APPLICATION FORM FOR INTERNATIONAL STUDENTS TYPE : New Student Continuing Student (Course Progression) Section 1: PERSONAL PARTICULARS (Please use CAPITAL letters and UNDERLINE your surname) Name (as in Passport) : Passport No. : Passport Expiry date : day month year Date of Birth : day month year Place of Birth : PLEASE ATTACH RECENT PHOTOGRAPH HERE. Nationality : Marital Status : Single Married Religion : Gender : Male Female Section 2: COURSE PARTICULARS (Please specify the intake for admission and select ONE(1) course by placing a tick [ ] in the correct box) INTAKE Month : Year : FOUNDATION AND PRE-UNIVERSITY COURSES Australian Matriculation Cambridge GCE A-Levels Canadian International Matriculation Programme Monash University Foundation Year SUNWAY DIPLOMA COURSES Diploma in Business Administration Diploma in Events Management Diploma in Hotel Management Diploma in Tourism Management Diploma in Fine Art Diploma in Computer Studies (Business Information Technology) Diploma in Computer Studies (Interactive Multimedia) Diploma in Information Engineering Diploma in Information Technology Diploma in Performing Arts Diploma in Graphic and Multimedia Design Diploma in Interior Design SUNWAY DEGREE COURSES (in affiliation with Lancaster University, UK) BSc (Hons) Accounting and Finance BSc (Hons) Business Management BSc (Hons) Business Studies BSc (Hons) International Hospitality Management BSc (Hons) International Tourism Management BSc (Hons) Business Information Systems BSc (Hons) Information Technology (Computer Science) BSc (Hons) Information Technology (Networking) BSc (Hons) Multimedia Systems BSc (Hons) Psychology AMERICAN DEGREE TRANSFER PROGRAM (2+2) Bachelor of Arts in Business Administration Bachelor of Arts in Mass Communication Bachelor of Science in Aviation Bachelor of Science in Computer Science Bachelor of Science in Engineering Bachelor of Science in Natural Science Other degree (please specify) : AUSTRALIAN UNIVERSITY PROGRAMME - 3+0 (with Victoria University, Australia) Bachelor of Business FINANCIAL COURSES LEVEL (please circle or underline): Certified Accounting Technician (CAT) [ Introductory / Intermediate / Advanced ] Association of Chartered Certified Accountants (ACCA) [ Fundamental-Knowledge / Fundamental-Skills / Professional ] Institute of Chartered Accountants in England and Wales (ICAEW), ACA [ Professional / Advanced ] The Registry Page 1 of 4 (2009 ver:301208)
Section 3: CORRESPONDENCE DETAILS Mailing Address : Postcode State Country Contacts Tel : Mobilephone : Email / Fax : Home Address : (if different from above) Postcode State Country Contacts Tel : Mobilephone : Email / Fax : Section 4: EMERGENCY CONTACT (Person to be contacted in an emergency) Contact Person : Relationship : Contacts Tel : Mobilephone : Email / Fax : Section 5: MEDICAL HISTORY (If you are physically disabled, please state the nature of the disability. If not, please write "Nil") Disability : Other medical conditions that may be of concern (e.g., Allergies, Asthma, Colour Blindness, Heart/Kidney Condition, etc.): Section 6: FINANCIAL RESOURCES - SPONSORSHIP/SCHOLARSHIP (FOR SPONSORED STUDENTS OR STUDENT WITH SCHOLARSHIPS ONLY) Name (of Sponsor/Scholarship) : Contact Person : Address : Postcode State Country Contacts Tel : Email / Fax : Section 7: ACADEMIC RECORD Are you a former student of Sunway University College? Yes Course : Year of Study : No Student ID : Intake : Month Year Please provide the following details: Results : Actual Forecast Qualification : School/Inst. : Year Completed : Section 8: ENGLISH LANGUAGE ACHIEVEMENT Please refer to the course leaflet for information about English Language requirements to ensure your eligibility for admission to the chosen course. TOEFL IELTS Score : Year completed : School/Inst. : Others : Score : Year completed : School/Inst. : The Registry Page 2 of 4 (2009 ver:301208)
Section 9: IMMIGRATION PASS STATUS If you are now in Malaysia, please specify your immigration pass type: Dependent Diplomatic Social Visit Student Expiry Date : day month year School/Inst. : If you are currently holding a student pass, please state the name of the institution you are registered with. Section 10: CONDITIONS (PLEASE READ CAREFULLY) 1. A student is considered fully registered upon subject enrolment and payment of all fees (including deposits) as set out in the Fee Structure. 2. Failure to pay fees may result in the student being barred from classes, examinations and other facilities. 3. Application, Registration and General fees are NOT refundable. 4. The proportion of tuition fee refund, upon official withdrawal, is shown below. 75% refund - withdrawal by the 5th working day from the commencement of the semester. 50% refund - withdrawal by the 6th - 8th working day from the commencement of the semester. NO refund - withdrawal after the 8th working day from the commencement of the semester. 5. An application fee of RM300 is charged for course transfer. 6. Students who have previously studied in a Malaysian higher education institution are required to provide a Release Letter and Attendance Report (with a minimum of 80% attendance) in order to obtain a Sunway Student Pass. 7. New international students are required to pay an initial sum of RM15,000 for fees. Amounts in excess of first semester fees will be credited to the second semester. 8. For further details, please refer to the Sunway University College - Rules and Regulations handbook. Section 11: DECLARATIONS APPLICANT I declare that all information in this form is complete and correct. I further agree to: 1. Abide by the University College policies, rules and regulations at all times. 2. Accept that Sunway University College reserves the right to vary or reverse any decision regarding admission or enrolment made on the basis of incomplete or incorrect information. 3. Accept that the University College reserves the right to revise the current fees without prior notice. 4. Accept that this application is subject to the timely approvals by the Malaysian Ministry of Higher Education and Immigration Department. Signature of Applicant Date PARENT/GUARDIAN I hereby agree to pay all fees due on the dates stipulated by the University College. I have also read and agreed to the conditions as stated above. Name : Passport No. : Relationship : Parent Guardian Occupation : Company : Address : Postcode State Country Contacts Tel : Mobilephone : Email / Fax : Signature Date The Registry Page 3 of 4 (2009 ver:301208)
Section 12: ENCLOSURES (Required Documents) Application fee of RM500 (non-refundable) * SEVEN(7) passport-size photographs * ONE(1) copy of passport (complete passport including blank pages) * Certified true copies of all relevant examination results * CV/Resume/Character reference letter (if you are above 23 years old) * School leaving/completion certificate Supporting documents for exemptions (if applicable) Health examination report Application should be posted to: THE INTERNATIONAL STUDENT OFFICE Sunway University College No 5 Jalan Universiti Bandar Sunway 46150 Petaling Jaya Selangor Darul Ehsan MALAYSIA Letter from Sponsor (for sponsored student only) IMPORTANT NOTES 1. Please make sure you meet the entry requirements for the selected course before submitting this form. 2. Your application should be submitted EIGHT(8) weeks before the commencement of intake. 3. Your passport must be valid for a minimum period of ONE(1) year from the commencement date of the intake. 4. Your application CANNOT be processed without the required items (as indicated with *). 5. Please do NOT send cash through the post. Sunway University College will not be held responsible for the loss of cash or any other eventualities arising from the mailing of cash. Cheques / Bankdrafts to be made payable to SUNWAY COLLEGE SDN BHD. 6. Please complete the Hostel Application Form if you require on-campus accommodation (a hostel application fee of RM500 is required for each application). EDUCATION REPRESENTATIVE Company Name : Contact Person : Address : Postcode State Country Contacts Tel : Mobilephone : Email / Fax : FOR OFFICE USE ONLY 1. Approval by Director of Programme (DOP) / Head of Department (HOD) / Head of School (HOS) / Admissions Officer (AO) Full offer Conditional Offer Reject Conditions/Remarks : Signature Name : Date : 2. Review of Conditional Offer by Director of Programme (DOP) / Head of Department (HOD) / Head of School (HOS) Condition Fulfilled Reject Conditions/Remarks : Signature Name : Date : INTERNATIONAL STUDENT OFFICE Student Pass Non-student Pass Remarks : Signature Name : Date : The Registry Page 4 of 4 (2009 ver:301208)
To: The Executive Director Sunway University College 5 Jalan Universiti 46150 Petaling Jaya Malaysia Tel:+60-3-7491 8622 Fax: +60-3-5635 8635 Attention: International Student Office Dear Sir/Madam LETTER OF UNDERSTANDING I (Applicant s name as in passport),. (Nationality:...); (Passport No...) accept that my successful application and enrolment into Sunway University College is subject to obtaining timely documentary approval from: 1. The Malaysian Ministry of Higher Education; and 2. The Malaysian Immigration Department I also understand that additional documents for obtaining approval (if required) may include: 1. School Leaving Certificate (for high school applicants) or 2. Release Letter from previous higher education institution - with minimum attendance record of eighty percent (80%) and satisfactory exam results. I accept that regulations from Malaysian government departments are subject to change and are beyond the control of Sunway University College. In the event of non-approval, Sunway University College shall refund the tuition fees paid on a prorated (proportionate) basis, according to the duration of my studies in Sunway. Signature of Applicant/ Representative Date: 22 Oct 2008
HEALTH EXAMINATION GUIDELINES FOR ENTRY INTO MALAYSIAN HIGHER EDUCATIONAL INSTITUTIONS (Required by the Government of Malaysia) 1. PLEASE READ THE INSTRUCTIONS CAREFULLY BEFORE FILLING IN THE FORM. 2. PLEASE FILL IN THE FORM IN THE ENGLISH LANGUAGE. 3. PLEASE WRITE IN CAPITAL LETTERS. 4. THIS FORM HAS 4 SECTIONS: (a) (b) SECTION 1 (PART A AND B) TO BE FILLED BY THE CANDIDATES; AND SECTION 2, 3 AND 4 TO BE FILLED BY THE EXAMINING DOCTOR 5. PLEASE COMPLETE ALL THE TESTS REQUIRED IN THIS FORM. 6. THE UNIVERSITY ONLY ACCEPTS MEDICAL EXAMINATIONS DONE WITHIN 60 DAYS BEFORE REGISTRATION OR WITHIN 30 DAYS AFTER REGISTRATION. 7. PLEASE ATTACH ALL THE ORIGINAL LABORATORY RESULTS. 8. PLEASE BRING ALONG THE CHEST X-RAY FILM AND REPORT FOR REGISTRATION. 9. PLEASE ENSURE THE X-RAY FILM IS LABELLED WITH YOUR NAME AND DATE TAKEN (IN ENGLISH) 10. CHEST X-RAY DONE WITHIN 6 MONTHS PRIOR TO REGISTRATION CAN BE ACCEPTED. 11. THE UNIVERSITY RESERVES THE RIGHT TO REPEAT FULL MEDICAL CHECK-UP OR ANY SPECIFIC LABORATORY TESTS SHOULD THERE BE ANY DOUBT IN THE MEDICAL REPORT SUBMITTED. ALL COSTS INVOLVED SHALL BE BORNE BY THE CANDIDATES. 12. THE UNIVERSITY RESERVES THE RIGHT TO REJECT ANY APPLICATION: (a) (b) BASED ON THE RESULTS OF THE HEALTH EXAMINATION; OR IF THERE IS EVIDENCE THAT THE APPLICANT HAS GIVEN FALSE INFORMATION IN THE HEALTH EXAMINATION REPORT OR ANY SUPPORTING DOCUMENTS.
Borang RME/IPT Malaysia HEALTH EXAMINATION REPORT FOR INTERNATIONAL STUDENTS Passport type photo PLEASE USE CAPITAL LETTERS SECTION 1 (To be completed by candidate) (PART A) FULL NAME (AS IN PASSPORT) INTERNATIONAL PASSPORT NO. NATIONALITY CONTACT NUMBER DATE OF BIRTH AGE SEX MARITAL STATUS MALE SINGLE D D M M Y Y FEMALE MARRIED ACADEMIC YEAR MONTH COURSE AND ACADEMIC DEPARTMENT / SCHOOL NEXT OF KIN NEXT OF KIN S ADDRESS NEXT OF KIN S CONTACT NUMBER Sunway 2
Borang RME/IPT Malaysia SECTION 1 (PART B) Please tick ( ) in the relevant box. Declaration of self and family illness. Explain in full if you or your immediate* family has any of the following illnesses. * Immediate family refers to father, mother, brothers / sisters MEDICAL PROBLEMS 1. Congenital or inherited disorder 2. Allergy 3. Mental illness 4. Fits, stroke, other neurological disease 5. Diabetes Mellitus 6. Hypertension 7. Heart or vascular disease 8. Asthma 9. Thyroid disease 10. Kidney disease 11. Cancer 12. Tuberculosis 13. Drug addiction 14. AIDS, HIV 15. History of surgery 16. Other illnesses IMMEDIATE SELF FAMILY Yes No Yes No If Yes please state. Current medication (Long term) IMMUNIZATION HISTORY (where applicable) 1. Yellow Fever 2. BCG 3. Meningitis (Quadrivalent) 4. Hepatitis B 5. Others: DATE IMMUNIZED I hereby certify that the information given above is true. I understand that my application will be rejected if there is any false information given. Date Signature of candidate Sunway 3
Borang RME/IPT Malaysia SECTION 2 - PHYSICAL EXAMINATION To be filled by examining doctor 1. BASIC MEASUREMENT HEIGHT : m BLOOD PRESSURE : mmhg WEIGHT : kg PULSE RATE : / min VISION TEST: Unaided: (R) (L) COLOUR VISION TEST: Aided : (R) (L) NORMAL / ABNORMAL 2. GENERAL EXAMINATION ITEM YES NO COMMENT a. DEFORMITIES b. PALLOR c. CYANOSIS d. JAUNDICE e. OEDEMA f. SKIN DISEASES 3. SYSTEMIC EXAMINATION ITEM NORMAL ABNORMAL COMMENT a. EYES (including funduscopy) b. EARS c. NOSE d. ORAL CAVITY / THROAT e. NECK f. HEART g. LUNGS h. ABDOMEN / HERNIA ORIFICES i. NERVOUS SYSTEM j. MENTAL CONDITION k. MUSCULOSKELETAL SYSTEM Sunway 4
Borang RME/IPT Malaysia SECTION 3 - INVESTIGATIONS URINE TEST a. ALBUMIN b. SUGAR c. MICROSCOPIC d. MORPHINE e. CANNABIS ITEM DATE TAKEN RESULT f. AMPHETAMINES TYPE STIMULANT BLOOD TEST ITEM DATE TAKEN RESULT a. HEPATITIS Bs ANTIGEN b. HEPATITIS C c. HIV d. VDRL / TPHA e. MALARIAL PARASITE CHEST X-RAY INFORMATION CHEST X-RAY NO. DATE TAKEN PLACE TAKEN REPORT Sunway 5
Borang RME/IPT Malaysia SECTION 4 - CERTIFICATION BY THE EXAMINING DOCTOR Please tick ( ) in the appropriate box I certify that I have on this date. examined Mr / Ms Passport No.... and found him / her :- IN GOOD HEALTH HAVING THE FOLLOWING MEDICAL COMPLICATION(S) (Please State) UNDERGOING TREATMENT FOR: (Please State) Date : Signature of Doctor : Name of Doctor : Qualification : Hospital / Clinic Registration Number : Official stamp : Remarks By University: Sunway 6