Online Application for September 2019 Intake (Foundation) - Malaysian ONLY

You are required to attach your documents as below.

1. Copy of Academic Certificate (SPM 2018 / SPM 2017 / SPM 2016 / IGCSE / O-Level or other equivalent qualification)
2. Proof of payment of Processing Fee - RM 50.00 (Internet Banking/Electronic Fund Transfer)

Bank Details
Payee : Universiti Teknologi PETRONAS
Bank Account number : 8004852703
Banker's name : CIMB Berhad

IMPORTANT:
- Application for Engineering, Petroleum Geoscience & Applied Sciences programmes, you are required to fill in minimum of six (6) subjects (Malay Language, English Language, Mathematics, Additional Mathematics, Chemistry & Physics) according to your academic result.

- Application for Computer Science, you are required to fill in minimum of six (6) subjects (Malay Language, English Language, Mathematics, Additional Mathematics & 2 others non-language subjects) according to your academic result.

- Application for Technology Programmes, you are required to fill in minimum of five (5) subjects (Malay Language, English Language, Mathematics & 2 others non-language subjects) according to your academic result.

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Application will be closed on 14th August 2019
Should you need further assistance, don't hesitate to Contact Us

Name *

Date of birth * eg. 1991-12-01

IC / Passport Number * e.g. 900711-01-6848

Phone Number * Applicant's h/p number e.g. - 0175555156

Your Email *

School *

Type of school * SMK MRSM SBP SMKA SMT PRIVATE SCHOOL

Gender * Male Female

Race * Malay Chinese Indian Others - Bumi Others - Non Bumi

Religion * Islam Christian Hindu Buddhist Others

Mailing Address * (current) House No.,Street,Housing Area (i.e. Taman)

Postal Code & City *

State * Perlis Kedah Pulau Pinang Perak Kelantan Pahang Terengganu Selangor WP Kuala Lumpur WP Putrajaya Negeri Sembilan Melaka Johor Sabah WP Labuan Sarawak

Parent / Guardian Phone Number * e.g. - 0175555156

Parent / Guardian Email Address *

Parent Household Income * B40 - (RM0 - RM4000) M40 - (RM4001 - RM8000) T20 - (RM8001 - and above) (Combination of parent's monthly income) e.g. RM 1,000.00

Programme - 1st Choice * Chemical Engineering Mechanical Engineering Electrical & Electronic Engineering Civil Engineering Petroleum Engineering Information Technology Information System Applied Chemistry Applied Physics Computer Engineering Computer Science Petroleum Geoscience Business Management Materials Engineering

Programme - 2nd Choice * Chemical Engineering Mechanical Engineering Electrical & Electronic Engineering Civil Engineering Petroleum Engineering Information Technology Information System Applied Chemistry Applied Physics Computer Engineering Computer Science Petroleum Geoscience Business Management Materials Engineering

Programme - 3rd Choice * Chemical Engineering Mechanical Engineering Electrical & Electronic Engineering Civil Engineering Petroleum Engineering Information Technology Information System Applied Chemistry Applied Physics Computer Engineering Computer Science Petroleum Geoscience Business Management Materials Engineering

Entry qualification *

IGCSE

O-Level

SPM

Malay (Grade) * A+ A A- B+ B C+ C Others

English (Grade) * A+ A A- B+ B C+ C Others

Mathematics (Grade) * A+ A A- B+ B C+ C Others

Additional Mathematics (Grade) * A+ A A- B+ B C+ C Others

Chemistry (Grade) * A+ A A- B+ B C+ C Others

Physics (Grade) * A+ A A- B+ B C+ C Others

Biology (Grade) * A+ A A- B+ B C+ C Others

Other Non-Language - Subject (Grade) * A+ A A- B+ B C+ C Others

Other Non-Language - Subject (Grade) * A+ A A- B+ B C+ C Others

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Proof of payment of Processing Fee - RM 50.00 Internet Banking/Electronic Fund Transfer (max filesize: 4MB)

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Copy of Academic Certificate SPM 2018 / SPM 2017 / SPM 2016 / IGCSE / O-Level or other equivalent qualification (max filesize: 4MB)

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Referral's name Optional - leave blank if not applicable

Referral's UTP Staff ID Optional - leave blank if not applicable

Referral’s Department Optional - leave blank if not applicable

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Challenge: 2+2 = ? This is to make sure that your are not a bot.

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I have read UTP's Privacy Notice and hereby acknowledge that the information provided in this Application Form is complete and true to the best of my knowledge. *

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Intake is CLOSED