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Revised 2012

CHECKLIST
Please tick (  ) in the appropriate boxes to indicate items that have been attached.
i. Processing fee of USD 25 or RM 75 (Remitted to IIUM Student Account)

ii. Four (4) copies of passport size photos iii. Certified copies of Degree Certificate(s) - Original Version AND English Version (Bachelor Degree - compulsory (for PhD and Master's application) AND Master Degree (for PhD's application))

iv. Certified copies of Transcripts - Original Version AND English Version

v. Certified copy of TOEFL/IELTS (Compulsory to all application for English language programme)

vi. Two (2) certified copies of passport valid at least two (2) years - for student's visa preparation

vii. Reports from two (2) academic referees

viii. Preliminary Research Proposal. Applicable to:

PROGRAMME a. PhD b. Master

MODE OF PROGRAMME All modes Research Only

ix. Financial Statement

x. Any other relevant documents/professional qualifications

Signature

Date

IMPORTANT NOTICE: The application form will not be processed if: a. It is not accompanied with processing fees

b. Incomplete documents as per stated in the checklist

PG
Please tick () where applicable A. SEMESTER INTAKE:

POSTGRADUATE APPLICATION FORM

Passport Size Photo 5.5x4.0cm 4 copies
(1 photo- paste here)

SEPTEMBER INTAKE: SEMESTER I , SESSION (20___/20___) FEBRUARY INTAKE: SEMESTER II, SESSION (20___/20___)

JUNE INTAKE: SEMESTER III, SESSION (20___/20___)

B.

TYPE OF PROGRAMME:
PhD MASTER POSTGRADUATE DIPLOMA

C.

STATUS OF ADMISSION:
Full-Time Part-Time (Malaysian Only)

D.

TYPE OF APPLICATION:
IIUM Alumnus (Please indicate your previous Matrics No:_________________________)
Agent Others Exhibition

E.

CODE OF PROGRAMME (Please check in the attachment):

First choice: Interested Field of Specialization:

Programme Structure:

Coursework

Coursework and Research

Research only

Professional Training and Research

Second choice: Interested Field of Specialization:

Programme Structure:

Coursework
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