Admission Form

    1. Personal Information

    Malaysian StudentNon-Malaysian Student

    MaleFemale

    2. Permanent Address

    3. Parents's/Guardian's Details
    MrMsOthers(please specify)

    MalaysianNon-Malaysian(please specify)

    MrMsOthers(please specify)

    MalaysianNon-Malaysian(please specify)

    4. Academic Qualification

    5. Extra -Curricular Activity

    6. Special Circumstances

    Do you have any disability, impairment or long-term medical condtion
    which may affect your studies?

    YesNo

    If you do, please provide extra information so that Regent's College can
    assist you during your study here.

    7. Work Experience (Applicable to postgraduate applicant)

    8. Programme Preferred

    9. Declaration & Agreement by Applicant
    The college collects information about its various academic, administrative, health and safety reasons. The information is processed in accordance with the Malaysian Personal Data (PDP) Act 2010 and is disclosed to third parties only with the individual's consent or to meet statutory obligations. The information provided on this application will be stored electronically and used for administrative purposes only.
    10. Verification
    I allow Regent College Group to contact me (your details will not be given to any third party) I agree to Regent College Group's Terms & Conditions and Privacy Policy