Contact – RAFFLES UNIVERSITY

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Full Name

IC Number

Age

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Email Address

Home Address

City

Postcode

State

Country

Phone Number (Personal)

Phone Number (Office)

Level of Intended Studies

Programme T4-Diploma

Programme T6-Bachelor's Degree

Programme T7-Master's Degree

Date Registered with MQA

Employment Information

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Household Income Category

Resume

Qualifications (E.g - Diploma / STPM / etc)

Health Declaration

I declare that I am in optimal health and fully capable of participating in all standard academic and assessment procedures.

G-05, Medini 7, Jalan Medini Sentral 5,
Bandar Medini Iskandar Malaysia,
Iskandar Puteri, 79250 Johor Bahru, Johor

07-535 2515
apelcentre@raffles-university.edu.my