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Student Admissions Form (First Degree HECAS)​

1
Study
2
Personal
3
Next of Kin
4
Academic
5
ECA
6
Language
7
Experiences
8
Employment
9
Additional
10
Referees
11
Documents

First Degree Programme

Programme First Choice Selection *
Student Admission First Choice Program applied for
Student Academic Session *
Student Admission Academic Session
Programme Second Choice Selection *
Student Admission Second Choice Program applied for
Please Fill in all Required Fields.

Personal Information

Student Title *
Student Full Name *
Local Students - please use the name as it appears on your Identity Card.
International Students - please use the name as it appears on your Passport.
Student Marital Status
Student Gender
Student Identification Card Number *
International Students - Please use the Passport No.
Student Passport Number
Passport Place of Issue
Student Citizenship
Student Citizen Certificate Number
(if applicable)
Student Religion *
Student Religion
Student Passport Date of Expiry
Student Passport Date of Issue
Student Country of Birth
Student Date of Birth *

Contact Information

Student Mobile Number *
Student Home Number
Student Email Address

Address

Student Permanent Address *
Student Correspondence Address
Please Fill in all Required Fields.

Next Of Kin

Next of Kin Name
Next of Kin Mobile Number
Next of Kin Relationship
Next of Kin Email Address
Next of Kin Home Address
Next Of Kin Office Address
Next of Kin Office Number
Next of Kin Office Fax

Source of Funding

Source of Funding *
Status of Funding
Is source of funding confirmed? Provisional?
Funding Sponsor Name
Name of Individual/Organization funding the student
Funding Sponsor Address
Address of the Sponsor funding the student
Awarded Government of Brunei Darussalam Scholarship?
Have ever been awarded Government of Brunei Darussalam Scholarship either to study locally or overseas.
Previously Awarded Scholarships
Applied for Government of Brunei Darussalam Scholarship this year?
Have you also applied for government scholarship for overseas study this year?
Name of Program
Date of Scholarship Application
Name of Institution
Country of Institution
Attending any other Higher Education Institute?
Are you attending any academic programme at Institute of Higher Education at the moment?
Name of Programme
Year of Admission
Name of Institution
Registration Number

Academic Qualifications

Academic Qualifications
Include Academic Qualification Information (i.e. GCE O'Levels, GCE A'Levels, etc)

Extra Curricular Activities & Membership Associations

Sports & Game Activities

Sport u0026amp; Games

Arts, Cultural Activities & Community Service

Arts, Cultural u0026 Community

Membership of Associations & Professional Bodies

Membership u0026 Professional

Language Proficiency

Malay
Malay Language Proficiency
English
English Language Proficiency
Arabic
Arabic Language Proficiency
Other Languages

Other English Certification (if applicable / available)

English Certificates

Past Working Experience

This section is to be filled in by WORKING APPLICANT only.

Previous Working Experiences

Current Employment

Current Position
Current Employer Address
Current Employer Name
Indicate Relevance
Indicate the relevance of the programme(s) applied for to your current duties

General Information

Additional General Information
Have you ever been convicted in any court of Law? (Give details if applicable)

Referees

Referee

Document Upload

Passport Photo Upload
Maximum file size: 2 MB
Please upload a scanned copy of your Passport sized Photo.
Passport Data Page Upload
Maximum file size: 2 MB
Please upload a scanned copy of your Passport Details Page.
Identification Card Upload
Maximum file size: 2 MB
Please upload a scanned copy of your Identification Card.
Head of Department Confirmation Letter (for in-service applicant Only)
Maximum file size: 2 MB
Please upload the COMPLETE Head of Department Confirmation Form (if applicable).
Click here to download form.
English Certification
Please upload scanned copies of your English Certificates where available (i.e. TOEFL, IELTS etc.)
Academic Certificates
Please upload scanned copies of your Academic Qualification Certificates where available.

Application Declaration

I hereby certify that all the information provided by me is correct and true. I agree to inform Universiti Islam Sultan Sharif ‘Ali if there is any change while I am studying at Universiti Islam Sultan Sharif ‘Ali. I also certify that Universiti Islam Sultan Sharif ‘Ali reserves the right to vary or reverse any decision pertaining to my admission to Universiti Islam Sultan Sharif ‘Ali if the information given is incorrect and untrue.

UNISSA has the right to reject incomplete application forms, forged documents or applicants which are submitted after the deadline.
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