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UNIVERSITI TUNKU ABDUL RAHMAN
Wholly owned by UTAR Education Foundation (Co. No. 578227 – M)
Choose 5 programmes you would like to study and list them in order of preference.
Note: UTAR reserves the right to offer the programme available or alternative programme within the relevant study discipline.
I. PERSONAL INFORMATION
6. Address: ____________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Postcode: ___________________________ State: ________________________________
7. Contact No: (H)______________________ (H/P): _______________________________
8. E-Mail: _____________________________________________________________________
_____________________________________________________________________
11. Do you suffer from any physical disability or illness? If so, please specify the nature of these
conditions. Otherwise, state “None”.
____________________________________________________________________________
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Universiti Tunku Abdul Rahman
Form Title: APPLICATION FORM
Form Number: FM-DACE-003 Rev No. : 1 Effective Date: 01/06/2016 Page No: 2 of 3
II.
II. PARTICULARS OF PARENT/GUARDIAN
III.
III. DECLARATION BY APPLICANT
I understand and agree to the University using and processing my personal data as contained in this
form. I have read, understood and agreed to the Personal Data Protection Statement of the
University (click to read PDP statement). You may access and UPDATE your personal data by
writing to us at admission@utar.edu.my
I declare that the information provided by me in connection with this application is true and correct.
I understand that Universiti Tunku Abdul Rahman reserves the right to withdraw the offer of
admission or ask me to leave the University at any time if such information is found to be false or
incorrect.
Remarks:
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Universiti Tunku Abdul Rahman
Form Title: APPLICATION FORM
Form Number: FM-DACE-003 Rev No. : 1 Effective Date: 01/06/2016 Page No: 3 of 3
Completed application form must be submitted together with the following documents:
• Self-addressed envelope measuring 7” X 10” affixed with RM1.00 stamp;
• Self-addressed envelope measuring 3.5” X 6” affixed with RM0.80 stamp;
Please indicate “UTAR JANUARY 2018 INTAKE” on the top left corner of the envelope
and send the application form to:
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PROGRAMME CODES
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PROGRAMME CODES
Lee Kong Chian Faculty of Engineering and Science (Sungai Long Campus)
Bachelor of Science (Hons) Applied Mathematics with Computing (UBAM)
Bachelor of Science (Hons) Actuarial Science (UBAS)
Bachelor of Science (Hons) Quantity Surveying (UBQS)
Bachelor of Engineering (Hons) Electrical and Electronic Engineering (UB3E)
Bachelor of Engineering (Hons) Mechanical Engineering (UBME)
Bachelor of Engineering (Hons) Materials and Manufacturing Engineering (UBMM)
Bachelor of Engineering (Hons) Civil Engineering (UBCI)
Bachelor of Engineering (Hons) Electronics (Computer Networking) (UBET)
Bachelor of Engineering (Hons) Electronic and Communications Engineering (UBEC)
Bachelor of Science (Hons) Physics (UBPH)
Bachelor of Engineering (Hons) Biomedical Engineering (UBBI)
Bachelor of Engineering (Hons) Chemical Engineering (UBCL)
Bachelor of Engineering (Hons) Mechatronics Engineering (UBMH)
Bachelor of Science (Hons) Financial Mathematics (UBFM)
Bachelor of Science (Hons) Software Engineering (UBSE)
Bachelor of Science (Hons) Architecture (UBAR)*