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Name *

Gender * Male Female

Date of Birth * Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - Month -------- 01 02 03 04 05 06 07 08 09 10 11 12 - Year -------- 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996

Nationality *

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Country * - Select Your Country - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Teritory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Island Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Island Colombia Comoros Congo Congo (DR) Cook Island Costa Rica Croatia Cuba Cyprus Czech Republic Czechoslovakia Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Island (Malvinas) Faroe Island Fiji Finland France France, Metropolitan French Guiana French Polynesia French S. Teritory Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard & Mc Donald Island Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libyan Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Island Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar North Korea Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Island Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Fed. Rwanda South Africa S. Georgia & S. Sandwich Island South Korea Samoa San Marino Saudi Arabia Saõ Tome & Principe Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Island Somalia Spain Sri Lanka St. Helena St. Kitts & Nevis St. Lucia St. Pierre & Miquelon St. Vincent & The Grenadines Sudan Suriname Svalbard & Jan Mayen Island Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Island Tuvalu United States U.S Minor Outlying Island Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Island (British) Virgin Island (U.S.) Wallis & Futuna Island Western Sahara Yemen Yugoslavia Zambia Zimbabwe

Telephone no. (Home) *

Telephone no. (Office)

Handphone no

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Email *

Qualification (Highest) * SPM STPM O Level A Level IGCSE HGCSE Degree

Interested in * - Select Your Course - -- -- Business Information Communication Technology Bridging semester (Advanced Standing Students) -- -- Foundation in Built Environment Foundation in Built Environment - Borneo Foundation in Business Foundation in Communication Foundation in Design Foundation in Design - Borneo Foundation in Information Technology Pre-University Foundation Programme -- -- Entrepreneurial Diploma in Accessories Design Entrepreneurial Diploma in Advertising Entrepreneurial Diploma in Asian Drama Entrepreneurial Diploma in Batik Design Entrepreneurial Diploma in Digital Photography Entrepreneurial Diploma in Fashion & Apparel Design Entrepreneurial Diploma in Fine Art Entrepreneurial Diploma in Furniture Design Entrepreneurial Diploma in Graphic Design Entrepreneurial Diploma in Information Technology Entrepreneurial Diploma in Merchandising Design Entrepreneurial Diploma in Mobile Computing Entrepreneurial Diploma in Software Engineering Entrepreneurial Diploma in Textile Design Entrepreneurial Diploma in Advertising Design Entrepreneurial Diploma in Animation Entrepreneurial Diploma in Asian Dance Entrepreneurial Diploma in Broadcasting (Radio & TV) Entrepreneurial Diploma in Business Administration Entrepreneurial Diploma in Business Information Systems Entrepreneurial Diploma in Business Management Entrepreneurial Diploma in Creative Multimedia Entrepreneurial Diploma in Creative Writing Entrepreneurial Diploma in Digital & Interactive Arts Entrepreneurial Diploma in Digital Video Entrepreneurial Diploma in Games Design Entrepreneurial Diploma in Hair Design Entrepreneurial Diploma in Interior Design Entrepreneurial Diploma in Marketing Entrepreneurial Diploma in Merchandising & Retailing Entrepreneurial Diploma in Packaging Design & Technology Entrepreneurial Diploma in Performance Design Entrepreneurial Diploma in Public Relations Entrepreneurial Diploma in Retail Design & Management Entrepreneurial Diploma in Retail Management Entrepreneurial Diploma in Set & Theatre Design Entrepreneurial Diploma in Tourism Management Entrepreneurial Diploma in TV & Film Production Entrepreneurial Diploma in Videography Entrepreneurial Diploma in Virtual Reality Entrepreneurial Diploma in Web Design -- -- Diploma in Fashion & Retail Design Diploma in Marketing Diploma in Animation & Multimedia Design Diploma in Animation & Multimedia Design - Borneo Diploma in Architectural Technology Diploma in Computer Science Diploma in Creative Industries (Creative Writing & Videography) Diploma in Creative Multimedia Diploma in Games Art Diploma in Graphic Design & Multimedia Diploma in Graphic Design Technology Diploma in Information Technology Diploma in Interactive and Multimedia Design Diploma in Interactive Multimedia Design - Borneo Diploma in Interior Design Diploma in Multimedia & Software Engineering Diploma in Multimedia, Advertising & Broadcasting Diploma in Product Design Diploma in Retail Marketing Management Diploma in Sound & Music Design Diploma in Sound & Music Technology Diploma in Textile & Accessories Design Diploma in Virtual Reality Professional Diploma in Hair Design -- -- Bachelor Design (Hons) in Professional Design (Visual Communication) Bachelor of Applied Science (Architectural Science) Bachelor of Architectural Technology Bachelor of Architecture Bachelor of Art (Hons) Business Management Bachelor of Art (Hons) Graphic Design Bachelor of Art (Hons) Marketing Bachelor of Arts (Design) Bachelor of Arts (Hons) Graphic and Web Design Bachelor of Arts (Hons) in Accounting & Finance Bachelor of Arts (Hons) in Animation Bachelor of Arts (Hons) in Brand & Packaging Design Bachelor of Arts (Hons) in Broadcasting & Journalism Bachelor of Arts (Hons) in Creative Multimedia Bachelor of Arts (Hons) in Digital Communication Design Bachelor of Arts (Hons) in Digital Film & Television Bachelor of Arts (Hons) in Digital Imaging and Illustration Bachelor of Arts (Hons) in Digital Integrated & Immersive Multimedia Bachelor of Arts (Hons) in Event Management Bachelor of Arts (Hons) in Fashion & Retailing Bachelor of Arts (Hons) in Game Art Development Bachelor of Arts (Hons) in Human Resource Management Bachelor of Arts (Hons) in Industrial Design Bachelor of Arts (Hons) in Interior Design Bachelor of Arts (Hons) in Landscape Architecture Bachelor of Arts (Hons) in Professional Communication Bachelor of Arts (Hons) in Sonic Design Bachelor of Arts (Hons) in Sports Journalism Bachelor of Arts (Hons) in Sports, Health & Fitness Management Bachelor of Arts (Hons) in Surface Design Bachelor of Arts (Hons) in Tourism Management Bachelor of Arts (Hons) in Urban Planning & Design Bachelor of Arts in Accessories Design Bachelor of Arts in Advertising Bachelor of Arts in Animation Bachelor of Arts in Brand Packaging Design Bachelor of Arts in Creative Multimedia Bachelor of Arts in Digital Film & Television Bachelor of Arts in Digital Photography Bachelor of Arts in Event Management Bachelor of Arts in Fashion & Apparel Design Bachelor of Arts in Furniture Design Bachelor of Arts in Graphic Design Bachelor of Arts in Interior Architecture Bachelor of Arts in Interior Design Bachelor of Arts in Mass Communication Bachelor of Arts in Product Design & Innovation Bachelor of Arts in Professional Communication Bachelor of Arts in Public Relations & Communication Bachelor of Arts in Surface Design Bachelor of Arts in Textile Design Bachelor of Arts in Web Design Bachelor of Business (Hons) in Accounting Bachelor of Business (Hons) in Entrepreneurship Bachelor of Business (Hons) in Hospitality Management Bachelor of Business (Hons) in International Business Bachelor of Business (Hons) in Marketing Bachelor of Business Administration (Hons) Bachelor of Business in Accounting Bachelor of Business in Business Management Bachelor of Business in Merchandising and Retailing Bachelor of Business in Tourism Management Bachelor of Business in Business Administration Bachelor of Business in Entrepreneurship Bachelor of Business in International Business Bachelor of Business in Marketing Bachelor of Construction Management Bachelor of Public Management (Hons) Bachelor of Quantity Surveying Bachelor of Science (Architectural Studies) Bachelor of Science (Hons) Business Information Systems Bachelor of Science (Hons) Computer Science Bachelor of Science (Hons) in Business Information Technology Bachelor of Science (Hons) in Information and Communication Technology Bachelor of Science (Hons) in Electronic Commerce Bachelor of Science (Hons) in Games Technology Bachelor of Science (Hons) in Information Technology Bachelor of Science (Hons) in Mobile Computing Bachelor of Science (Hons) in Software Engineering with Multimedia Bachelor of Science (Hons) in Web Design and Technology Bachelor of Science in Business Information Technology Bachelor of Science in Electronic Commerce Bachelor of Science in Games Technology Bachelor of Science in Information Technology Bachelor of Science in Mobile Computing Bachelor of Science in Multimedia and Software Engineering Bachelor Science (Hons) of Construction Management Bachelor Sciencein (Hons) of Facilities Management -- -- Associate Degree in Merchandising & Retailing Associate Degree in Accessories Design Associate Degree in Advertising Associate Degree in Animation Associate Degree in Architectural Technology Associate Degree in Broadcasting (Radio & TV) Associate Degree in Business Information Systems Associate Degree in Business Information Technology Associate Degree in Business Management Associate Degree in Creative Multimedia Associate Degree in Creative Writing Associate Degree in Digital Photography Associate Degree in Digital Video Associate Degree in Event Management Associate Degree in Fashion & Apparel Design Associate Degree in Fine Art Associate Degree in Furniture Design Associate Degree in Games Design Associate Degree in Graphic Design Associate Degree in Hotel Management Associate Degree in Information Technology Associate Degree in Interior Design Associate Degree in International Tourism Associate Degree in Journalism & Media Associate Degree in Marketing Associate Degree in Merchandising Design Associate Degree in Mobile Computing Associate Degree in Multimedia & Software Engineering Associate Degree in Music Design Associate Degree in Packaging Design & Technology Associate Degree in Public Relation Associate Degree in Publishing Associate Degree in Retail Design & Management Associate Degree in Retail Management Associate Degree in Set & Theater Design Associate Degree in Software Engineering Associate Degree in Sound Technology Associate Degree in Textile Design Associate Degree in Tourism Management Associate Degree in TV & Film Production Associate Degree in Videography Associate Degree in Web Design -- -- -- -- MA in International Contemporary Art & Design Practice MA of Communication MBA in Communication & Public Relations MBA in Finance & Banking MBA in Human Resource Management MBA in Leisure & Tourism Management MBA in Multimedia Management MBA in Sports Management -- -- English Language (by Cambridge University) English Language (by International House) English Language (by Limkokwing University) Mandarin (by International House) Mandarin (by Limkokwing University) -- -- Animation Belly Dancing Business Presentation Feng Shui Mandarin (by International House) Mandarin (by Limkokwing University) Modeling Photography Portfolio Preparation Web Design --

Where would you like to spend your semester abroad? * - Please Specify - -- Australia Bangladesh Canada China Denmark Estonia Germany Greece Indonesia Ireland Italy Kenya Korea Malta Mauritius New Zealand Oman Portugal Russia Spain Switzerland Thailand Turkey United Kingdom United States of America Vietnam Yemen ------ I would not like to spend a semester abroad

Which package below would be of your interest? * - Please Specify - ------ Package 1 (1 Semester in UK) Package 2 (1 year in UK, 2 years in Malaysia) Package 3 (2 years in UK, 1 year in Malaysia) Package 4 (3 years in UK)

How did you hear about us? * - Please Specify - ----- Advertisement Brochure Colleague Email Education Fairs Enquiry Flyer Friends Newspaper Poster Search Engine Students Web

When do you intend to enrol with us? * - Select Intake - ------ -- July 2009 ------ -- July 2009 ------- -- July 2009 ------- -- 8 January 2009 9 February 2009 2 March 2009 27 July 2009 1 September 2009 ------- -- February 2009 March 2009 July 2009 ------- -- Please contact us for more info. ------- -- April 2009 10 August 2009 ------- -- January 2009 March 2009 ------- Other dates are not listed above I do not intend to enrol

What would you like to know? *