1) Programme Applied

Programme Applied For

Note : Only 3 courses can be applied.

School of Business

Bachelor of Science (Business Administration) 2+2 in collaboration with California State Polytechnic University, Pomona, USA [KPT/JPS(KA4531)12/08]

Bachelor of Science (Business Administration) 4+0 in collaboration with California State University, Long Beach, USA [KPT/JPS(KA5549)01/10]

Diploma in Marketing [KPT/JPS(KA5673)03/08]

Diploma in Business Studies (KA6724)

Diploma in Accountancy (KA6730)

School of Life Science

Bachelor of Science (Biotechnology) 2+2 in collaboration with California State Polytechnic University, Pomona, USA [KPT/JPS(KA4532)12/08]

Diploma in Biotechnology (KA6804)

School of ICT & Multimedia

Bachelor of Science (Computer Science) 2+2 in collaboration with California State Polytechnic University, Pomona, USA [KPT/JPS(KA4786)03/09]

Diploma in Information Technology (KA6838)

School of Engineering

Bachelor of Science (Mechanical Engineering) 2+2 in collaboration with California State Polytechnic University, Pomona, USA [KPT/JPS(KA4785)12/09]

Diploma in Computer Numerical COntrol KPT/JPS(KA6388)11/08

Diploma in Electrical & Electronics Engineering (KA6772)

School of Languages & Communication

Diploma in Corporate Communication [KPT/JPS(KA5672)03/08]

 

 

2) Personal Particulars

Personal Particulars

*Full Name as in IC

:

*IC No

:

Date of Birth

:

Gender

:

Marital Status

:

Citizenship

:

Religion

:

*Email

:

If physically handicapped, please state the nature of handicap

:

*Correspondence address

:

State/Province

:

Country

:

*Contact No.

:

If you are a student/former student of TPM Academy, please fill the following

Programme

:

Student No.

:

Date Admission

:

Parent Particulars

*Name of Parent

:

*Occupation

:

*Home Address

:

State/Province

:

Country

:

Phone

:

Fax

:

Contact/Sponsor Particulars

Name of contact or sponsor

:

Address

:

State/Province

:

Country

:

Phone

:

Fax

:

 

 

3) Academic Achievement

Academic Achivement

*Highest Academic Qualification

:

*Name of Institution Attend

:

Month and year exam was taken

:

No

Subject

Grades

1

2

3

4

5

No

Subject

Grades

6

7

8

9

10

Additional of Institution Attended

:

Month and year exam was taken

:

No

Subject

Grades

1

2

3

4

5

No

Subject

Grades

6

7

8

9

10

English Language Achievement

TOEFL

:

Score

Date

IELTS

:

Score

Date

Others

:

Score

Date

Name of Institution Attended

:

Extra Curricular Activities

No

Position

Games/Societies/Event

Year

1

2

3

Accomodation

Student are encouraged to stay in TPM Academy's hostel at least for the first year. However, placement are based on first come first serve basis. Tick the box if you are applying for exemption.

I DO NOT WISH TO STAY IN TPM ACADEMY'S HOSTEL

Reason

:

In case of emergency, we should contact:

Name of person

:

Relationship

:

Home address

:

State/Province

:

Country

:

Tel No.

:

Handphone

: