MSU International Student Online Application

Programme of Choice
*First Choice :   Intake :   Year :
*Second Choice :   Intake :   Year :
*Third Choice :   Intake :   Year :
Personal Details
*Full Name
(as per passport)
: *Surname/Family Name :
*Passport Number :   *Passport Expiry Date :
*Nationality/Citizenship : *Date of Birth :
*Gender : *Age (yrs) :  
Religion : *Marital Status :
Mobile Number : *Telephone Number :
*Email : Facebook URL :
*How did you first know about MSU? :      
*Postal Address : *Permanent Address :
*Postcode : *Postcode :
*City/Province/State :
*City/Province/State :
*Country : *Country :
Family Background
Guardian's Details
Full Name
Mailing Address
Home Tel Num.
Mobile Num.
Age (yrs)
Post / Position
Name of Employer
Address of Employer
Monthly Income

Name Of Siblings
(and others supported by parents)
Sex (M/F) Age (yrs) Current School / Institution Level Sponsorship
Contact Person During Emergency Situation
Name : Relationship With Applicant :
Address (in Malaysia) : House Tel Num. :
    Handphone Num. :
Postcode :      
*Please indicate how you are introduced to MSU :

Exhibition Agent
Recommendation Social Media :
University Website Print Media :
MSU Alumni Others :
Qualification Details
*School/Institution/College/Universities :
*Level : *Program of study
*Qualification/Result : *Month and Year of completion :
Employment Details
 Year Occupation Level Employer
Sponsor Particular
Particulars of the applicant's sponsor (person / organisation responsible for payment of all fees).
:   Passport Number :
Correspondence Address
:   Relationship :
:   Telephone :
Hostel Accomodation
* Do you want hostel accomodation ? : Yes No
Medical History
Please indicate if you have ever suffered from or experienced or received treatment for the following diseases and condition :
Bronchial Asthma Yes No Diabetes Mellitus Yes No Psychiatric Illness Yes No
Hypertension Yes No Heart Diseases Yes No HIV / AIDS Yes No
Hearing Problem Yes No Kidney Diseases Yes No Others
Please attached the following documents : All document must be in pdf format and name properly
*Passport Size Picture
(blue color background
- JPEG format)
*Passport Copy :        
*Ceritificate/Diploma/Degree :        
*Transcript result :  
Other documents:    
Other documents: