Student Application
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ICAM Student Application
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SECTION 1 : PROGRAMME APPLIED
Please check your preferred choice of programme in the boxes provided:
Diploma Programme - Engineering & Technology
Diploma Programme - Business & Management
Degree Programme
Intake Session
SECTION 2 : PERSONAL INFORMATION
Gender
Marital Status
Age :
Race
Religion
For Malaysian Student only
For International Student only
Permanent Address
Correspondence Address (If different from Permanent Address)
Additional Information
Employer Information
SECTION 3 : PARENTS INFORMATION
Father / Guardian
Please check "Yes" below, if your Father is an employee of DRB-HICOM or its Group of Companies.
Father / Guardian's Employer Information
Mother / Guardian
Please check "Yes" below, if your Mother is an employee of DRB-HICOM or its Group of Companies.
Mother / Guardian's Employer Information
SECTION 4 : SPOUSE INFORMATION
Spouse Information
Please check "Yes" below, if your Spouse is an employee of DRB-HICOM or its Group of Companies.
Spouse's Employer Information
SECTION 5 : SIBLINGS INFORMATION
Sibling #1
SECTION 6 : EDUCATION INFORMATION
List of schools attended and qualifications
(all applicants should enclose the official transcript of their qualification ):
Entry #1
Academic Qualification (I) - 'O' Level / SPM or any other equivalent
'O' Level / SPM or any other equivalent results
SubjectsResult / Grade / Mark
Academic Qualification (II) - 'A' Level / STPM or any other equivalent
'A' Level / STPM or any other equivalent results
SubjectsResult / Grade / Mark
Academic Qualification (III) - Matriculation / Foundation Studies / Others
Matriculation / Foundation Studies / Others results
SubjectsResult / Grade / Mark
SECTION 7 : EXTRA-CURRICULAR ACTIVITIES (in school / institute)
Type of Sport(s)Level RepresentedYear
Type of Uniformed Body(ies)Level RepresentedYear
Type of Club / Society(ies)Level RepresentedYear
Type of Award(s) / Accolade(s) ReceivedLevel RepresentedYear
SECTION 8 : ADDITIONAL INFORMATION
Medical Disclosure
Do you have any disability, impairment or long term medical condition which may affect your studies?
If you do, please specify in the relevant boxes.
Criminal Record
Have you ever been convicted of a criminal offence?
SECTION 9 : REFEREES INFORMATION
Referee #1
Referee #2
SECTION 10 : VERIFICATION
I hereby declare that all information furnished above are accurate and true to the best of my belief and knowledge and that The International College of Automotive (ICAM) may terminate or withdraw this Application should any information is discovered to be inaccurate or untrue.

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