(MUCH/MKTG/Check List 1)

* Please ignore this letter if you already studying in MASTERSKILL University College of Health Sciences

Masterskill University College of Health Sciences

CHECK LIST 1

Instructions:

Please submit or post the copies of documents as listed below prior to and as condition for registration.
Closing date

BACHELOR OF PHARMACY (HONS) 4+0 LA TROBE UNIVERSITY, AUSTRALIA

BACHELOR OF HEALTH SCIENCE/ MASTER OF PHYSIOTHERAPY PRACTICE 4+0 LA TROBE , AUSTRALIA

1.
3 copies 3 copies of SPM , STPM / A Level / DIP / FDTN / SAM / MATRICS and complete transcript, certified through copy by a
Divisi Division 1 Government Officer

2. 3 copies of MUET, IELTS, TOEFL (Minimum requirement MUET band 4, IELTS band 6.5 ( overall score 6.5 individual bands of 6.0)
TOEFL 5.75

3. 10 passport-sized photographs for student card and file purposes.

(Please write full name on the reverse-side of the photographs)

4. 3 copies of identity cards. (Please photocopy both sides of the identity cards on one page A4 paper)

5. Registration fee RM 3000.00. (Minimum payment of RM 1000.00)

a) Postal Order / Money Order/ Bank Draft/ Cross Cheque to MASTERSKILL (M) SDN. BHD.
(Please send Postal Order/ Money Order/ Bank Draft/ Cheque (original)
Or
b) Bank-in to MASTERSKILL (M) SDN. BHD account (CIMB 14150011831055)
(Please send original copy of bank slip)

(*** Payment to be made once offer letter are issued by La Trobe and accepted by student)

6. Completed and signed LTU Application For Admission Form.

7. 1 photocopy of Invitation Letter-Front Page only

8. Filled Masterskill Original Application Form (A001-A006)

(Purchase the form for a fee of RM5, ensure that you have signed in all the forms and also filled-in the witness column)
(In case you have not purchased the Application Form please enclose Postal Order for RM 5 to MASTERSKILL (M) SDN. BHD)

9. A photocopy of CIMB Savings Book-front page with the Account Number clearly displayed

10. Please purchase pin number RM 5 for PTPTN for online application at BSN and bring the slip upon registration day
Application for Admission to External Programs offered through
Masterskill University College of Health Sciences (MUCH)
Read this application carefully, complete all sections and ensure that supporting (certified)
documents are all attached. Please write in BLOCK letters using a blue or black pen.
Personal Details
Family Name:

Given Name (s): Previous Name (s):

Date of Birth †† †† ††
DAY MONTH YEAR
Title (Mrs, Miss, Ms, Mr, etc) _____ Sex: M †
F†

Country of Birth: Citizenship:

Have you been previously enrolled at La Trobe University? No † Yes † If yes please provide your La Trobe student ID number

††††††††
Address for notification of this application
Associate Institution: Masterskill University College of Health Sciences
Main Campus, Kemacahaya Street,
Number and Street: 9th Mile,

Country/Townt: 43200 Cheras, Selangor DE, Malaysia

Telephone: 603-9080 5888 Facsimile: 603-90801995/ 2995 Email: info@masterskill.edu.my

Course Details
Commencing Studies:
Name of Course
Associate Institution (Month & Year)

Masterskill University College of Health Sciences

English Proficiency (Please tick where applicable and attach documentary evidence)

† Malaysian University English Test MUET.

† I have satisfactorily completed at least one year of a tertiary course at a college/university where English is the Language of Instruction.
(This study must have been completed within the last two years and at an academic level acceptable to La Trobe University).
† I have satisfactorily completed an English language subject at Year 12 or equivalent level. (This study must have been completed within
the last two years and at an academic level acceptable to La Trobe University).
† I have achieved an overall band score of at least 6.5 on the International English
Language Testing System (IELTS) with no individual band score less than 6.0
Date of Test †† †† ††
DAY MONTH YEAR

† I have achieved at least the following scores in the Test of English as a Foreign
Language (TOEFL): Paper-based Test: A minimum score of 575 with a score of 5
or better in the Test of Written English. Computer-based Test: A minimum score Date of Test †† †† ††
DAY MONTH YEAR
of 233 with a score of 5 in essay writing. Internet-based Test (IBT): A minimum of
88 with no individual score less than 22.

† I intend to sit for an IELTS or TOEFL test on: Date of Test †† †† ††

DAY MONTH YEAR

25/05/2009
Previous Studies

Documentary evidence of qualifications claimed MUST be attached.

Documents not in English must be accompanied by certified translations.
Secondary Studies Year Year
Institution/School Country
Name of qualification (e.g. STPM) Commenced Completed

Post-Secondary Studies
Language of
Name of qualification Name of Institution Period of Enrolment Completed
Instruction
(e.g. Diploma)
To Yes † No†
To Yes † No†
To Yes † No†

Are you currently enrolled in a tertiary course? No †

Yes† If yes, when do you expect to complete this course? †† †† ††
DAY MONTH YEAR

Are you seeking credit/advanced standing for previous studies? No †

Yes† Please attach transcripts and detailed syllabus. If you have
completed a Masterskill Diploma, corresponding to the Bachelor degree you are applying for, you do not need to attach a syllabus.

Declaration and Agreement

I declare that the information provided on this form is true and complete in every detail. I authorise La Trobe University to obtain further
information about me from educational and other institutions which I have attended.

I acknowledge that La Trobe University reserves the right at any stage to vary or reverse any decision regarding admission or enrolment made
on the basis of incorrect or incomplete information.

I acknowledge that, if I am offered a place, I must confirm my acceptance as specified in the University's letter of offer.

By completing this form, I am providing my personal information to La Trobe University and consent to the University using and disclosing my
personal information in accordance with the University's Privacy Statement on the University's web site at www.latrobe.edu.au/international.

Signature _____________________________________________________________ Date ____________________________________

Check List Masterskill Contact Details

Masterskill University College of Health Sciences
† Have you answered ALL questions? Main campus, Kemacahaya Street,
9th Mile, 43200 Cheras,
† Have you attached certified copies of all necessary documents? (e.g. Selangor, Malaysia
transcripts / translations if documents not in English)
Tel: 603-9080 5888
† If applying for credit, have you attached the course description, Email: info@masterskill.edu.my
syllabus/curriculum details?

† Have you signed and dated the application? La Trobe University is a registered provider under the

† Have you kept a copy for yourself? Commonwealth Register of Institutions and Courses for
Overseas Students (CRICOS).

† Have you provided all supplementary information required? CRICOS provider: 00115M

25/05/2009
NOTE: Application for the Bachelor of Pharmacy course only

Please provide a brief summary, in the space below, to support your application. Relevant and recent documentation that supports
your application may be attached to this form (no more than six pages should be attached to this form). Certified copies only –
PLEASE DO NOT SEND ORIGINAL DOCUMENTS.

25/05/2009