Personal Information

Fields marked with (*) denotes compulsory entry

Full Name (as in I.C./Passport)

Choose one... Male Female *

Date of Birth (dd/mm/yy)

Foreign Passport No. / Malaysian I.C. No.

Education Information

Please provide in chronological order institutions attended and qualifications attained. Begin with higher tertiary – e.g. B.A/B.Sc., Diploma, HSC, GCE “A” Level etc., STPM or SPM (High School)

Name of Institutions

Programme/Study

Academic Achievement/
Awards/CGPA

Year of Graduation

Attach Scanned Documents

Please ensure that you attach certified photocopies of certificates and transcripts. (Especially Bachelor’s Degree and Transcript). Documents in a language other than English should be translated and certified. If you do not have a scanned copy of you documents, please send them to the Management Centre by post.

State below the grade you received for the highest level of English language test that you have taken (TOEFL/IELTS/etc.)

Exam

Course Title

Grade Received

Year

Please note that you may be required to take an English proficiency test if deemed necessary by the MBA programme committee.

Career Information

Beginning with your current position, list the organizations you have worked for and positions held.

Name of Organization

Position Held

Year (from)

Year (to)

Describe your most recent (or current) position. (What are your duties/responsibilities? How many subordinates are you responsible for? What specific job targets/goals do you have to fulfill? etc.)

Programme Information

Select your intended area of concentration in the MBA Programme. Please see the programme brochure for details.

Applying for:

Full-Time

Part-Time

Choose one July November Year

Choose one March July November Year

Have you applied previously for this MBA programme? If so, state year of application and our reference number.

How did you get to know about the programme?.

NewsPaper
Magazine
Personal Recommendation
Website
Exhibition
Others: 

Essay

Please provide us with an essay of about two pages (maximum three pages, typed, double spaced) on:

1. Career goals/objectives

2. How does the MBA programme fit/enhance those objectives

(Note: Only .txt or .doc)

or paste here:

Financial Statement

Sponsors (For International Applicants Only)

How do you plan to finance your studies at the Management Centre , IIUM?

Self/family sponsored

Company sponsored:

Scholarship/Award:

Others:

Please attach relevant documents to support the above information given (e.g. a letter of verification from your sponsor’s bank, a letter from an employer, a scholarship award letter etc.) to this statement.

Please note the following:

• Malaysian Immigration Law requires foreign students to be enrolled as full-time students.

• International students are not permitted to work while in Malaysia . A work permit is not issued to a foreigner with a Student Visa/Pass.

The Management Centre , IIUM does not provide any financial assistance to foreign students

Acknowledgement

I hereby acknowledge that all the information provided above are true and have not been willfully distorted. Should any of these information be found to be untrue or misleading, IIUM reserves the right to take any action as it deems necessary ‑ including dismissal.

Name:

Date: