Application Form Please fill in all required field(s)*. Save after filling up each section. Applicant Detail NRIC/Passport Number * Name * Birth Of Date * Mobile Number * Home Number Nationality Status * Please Select ... MALAYSIAN NOT MALAYSIAN Nationality * Please Select ... AFGHANISTAN ALBANIA ALGERIA ANDORRA ANGOLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA AUSTRALIA AUSTRIA BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA BOTSWANA BRAZIL BRUNEI BULGARIA BURKINA BURUNDI CAMBODIA CANADA CAMEROON CAPE VERDE CENTRAL AFRICA CHAD CHILE CHINA COLOMBIA COMOROS CONGO COSTA RICA CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI ECUADOR EGYPT EL SALVADOR ENGLAND EQUATORIAL GUINEA ESTONIA ETHIOPIA FIJI FINLAND FRANCE GABON GAMBIA GERMANY GHANA GREECE GRENADA GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HONG KONG HUNGARY INDIA INDONESIA IRAN IRAQ ISRAEL ITALY IVORY COAST ICELAND REPUBLIC OF IRELAND JAMAICA JAPAN JORDAN KAZAKSTHAN KENYA KIRIBATI KUWAIT LAOS LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LUXEMBOURG LATVIA LITHUANIA MALAYSIA MALAWI MADAGASCAR MALDIVES MALI MALTA MAURITIUS MEXICO MONACO MONGOLIA MOROCCO MOZAMBIQUE MYANMAR MACEDONIA MOLDOVA NAURU NEPAL NETHERLANDS NEW ZEALAND NICARAGUA NIGERIA NORTH KOREA NORWAY NAMIBIA OMAN PAKISTAN PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES POLAND PORTUGAL QATAR ROMANIA RWANDA RUSSIA SAUDI ARABIA SINGAPORE SALVADOR SAINT KITTS-NEVIS SAINT LUCIA SAINT VINCENT SAN MARINO SAO TOME AND PRINCIPE SENEGAL SEYCHELLES SIERRA LEONE SOLOMON ISLANDS SOUTH KOREA SPAIN SRI LANKA SWEDEN SWITZERLAND SOMALIA SOUTH AFRICA SUDAN SURINAM SWAZILAND SYRIA SERBIA & MONTENEGRO SLOVAKIA SLOVENIA TAIWAN TANZANIA THAILAND TIBET TOGO TONGA TRINIDAD TUNISIA TURKEY TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES OF AMERICA URUGUAY UZBEKISTAN VANUATU VATICAN CITY VENEZUELA VIETNAM VIRGIN ISLANDS WESTERN SAMOA ZAIRE ZAMBIA ZIMBABWE LAIN-LAIN YEMEN PALESTIN GREENLAND E-Mail * Mailing Address * Please Select ... JOHOR KEDAH KELANTAN MELAKA NEGERI SEMBILAN PAHANG PULAU PINANG PERAK PERLIS SELANGOR TERENGGANU SABAH SARAWAK W.P.(KL) W.P.(LABUAN) PUTRAJAYA LAIN-LAIN INDONESIA KEMBOJA SINGAPURA THAILAND LUAR NEGARA/OVERSEAS CHINA INDIA IRAN GREENLAND VIETNAM Programme Detail Campus Please Select ... Gong Badak Campus Tembila Campus Medicine Campus Mode Of Study * Please Select ... CourseworkResearch Mix-Mode Mode Of Registration * Please Select ... Part TimeFull Time Programme Of Study * Please Select ... Highest Tertiary Education * Please Select ... Diploma Bachelor / Equivalent Master Degree / Equivalent Awarding University (Bachelor / equivalent) * Awarding Country * Please Select ... AFGHANISTAN ALBANIA ALGERIA ANDORRA ANGOLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA AUSTRALIA AUSTRIA BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA BOTSWANA BRAZIL BRUNEI BULGARIA BURKINA BURUNDI CAMBODIA CANADA CAMEROON CAPE VERDE CENTRAL AFRICA CHAD CHILE CHINA COLOMBIA COMOROS CONGO COSTA RICA CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI ECUADOR EGYPT EL SALVADOR ENGLAND EQUATORIAL GUINEA ESTONIA ETHIOPIA FIJI FINLAND FRANCE GABON GAMBIA GERMANY GHANA GREECE GRENADA GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HONG KONG HUNGARY INDIA INDONESIA IRAN IRAQ ISRAEL ITALY IVORY COAST ICELAND REPUBLIC OF IRELAND JAMAICA JAPAN JORDAN KAZAKSTHAN KENYA KIRIBATI KUWAIT LAOS LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LUXEMBOURG LATVIA LITHUANIA MALAYSIA MALAWI MADAGASCAR MALDIVES MALI MALTA MAURITIUS MEXICO MONACO MONGOLIA MOROCCO MOZAMBIQUE MYANMAR MACEDONIA MOLDOVA NAURU NEPAL NETHERLANDS NEW ZEALAND NICARAGUA NIGERIA NORTH KOREA NORWAY NAMIBIA OMAN PAKISTAN PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES POLAND PORTUGAL QATAR ROMANIA RWANDA RUSSIA SAUDI ARABIA SINGAPORE SALVADOR SAINT KITTS-NEVIS SAINT LUCIA SAINT VINCENT SAN MARINO SAO TOME AND PRINCIPE SENEGAL SEYCHELLES SIERRA LEONE SOLOMON ISLANDS SOUTH KOREA SPAIN SRI LANKA SWEDEN SWITZERLAND SOMALIA SOUTH AFRICA SUDAN SURINAM SWAZILAND SYRIA SERBIA & MONTENEGRO SLOVAKIA SLOVENIA TAIWAN TANZANIA THAILAND TIBET TOGO TONGA TRINIDAD TUNISIA TURKEY TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES OF AMERICA URUGUAY UZBEKISTAN VANUATU VATICAN CITY VENEZUELA VIETNAM VIRGIN ISLANDS WESTERN SAMOA ZAIRE ZAMBIA ZIMBABWE LAIN-LAIN YEMEN PALESTIN GREENLAND Class/CGPA * Awarding University (Master / equivalent) Awarding Country Please Select ... AFGHANISTAN ALBANIA ALGERIA ANDORRA ANGOLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA AUSTRALIA AUSTRIA BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA BOTSWANA BRAZIL BRUNEI BULGARIA BURKINA BURUNDI CAMBODIA CANADA CAMEROON CAPE VERDE CENTRAL AFRICA CHAD CHILE CHINA COLOMBIA COMOROS CONGO COSTA RICA CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI ECUADOR EGYPT EL SALVADOR ENGLAND EQUATORIAL GUINEA ESTONIA ETHIOPIA FIJI FINLAND FRANCE GABON GAMBIA GERMANY GHANA GREECE GRENADA GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HONG KONG HUNGARY INDIA INDONESIA IRAN IRAQ ISRAEL ITALY IVORY COAST ICELAND REPUBLIC OF IRELAND JAMAICA JAPAN JORDAN KAZAKSTHAN KENYA KIRIBATI KUWAIT LAOS LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LUXEMBOURG LATVIA LITHUANIA MALAYSIA MALAWI MADAGASCAR MALDIVES MALI MALTA MAURITIUS MEXICO MONACO MONGOLIA MOROCCO MOZAMBIQUE MYANMAR MACEDONIA MOLDOVA NAURU NEPAL NETHERLANDS NEW ZEALAND NICARAGUA NIGERIA NORTH KOREA NORWAY NAMIBIA OMAN PAKISTAN PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES POLAND PORTUGAL QATAR ROMANIA RWANDA RUSSIA SAUDI ARABIA SINGAPORE SALVADOR SAINT KITTS-NEVIS SAINT LUCIA SAINT VINCENT SAN MARINO SAO TOME AND PRINCIPE SENEGAL SEYCHELLES SIERRA LEONE SOLOMON ISLANDS SOUTH KOREA SPAIN SRI LANKA SWEDEN SWITZERLAND SOMALIA SOUTH AFRICA SUDAN SURINAM SWAZILAND SYRIA SERBIA & MONTENEGRO SLOVAKIA SLOVENIA TAIWAN TANZANIA THAILAND TIBET TOGO TONGA TRINIDAD TUNISIA TURKEY TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES OF AMERICA URUGUAY UZBEKISTAN VANUATU VATICAN CITY VENEZUELA VIETNAM VIRGIN ISLANDS WESTERN SAMOA ZAIRE ZAMBIA ZIMBABWE LAIN-LAIN YEMEN PALESTIN GREENLAND Class/CGPA Documents Please make sure all your supporting documents sign by (*) are attached as listed below. Otherwise the online application will not be proccesed. DOCUMENTS UPLOADREMARK RECENT PHOTO * required File Type : Jpg File Size : Max 3Mb Please attach your current photo NRIC/PASSPORT * required File Type : PDF/Docx/Doc/Jpg File Size : Max 3Mb Please attach your current NRIC/Passport ACADEMIC CERTIFICATES/ SENATE LETTER/ COMPLETION LETTER OF PROGRAMME * required File Type : PDF/Docx/Doc/Jpg File Size : Max 3Mb Please attach your certified undergraduate/ Master degree certificate and provide with full detailed copies of your academic transcripts. RESEARCH PROPOSAL * required File Type : PDF/Docx/Doc/Jpg File Size : Max 3Mb Please attach your research proposal for research programme structure and letter of experience for coursework programme structure. LETTER OF WORKING EXPERIENCE File Type : PDF/Docx/Doc/Jpg File Size : Max 3Mb Please attach your letter of experience. PROCESSING FEE RECEIPT * required File Type : PDF/Docx/Doc/Jpg File Size : Max 3Mb Please attach your fee receipt.Processing Fee Payment: Local student: RM 25.00 International Student: USD 25/ RM60.00 Method of payment: Local Student: Beneficiary Bank: Bank Islam Malaysia Berhad (BIMB) Beneficiary Account No: 130 170 100 82394 Beneficiary Name: TETUAN UNIVERSITI SULTAN ZAINAL ABIDIN International Student: Beneficiary Bank: RHB Bank Berhad Beneficiary Account No: 2-63015-0002402-0 Beneficiary Name: BENDAHARI UNIVERSITI SULTAN ZAINAL ABIDINSwift Code: RHBBMYKL ENGLISH LANGUAGE QUALIFICATION * required File Type : PDF/Docx/Doc/Jpg File Size : Max 3Mb Please attach your certify english language qualification (TOEFL/IELTS/MUET) certificate. EVIDENCE OF FINANCIAL SUPPORT/ GUARANTEE File Type : PDF/Docx/Doc/Jpg File Size : Max 3Mb Please attach your evidence of Financial Support/ Guarantee. International Student Only
