application form and send it to: Pusat Pendidikan Berterusan Universiti Malaya, Aras 9, Wisma R&D Universiti Malaya, Jalan Pantai Baharu, 59990 Kuala Lumpur. Setiap permohonan hendaklah dikemukakan bersama-sama dengan salinan sijil yang telah disahkan benar. Please attach along with the application form A CERTIFIED TRUE COPY of relevant certificate(s). 1. Nama Penuh/ Full Name: (Huruf Besar/Capital Letters) 2.

UM-PT06-PK01-BR001-S04 i Tarikh Terima/ Date Recieved: Tarikh Semak/ Date Checked: Salinan Sijil Disemak oleh : / Checked by : Yuran Proses Kod Rujukan : Pencapaian/Achievement Tahun/Year Keputusan/Result Sijil Pelajaran Malaysia (SPM) atau setaraf Malaysia Certificate of Education or equivalent

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