1/2/2016

OnlineAdmissionApplicationForm

Qualification:OTHER

Ref.

No

(ForOfficeuseOnly)
OnlineSubmissionRef.
No

: WB1601000648

Date

: 02January2016

To

: DepartmentofAdmissionsandCreditEvaluation
UniversitiTunkuAbdulRahman
JalanSungaiLong
BandarSungaiLong
Cheras,43000Kajang,SelangorDarulEhsan
OR
JalanUniversiti,BandarBarat,
31900Kampar
PerakDarulRidzuan

DearSir/Madam,

APPLICATIONFORADMISSIONTOTHEBACHELOR'SHONOURS
DEGREEPROGRAMMES
I,EYUWEISHENGI/CNo:940402016903wouldliketoapplyforadmissionintothefollowingBachelor's
HonoursDegreeProgrammesattheUniversitiTunkuAbdulRahman:

1stchoice

: BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING

2ndchoice

: BACHELOROFENGINEERING(HONS)ELECTRONICANDCOMMUNICATIONSENGINEERING

3rdchoice

: BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING

4thchoice

: BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING

5thchoice

: BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING

Enclosedarethefollowingdocumentsmarked(X)asrequested

(AlldocumentsmustbecertifiedbySchoolPrincipal/JusticeofPeace/State
Assemblyman/MemberofParliament)

Certifiedtruecopyofactual/forecastSPM/Otherequivalentresults
Certifiedtruecopyofactual/forecastSTPM/ALevels/SAM/CPU/UEC/Otherequivalentresults
CertifiedtruecopyofSchoolLeavingCertificate
CertifiedtruecopyofBirthCertificate
CertifiedtruecopyofIdentityCard
CertifiedtruecopyofMUET(compulsoryforSTPMholders)
AnonrefundableprocessingfeeofRM60.00inmoneyorder/postalorder/bankdraftmade
payabletoUniversitiTunkuAbdulRahman.(Pleasenotethatpersonalcheque/cashis
NOTaccepted)
Selfaddressedenvelopemeasuring7X10affixedwithRM1.00stampand
Selfaddressedenvelopemeasuring3.5X6affixedwithRM0.60stamp.

Submissionof3portfoliosofbodyfigure,stilllifeandlandscapeonA3sizedpaper(297mmx
420mm)ONLYforBachelorofArts(Hons)DigitalAnimation
Submissionof3portfoliosofbuildingonA3sizedpaper(297mmx420mm)ONLYfor
BachelorofScience(Hons)Architecture.

Ifyouareusingotherequivalentqualification(s),forexample,DiplomaorAdvanced
DiplomafromaCollege/Institution/Polytechnic,youarealsorequiredtosubmittogetherwith

http://portal.utar.edu.my/admission_online/appformBPrint.jsp

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1/2/2016

OnlineAdmissionApplicationForm

theapplicationform:
CertifiedtruecopyofCertificateofAwards
Officialacademictranscripts
Coursestructureandsyllabi
OfficialletterfromPrivateCollege/InstitutionofHigherLearningontheStandard
Minimum/AccreditationfromtheMalaysianQualificationsAgency(MQA)and
AllrelevantinformationandmaterialsrelatedtoyourpreviousstudiesfromSPMonwards.

Yourssincerely,

.........................................
(EYUWEISHENG)

Ideclarethattheaboveinformationprovidedbymeinconnectionwiththisapplicationistrueandcorrect.I
understandthatUniversitiTunkuAbdulRahmanreservestherighttowithdrawtheofferofadmissionoraskmeto
leavetheUniversityatanytimeifsuchinformationisfoundtobefalseorincorrect.

EYUWEISHENG

__________________________

__________________________

NameofApplicant

SignatureofApplicant

Date

UNIVERSITITUNKUABDUL
RAHMAN
WhollyownedbyUTAREducationFoundation(CompanyNo.578227M)

ApplicationFormJanuary2016Intake
(BachelorHonoursDegreeProgrammes)

OnlineSubmissionRef.No:

SectionA:Tobecompletedbyapplicant

WB1601000648
I.PERSONALINFORMATION

Name (asinNRIC):
I.C.No.

EYUWEISHENG

(MalaysiaIdentityCard
No.):

940402016903

Nationality:

MALAYSIAN

DateofBirth:

02/04/1994

Gender:

Male

Address:

PKP65SEROM2ASGMATI
LEDANGJOHOR

PostalCode:

84410

State:

JOHOR

ContactNo:(H)

069751072

(H/P):

0176288330

EMail:

sheng_0402@hotmail.com

Race:

Chinese

http://portal.utar.edu.my/admission_online/appformBPrint.jsp

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Religion:

Buddhism

Disability/Handicap

NoDisability/Handicap

II.COURSEAPPLICATIONDETAILS
Youcanselectuptoamaximumof5choices.

1stChoice:

BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING(KualaLumpur
Campus)

2nd
Choice:

BACHELOROFENGINEERING(HONS)ELECTRONICANDCOMMUNICATIONSENGINEERING(Kuala
LumpurCampus)

3rd
Choice:

BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING(KualaLumpur
Campus)

4th
Choice:

BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING(KualaLumpur
Campus)

5th
Choice:

BACHELOROFENGINEERING(HONS)ELECTRICALANDELECTRONICENGINEERING(KualaLumpur
Campus)

III.ACADEMICQUALIFICATION

LastSchool/InstitutionAttended
Nameof
School/Institution:

SMKTENGKUMAHMUDISKANDAR

Addressof
School/Institution:

KM16,SUNGAIMATI,84400JH

Qualification
Actualresults

SPM

No.

Subjects

Grade

BAHASAMELAYU

BAHASAINGGERIS

BAHASACINA

SEJARAH

B+

MATEMATIK

FIZIK

KIMIA

PRINSIPAKAUN

PENGETAHUANMORAL

OtherQualification:
NameofInstitution:
LevelofStudy:

UNIVERSITITEKNOLOGIMALAYSIA(UTM)
others:KOLEJYAYASANPELAJARANJOHOR
DIPLOMA

NameofAward:
CGPA:

3.2200

YearofCompletion:

2015

OR Grade:

EnglishLanguageProficiency:(Pleasefillinyourgrade)
Actualresults
IELTS

TOEFL

ENGLISH
1119/OLEVEL

MUET 1

Others
http://portal.utar.edu.my/admission_online/appformBPrint.jsp

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IV.COCURRICULUMACTIVITIES
Sports:
Uniform:
Club/
Societies:
Extras:

V.PARTICULARSOFPARENT/GUARDIAN
Nameof
Parent/Guardian:

EYUAHHOCK

Addressof
Parent/Guardian:

EYUAHHOCK

Relationship:

FATHER

Occupation:

ELECTRICIAN

ContactNo:
(Home)

069751072

(Office)
0122507896
:

VI.DECLARATIONBYAPPLICANT

I declare that the above information provided by me in connection with this application is true and correct. I
understandthatUniversitiTunkuAbdulRahmanreservestherighttowithdrawtheofferofadmissionoraskme
toleavetheUniversityatanytimeifsuchinformationisfoundtobefalseorincorrect.

EYUWEISHENG

__________________________

__________________________

NameofApplicant

SignatureofApplicant

Date

SectionB:ForOfficeUse
DateReceived:

Completeand
Processed:

Incomplete:
ProcessingfeeofRM60.00
CertifiedtruecopyofSPM/STPM/ALevels/SAM/CPU
results
CertifiedtruecopyofSchoolLeavingCertificate
BirthCertificate/IdentityCard
Others____________________

NameofStaffincharge:Date:
Remarks:

AcknowledgementSlip
http://portal.utar.edu.my/admission_online/appformBPrint.jsp

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1/2/2016

OnlineAdmissionApplicationForm

(Pleasesubmitthissliptogetherwiththecompletedapplicationform)

*Name:___________________________________________________________________________
*Address:_________________________________________________________________________
_________________________________________________________________________________

RE:APPLICATIONFORADMISSIONTOUNIVERSITITUNKUABDUL
RAHMANJANUARY2016INTAKE
YourapplicationforadmissiontoUniversitiTunkuAbdulRahmanhasbeenreceivedon
_____________________________.
Pleasebeinformedthat:
Youhavecompletedtheapplicationformandsubmittedallcertifiedtruecopiesoftheresultsand
documentsasrequired.
Kindlynotethefollowing:

Youhavenotcompletedfullytheapplicationform.Pleasecallusat
0390860288(SungaiLong
Campus)or054688888(KamparCampus)oremailusatadmission@utar.edu.myforfurther
clarification.

YouhavenotsubmittedapplicationfeeofRM60.00madepayabletoUniversitiTunkuAbdul
Rahmaninpostalorder/moneyorder/bankdraft.

Youhavenotattachedcertifiedtruecopyofyouractual/forecast/trialSPM/SPMV/STPM/A
Level/SAM/CPU/UEC/MUET/otherexaminationresults.

YouhavenotattachedcertifiedtruecopyofyourDiplomacertificate/transcript/syllabus/
coursestructure/completeDiplomaresults(KTAR)/others.

YouhavenotattachedcertifiedtruecopyofyourIC/birthcertificate/schoolleavingcertificate/
others.

Kindlysendtheoutstandingdocumentstousby___________________________.
TheUniversityisnotboundtoprocessyourapplicationifyoudonotsubmitthedocumentsas
requiredbeforeorbythestipulateddate.

*Tobecompletedbyapplicant

DepartmentofAdmissionsandCreditEvaluation

http://portal.utar.edu.my/admission_online/appformBPrint.jsp

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