Registration Form

Full Registration Form – UNITAR International University

*Document Required to be upload : 1.Identification Card (IC) 2.Photo passport size 3.SPM/DIPLOMA/STPM/etc 4.Registration Receipt

1. Name : (as in NRI/Passport)

2. NRIC (Malaysian Identity Card No.)

3. Date of birthday

4. Nationality

5. Gender

Male

Female

6. Marital Status

Single

Married

7. Race

8. Religion

9. Postal Address

City

State/Province

Zip/Postal

10. Permanent Address

City

State/Province

Zip/Postal

11. Phone

12. Email

If you are human, leave this field blank.