Student Admissions Form (Diploma Pengajian Islam)

Programme Choice*

Academic Year*

Type of Learning*

Mode of Study*

Reason for applying this program*

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SOURCE OF FUNDING

Please indicate Source of Funding*

Fee Paying

In-Service

Employment Status

Present Occupation

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Employment starting date

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Place of Work

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Employer's Name and Address

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Indicate the relevance of the programme(s) applied for to your current duties

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