Personal Information

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Name as per NRIC/Passport *
NRIC No./Passport No. *	e.g: 800810085667
Date of Birth *	(dd/mm/yyyy)
Race *	Please select your race Malay Chinese Indian Pribumi Others
Nationality *	Please select your nationality Afghan Albanian Algerian American Andorran Angolan Antiguans Argentinean Armenian Australian Austrian Azerbaijani Bahamian Bahraini Bangladeshi Barbadian Barbudans Belarusian Belgian Belizean Beninese Bhutanese Bolivian Bosnian Brazilian British Bruneian Bulgarian Burkinabe Burmese Cambodian Cameroonian Canadian Cape Verdean Central African Chadian Chilean Chinese Colombian Comoran Congolese Costa Rican Croatian Cuban Cypriot Czech Danish Djibouti Dominican Dutch East Timorese Ecuadorean Egyptian Emirian Equatorial Guinean Eritrean Estonian Ethiopian Fijian Filipino Finnish French Gabonese Gambian Georgian German Ghanaian Greek Grenadian Guatemalan Guinea-Bissauan Guinean Guyanese Haitian Herzegovinian Honduran Hungarian I-Kiribati Icelander Indian Indonesian Iranian Iraqi Irish Israeli Italian Ivorian Jamaican Japanese Jordanian Kazakhstani Kenyan Kittian and Nevisian Kuwaiti Kyrgyz Laotian Latvian Lebanese Liberian Libyan Liechtensteiner Lithuanian Luxembourger Macedonian Malagasy Malawian Malaysian Maldivan Malian Maltese Marshallese Mauritanian Mexican Moldovan Monacan Mongolian Moroccan Namibian Nauruan Nepalese New Zealander Nicaraguan Nigerian Nigerien North Korean Northern Irish Norwegian Omani Pakistani Palauan Panamanian Papua New Guinean Paraguayan Peruvian Polish Portuguese Qatari Romanian Russian Rwandan Saint Lucian Salvadoran Samoan San Marinese Sao Tomean Saudi Scottish Senegalese Seychellois Singaporean Slovakian Slovenian Solomon Islander Somali South African South Korean Spanish Sri Lankan Sudanese Surinamer Swazi Swedish Swiss Syrian Taiwanese Tajik Tanzanian Thai Togolese Tongan Tunisian Turkish Tuvaluan Ugandan Ukrainian Uruguayan Uzbekistani Venezuelan Vietnamese Welsh Yemenite Zambian Zimbabwean
Preferred Language *	Please select your preferred language English Chinese Bahasa Malaysia
Contact No. *	+   e.g: +601345678901
Email Address *

Name of School/Institution *
Town / City *
Current / Highest Education Level *	Current/ Highest education Form 3 Form 4 Form 5 Form 6 (Upper) Form 6 (Lower) SPM STPM SM 1 SM 2 SM 3 UEC O Levels A Levels AUSMAT Certificate Foundation Diploma Degree Matriculation Others

Area of Interest *

Please select your interest Cambridge A Levels Foundation Programmes American Degree Transfer Program (ADP) Accounting & Finance Business Law Communication Creative Arts Design Information Systems Culinary Arts Hospitality & Tourism Computer Science Game Development Software Engineering Engineering Mechatronics Engineering Philosophy in Engineering English Language CAT & ACCA Others

How did you come to know about KDU? *

Billboard Road Bunting Banner Friends / Relatives Newspaper Magazine Radio Advertisement Public Education Fair Open Day Roadshow Internet Search Engine Blog / Social Media Online Advertisement School Workshop / Event School Competition / Campus Tour School Exhibition

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