APPLICATION FOR ADMISSION UNDERGRADUATE Instructions Please use CAPITAL LETTERS

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APPLICATION FOR ADMISSION UNDERGRADUATE Instructions Please use CAPITAL LETTERS Powered By Docstoc
					                                                 APPLICATION FOR ADMISSION
                                                     (UNDERGRADUATE)

    Instructions:
    Please use CAPITAL LETTERS and black ballpoint pen
    *Please refer to guidelines for code number.

    SECTION A: CHOICE OF PROGRAMME PREFERRED
    Please indicate the program which you wish to enroll in:

    *First choice                      *Second choice                        *Third choice



    SECTION B: APPLICATION’S PARTICULARS

    Full Name                  :
    (As in IC/Passport)

    IC / Passport (if any)     :                                                             Gender (please tick) [ ] Male [ ] Female

    Nationality                :

    Date of Birth              :                                             Race* (Malaysia Citizen Only)

                                   [Date/Month/Year]

    Mailing Address            :




    Tel. No (Mobile)           :

    Tel. No (Home)             :

    E-mail Address             :



    SECTION C: EDUCATION BACKGROUND

    Secondary Education
    SPM/ SPMV/ O-Level        Year                                                    STPM/ A-Level Year

    *Subject Code                        Grade                                  *Subject Code                     Grade




Please send complete form and required items to: REZZEN (M) SDN BHD, Suite 2B-5-1 Block 2B Plaza Sentral, Kuala Lumpur Sentral, Jalan
Stesen Sentral 5, 50470 Kuala Lumpur. Tel : 03-22614248 (hunting) Fax: 03-22614286 email: application@rezzen.com.my
    Other Secondary Education (for International Applicants only)

                                                                                                           Duration of
                                   Qualification                                       Country               Studies
                                                                                                          (e.g. 12 years)




    Tertiary Education (Foundation/ Matriculation/ IB/ Diploma/ Bachelor)

     Name of Institution                       * Level       Specialisation (if any)             Year Graduate    CGPA /
                                                Code                                                              Points




    Professional Qualification

     *Quali-                Year Graduate
      fication




    SECTION D: ENGLISH PROFIENCY (For International Applicants Only)
    Please fill in your points/ scores (if any)

    TOEFL:                                IELTS:         .



    SECTION E: EMPLOYMENT BACKGROUND

       Position            Current/ Previous                          Company Name                   From               To
                            (please state)                                                         Month Year        Month     Year




    Current Employment:                   *Status                        *Sector

    Please attach certification letter from your current employer ( if any).




Please send complete form and required items to: REZZEN (M) SDN BHD, Suite 2B-5-1 Block 2B Plaza Sentral, Kuala Lumpur Sentral, Jalan
Stesen Sentral 5, 50470 Kuala Lumpur. Tel : 03-22614248 (hunting) Fax: 03-22614286 email: application@rezzen.com.my
    SECTION G: *PHYSICAL DISABILITY:



    SECTION H: FINANCIAL SUPPORT
    Please indicate your source of financial support

           Self Support                         Study Loan             EPF                    Scholarship



    SECTION I: KNOWING AeU
    How do you know about AeU?
                                           Newspaper/Magazine                    Friends/ Colleagues
                                           Education Fair/ Prexien               Internet/ Website
                                           Others, please specify: _______________________________



    SECTION J: DECLARATION
    I declare that the information given in this form is true and correct; I understand that my application can be rejected if I have
    submitted incorrect or incomplete information with false documents.




    _____________________________
    Applicant’s Signature                                              Date: _____________________________


    ITEM CHECKLISTS
    Only completed applications will be processed. The following documents must be submitted together with application
    form.

     No.       Required Items                                                                                                Tick √
      1.       Certified true copy of NRIC/ Passport (if any).
      2.       Certified true copy of academic certificates and transcript.
      3.       A certification letter from your current employer (if any).
      4.       2 most recent passport size colour photograph, with name written on reverse.
      5.       A copy as proof of payment on non refundable application processing fee of RM25.00
               (USD 10.00) in the form of Cash Deposit/ Telegraphic Transfer (TT). Payment can be made to:

                    Account Name : Asia e Learning Sdn. Bhd.         Account Name : Rezzen (M) Sdn Bhd
                    Account No. : 1408-1202739-05              or    Account No. : 512-352-303-911
                    Bank Name : CIMB Bank Berhad                     Bank Name : Maybank
                    Bank Address : 6, Jalan Tun Perak, 50050         Bank Address : 115-117 Block E Kelana Park View
                                   Kuala Lumpur, Malaysia.                          No. 1 Jalan SS6/2 Kelana Jaya
                    Swift Code   : CIBBMYKL                                         47301 Petaling Jaya, Selangor Malaysia
                                                                     Swift Code   : MBBEMYKLA




Please send complete form and required items to: REZZEN (M) SDN BHD, Suite 2B-5-1 Block 2B Plaza Sentral, Kuala Lumpur Sentral, Jalan
Stesen Sentral 5, 50470 Kuala Lumpur. Tel : 03-22614248 (hunting) Fax: 03-22614286 email: application@rezzen.com.my
GUIDELINES FOR APPLICATION FORM
SECTION A: CHOICE OF PROGRAMME PREFERRED
 Code                    Program
 M401 Bachelor of Business Administration with Honours
 E401  Bachelor of Education with Honours


SECTION B: APPLICANT’S PARTICULARS
 Code                Race                           Code                 Race
  01   Malay                                         08     Bumiputera Sarawak
  02   Chinese                                       09     Dusun
  03   Indian                                        10     Kadazan
  04   Indian Muslim                                 11     Sungai
  05   Sikh                                          12     Bajau
  06   Orang Asli Semenanjung                        13     Siamese
  07   Bumiputera Sabah                              14     Others

SECTION C: EDUCATION BACKGROUND
Subject code for SPM/ SPMV/ STPM/ O-Level/ A-Level
 Code     Subject                     Code    Subject                      Level Code for Tertiary Education
  01      Accounting                   18     English Literature           Code         Level
  02      Additional Mathematics       19     General Paper                 01    Foundation/ Matriculation
  03      Arabic Language              20     Geography                     02    International Baccalaureate
  04      Art & Design                 21     History                       03    Diploma
  05      Automotive Technology        22     Home Management               04    Bachelor
  06      Bahasa Malaysia              23     Islamic Studies               05    Master
  07      Biology                      24     Mathematics
  08      Business Studies             25     Metal Work
                                              Pendidikan Al-Quran dan As
  09      Chemistry                    26
                                              Sunnah
  10      Chinese Language             27     Physics                      Code for Professional Qualification
  11      Civil Engineering Studies    28     Principles of Accounts       Code      Qualification
  12      Commerce                     29     Science                       01    ACCA
  13      Computing                    30     Tamil Language                02    CIMA
  14      Design & Technology          31     Tasawwur Islam                03    ICSA
  15      Economics                    32     Technical Drawing             04    CFP
  16      Electric Technology          33     Wood Work                     05    MACPA
  17      English Language             34     Others                        06    CLP

SECTION E: EMPLOYMENT BACKGROUND
Position
 Code    Position                                   Code    Status
  01     Senior Manager & above                      05     Junior Executive/ Officer
  02     Manager                                     06     Admin Assistant/ Clerk/ Technician
  03     Assistant Manager/ Senior Executive         07     Others
  04     Executive
    Status
     Code     Position                                           Code      Status
      01      Government Staff                                    04       Housewives
      02      Private Sector Staff                                05       Self Employed
      03      Retiree                                             06       Not Working

    Sector
     Code                   Sector                               Code                    Sector
      01      Oil, Gas & Petrochemical                            07       Construction
      02      Power                                               08       IT Services
      03      Telecommunication                                   09       Hospitality/ Tourism
      04      Health Care                                         10       Entertainment
      05      Education                                           11       Uniform Organization
      06      Finance Services                                    99       Others

    SECTION G: PHYSICAL DISABILITY

     Code                Disability                              Code                  Disability
      00      No Disability                                       05       Disability – Hand
      01      Blind both eye                                      06       Long/ Short Sighted
      02      Deaf both ear                                       07       Colour Blind
      03      Dumb                                                99       Others
      04      Disability




                                          Please send completed form and required items to:

                                                REZZEN (M) SDN BHD,
                                           Suite 2B-5-1 Block 2B Plaza Sentral,
                                                  Kuala Lumpur Sentral,
                                                  Jalan Stesen Sentral 5,
                                                  50470, Kuala Lumpur.

                                            Tel : 03-22614248 (hunting)
                                Fax: 03-22614286 email: application@rezzen.com.my




Please send completed form and required items to: REZZEN (M) SDN BHD, Suite 2B-5-1 Block 2B Plaza Sentral, Kuala Lumpur Sentral, Jalan
Stesen Sentral 5, 50470 Kuala Lumpur. Tel : 03-22614248 (hunting) Fax: 03-22614286 email: application@rezzen.com.my