REGISTRATION FORM
UKR 19
SECTION A
Acknowledgement of Acceptance
Fullname : WONG KEI KEI
NRIC / Passport NO : 870313085412
Correspondence Address : 21,JALAN 3/17,TAMAN SERDANG JAYA,, 43300,SERI KEMBANGAN, SELANGOR.,
SERI KEMBANGAN, 43300 SELANGOR, MALAYSIA
Email Address : qiqiwong87@yahoo.com
Contact No. : (H) 012-5327171(M)
Programme Offered : BACHELOR OF TEACHING (PRIMARY EDUCATION) WITH HONOURS
Semester Intake : JANUARY 2017
Learning Centre : KUALA LUMPUR LEARNING CENTRE
I hereby confirm that I ACCEPT / DO NOT ACCEPT and agree to be bound by the Terms and Conditions of the program offered.
Signature : .......................... Date : ..........................
Name : ..........................
NOTES : Should you need to edit/update the information above, please inform the staff at the Registration Counter.
FOR OFFICE USE ONLY
Applicant ID : 102529247 Staff User ID : ..........................
Update I-Campus : Signature : ..........................
  Date : ..........................
SECTION B
Course Registration for Semester JANUARY 2017
NO TICK () COURSE CODE COURSE TITLE CREDIT
1 MPU3122 TAMADUN ISLAM DAN TAMADUN ASIA 2
2 MPU3313_V2 HEALTH AND WELLNESS 2 3
3 OUMH1103 LEARNING SKILLS FOR OPEN DISTANCE LEARNERS 3
TOTAL



Open Course :
NO COURSE CODE COURSE TITLE MODULE TAKEN ()




GUIDE TO ACCESS OUM PORTAL
  1. Visit http://www.oum.edu.my
  2. Click on 'Student/Tutor Login'
  3. Click 'First Time Login' and enter your Identity Card Number
    (Eg : 770701026916)
  4. Create your username and password
Any enquiries regarding OUM Portal, please email to:
mylms_admin@oum.edu.my
Note : Access to OUM Portal will be activated within 3 days after your registration date. 
































	
REGISTRATION CHECKLIST

                    


                

                    
                    

                        


                            

                                
                                    REGISTRATION CHECKLIST : STUDENT'S COPY
                                
                            


                            

                                

                                    

                                        

                                            Name
                                            :
                                                Wong Kei Kei                                            
                                        

                                        

                                            NRIC 
                                            :
                                                870313085412                                            
                                        


                                        

                                            Registration Status 
                                            
                                            
                                                : [ ] Register     [ ] Pre - Register

                                            
                                        

                                    

                                		
                            



                            

                                

                                    

                                        

                                             No 
                                            Items 
                                            
                                                Received / Reviewed 

                                                
                                            		

                                        


                                        

                                            1
                                            
                                                National Identification Card (NRIC)
                                            
                                            

                                        



                                        

                                            2
                                            
                                                Conditional Letter of Admission.
                                            
                                            
                                        

                                        

                                            3
                                            
                                                Completed Declaration Sheet.
                                            
                                            
                                        

                                        

                                            4
                                            
                                                Original AND a copy of RECOGNISED academic certificate/s.
                                            
                                            
                                        

                                        

                                            5
                                            
                                                The verification of recognized certificate(s) printed from MQA/JPA website.
                                            
                                            
                                        

                                        

                                            6
                                            
                                                Original AND a copy of Identification Card / Passport.
                                            
                                            
                                        

                                        

                                            7
                                            
                                                Original AND a copy of Job Confirmation Letter, if stated in the programme's entry requirement.
                                            
                                            
                                        

                                        

                                            8
                                            
                                                Two copies of completed UKR 19 Form.
                                            
                                            
                                        

                                        

                                            9
                                            
                                                
                                                Evidence of payment (Minimum payment + Processing Fee).
                                                

                                                UG :   RM 230/-    
                                                
                                                

                                                PG :   RM 550/-    
                                            		
                                            
                                        

                                    

                                		
                            


                            

                                
                                    Kindly submit the document(s) marked with 'X' soonest to ensure that you have
                                    completed the registration procedures.
                                    Please be reminded that delayed completion of registration may cause disruption
                                    of services.
                                    

                                    Those who have completed the University's Registration Procedures and have met
                                    the programme's entry requirements will be given a Confirmation Letter that will
                                    denote him/her as a fully registered learner.
                                		
                            


                        



                    		

                    
                        
                        
                    

                    
                    

                        


                            

                                
                                    REGISTRATION CHECKLIST : OFFICE USE
                                
                            


                            

                                

                                    

                                        

                                            Name
                                            :
                                                Wong Kei Kei                                            
                                        

                                        

                                            NRIC 
                                            :
                                                870313085412                                            
                                        


                                        

                                            Registration Status 
                                            
                                            
                                                : [ ] Register     [ ] Pre - Register

                                            
                                        

                                    

                                		
                            



                            

                                

                                    

                                        

                                             No 
                                            Items 
                                            
                                                Received / Reviewed 

                                                
                                            		

                                        


                                        

                                            1
                                            
                                                National Identification Card (NRIC)
                                            
                                            

                                        



                                        

                                            2
                                            
                                                Conditional Letter of Admission.
                                            
                                            
                                        

                                        

                                            3
                                            
                                                Completed Declaration Sheet.
                                            
                                            
                                        

                                        

                                            4
                                            
                                                Original AND a copy of RECOGNISED academic certificate/s.
                                            
                                            
                                        

                                        

                                            5
                                            
                                                The verification of recognized certificate(s) printed from MQA/JPA website.
                                            
                                            
                                        

                                        

                                            6
                                            
                                                Original AND a copy of Identification Card / Passport.
                                            
                                            
                                        

                                        

                                            7
                                            
                                                Original AND a copy of Job Confirmation Letter, if stated in the programme's entry requirement.
                                            
                                            
                                        

                                        

                                            8
                                            
                                                Two copies of completed UKR 19 Form.
                                            
                                            
                                        

                                        

                                            9
                                            
                                                
                                                Evidence of payment (Minimum payment + Processing Fee).
                                                

                                                UG :   RM 230/-    
                                                
                                                

                                                PG :   RM 550/-    
                                            		
                                            
                                        

                                    

                                		
                            


                            

                                
                                
                            



                        


                    		
                

                

                    
                        

                            

                                
                                    Doc Status : INCOMPLETE
                                
                                
                                    Doc Status : COMPLETE
                                  
                            

                            


                                
                                    Received by :

                                    Name :

                                    Date :
                                		
                                
                                    Received by :

                                    Name :

                                    Date :
                                		
                            


                        




                    		
                    

                        

                    

                    


                        

                            

                                
                                    Doc Status : INCOMPLETE
                                
                                
                                    Doc Status : COMPLETE
                                  
                            

                            


                                
                                    Received by :

                                    Name :

                                    Date :
                                		
                                
                                    Received by :

                                    Name :

                                    Date :