DECLARATION SHEET

A. MY CHOICE OF PROGRAMME


1. BACHELOR OF INFORMATION TECHNOLOGY IN NETWORK COMPUTING WITH HONOURS   -   PETALING JAYA LEARNING CENTRE

B. MY PERSONAL PARTICULAR(S)
FULLNAME : FARIUL FADZIL BIN ABDUL RAHIM DATE OF BIRTH : 12-JAN-78
ADDRESS : NO 15,
JALAN PUNCAK UTAMA 2/5,
KAJANG, 43000
SELANGOR, MALAYSIA 		NRIC : 781212135009
TELEPHONE NO : 0392007991
MOBILE NO : 0133345676
EMAIL ADDRESS : eyeoos9@gmail.com
 
DISABILITY : NO

C. MY QUALIFICATION
 
Possesed SPM / SPMV / SPVM / MCE / with minimum of C6-CREDIT in BAHASA MALAYSIA/ BAHASA MELAYU
Possesed RECOGNIZED DIPLOMA
** NOTES
Entry Requirement for the chosen program :
Option 1: PASSED SPM / SPMV / SPVM / MCE with minimum of C6-CREDIT in MATEMATIK and;
- PASSED HIGHER SECONDARY CERTIFICATE / STPM / STAM with minimum of C in ANY 2 subjects or;
- PASSED RECOGNIZED DIPLOMA OR ITS EQUIVALENT IN INFORMATION TECHNOLOGY OR COMPUTER SCIENCES OR INFROMATION SYSTEM OR SOFTWARE ENGINEERING WITH MINIMUM CGPA OF 2.50 or;
- PASSED RECOGNIZED MATRICULATION CERTIFICATE WITH MINIMUM CGPA OF 2.00 or;
- PASSED RECOGNIZED DIPLOMA WITH MINIMUM CGPA OF 2.50
or;
Option 2: PASSED O LEVEL/OTHER INTERNATIONAL QUALIFICATION and;
- PASSED A LEVEL/OTHER INTERNATIONAL QUALIFICATION





I, FARIUL FADZIL BIN ABDUL RAHIM (NRIC: 781212135009), declare that the information given for this application is true and correct.

I understand that my registration for the programme stated above may be considered invalid and will result in WITHDRAWAL OF OFFER in the event of false, incorrect information submitted and/or failure to declare status of my being especially where health is concerned; and/or I have not fulfilled the entry requirements for the offered programme..

Saya, FARIUL FADZIL BIN ABDUL RAHIM (No IC : 781212135009), mengesahkan bahawa maklumat yang diberikan adalah benar dan tepat.

Saya faham bahawa pendaftaran bagi program yang tercatat di atas boleh dianggap tidak sah dan akan menyebabkan PENARIKAN BALIK TAWARAN sekiranya maklumat yang diberikan adalah palsu, tidak benar dan/atau kegagalan untuk mengisytiharkan keadaan status diri terutamanya berkaitan isu kesihatan; dan/atau jika saya tidak memenuhi syarat kemasukan bagi program yang ditawarkan.




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[APPLICANT'S SIGNATURE]
NAME : FARIUL FADZIL BIN ABDUL RAHIM
NRIC : 781212135009
DATE: