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Zhong Ma Student Application Form

APPLICANT / PARTICIPANT PERSONAL DETAILS

First Name

Last Name

Phone/Mobile

Wechat ID

Date of Birth

Age

Place of Birth

Race

Gender

Male

Female

Marital Status

Single

Married

Citizenship/Nationality

Religion

Passport Number

Passport Expired

Next of Kin

Contact Number

Family Members

Name

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Dependent Information

Dependent Contact Number

EDUCATION BACKGROUND

Graduation Institution

Programme Name	Level	CGPA

STUDY IN MALAYSIA

Type of Application

Bachelor

Master

PhD

Faculty / Institute

University Applied

Program Applied

1st Priority Program Name

2nd Priority Program Name

3rd Priority Program Name

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+604-997-6280

general Inquiries

PRESS & MEDIA

HOTLINE

OUR OFFICES

PERLIS, MALAYSIA
Tingkat 2, No 27 Jalan Kangar Jaya 5, Kangar Jaya 01000, Kangar Perlis.

SELANGOR, MALAYSIA
F-1-1 Tropical E Villa Jalan Jinma 5, Taman Jinma 43300 Seri Kembangan, Selangor.

BEIJING, CHINA
Beijing Wuzi University Chongde Building 508, No 1, Fuhe Street, Tongzhou District, Beijing.

CHONGQING, CHINA
41/F, Building 1, Daping Yingli International, Yuzhong District, Chongqing.

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