Online Application 1

  A. PERSONAL PARTICULARS
(Please use BLOCK LETTERS)

Permanent Address
  B. LAST ACADEMIC QUALIFICATION


  C. ACCOMMODATION

Allocation of either a Double-Sharing or Single Room will be subject to availability and at the discretion of the College.

  D. DECLARATION
I confirm that, to the best of my knowledge, the information given in this form is correct and complete. I have read and understood, the terms and conditions. I will abide by the conditions set out, which I accept as conditions of the application. I agree, by signing this form, I am subject to the College's Privacy Notice. I consent the personal data collected herein by Kolej Laila Taib be processed in accordance with the Malaysian Personal Data Protection Act 2010, used for the purpose of administration and publicity and/or promotional exercise and other related legal documents.