APPLICATION FORM – PART 1: PROGRAM SELECTION
Major / Concentration:
Micro-credentials allow candidates to meet their personalised learning needs by gaining knowledge and skills in areas that are
relevant to their professional goals. Students who complete a micro-credentials program may accumulate the credential units to
match the professional development program for the award of a bachelor’s degree in general/professional studies.
APPLICATION FORM – PART 2: PERSONAL PARTICULARS
5. Please insert your name as per NRIC/Passport
6. Please insert your NRIC number for Malaysian applicants /Passport number for International applicants:
7. Please insert your date of birth, place of birth and nationality :
9. Please insert your Contact details: (P.O. Box address is not accepted for International applicants)
APPLICATION FORM – PART 3: EMERGENCY CONTACT
10. Please insert your Emergency Contact details: (P.O. Box address is not accepted for International applicants)
FOR INTERNATIONAL APPLICANTS ONLY
Immigration Pass Expiry Date
APPLICATION FORM – PART 4: ACADEMIC QUALIFICATIONS
Name and Address of High School / Institution / College
Commencement Date:
Completion Date
Enter The Subject Name & Grades :
ENGLISH LANGUAGE PROFICIENCY
Type of English Test
Completion Date:
Grade / Mark:
APPLICATION FORM – PART 4A: ACADEMIC QUALIFICATIONS
Note: If you have more than one academic qualification, please insert your highest qualification first.
Name and Address of Institution / College / University
Commencement Date:
Completion Date:
Enter The Subject Name & Grades :
Note: If you have more than one academic qualification, please insert your highest qualification first.
Name and Address of Institution / College / University
Commencement Date:
Completion Date:
Enter The Subject Name & Grades :
APPLICATION FORM – PART 4B: PROFESSIONAL MEMBERSHIP QUALIFICATIONS
15. Please insert your Professional Membership Qualification:
APPLICATION FORM – PART 5: OTHER INFORMATION
Name of Sponsor
Address of Sponsor
Amount of Sponsorship
18. Do you have any medical condition that needs attention?
APPLICATION FORM – PART 6: DOCUMENTS TO BE ATTACHED
Hold Shift key to select multiple files
APPLICATION FORM – PART 6: DOCUMENTS TO BE ATTACHED
FOR STUDENTS FROM CHINA
APPLICATION FORM – STUDENT DECLARATION
In addition to the above declaration, I herewith confirm that I understand, agree, and further declare that I am fully aware of the following: The Graduates of this non-MQA program that I am applying from Genovasi Centre for Higher Learning, an establishment under the School of Continuing and Professional Education (SCOPE) of Genovasi University College, is not entitled for the Accreditation by the Chinese Service Centre for Scholarly Exchange and by related Malaysia Government authorities and agencies. I herewith confirm that I wish to undergo this non-MQA program with Genovasi Centre for Higher Learning on my own free will and herewith indemnify Genovasi Centre for Higher Learning and Genovasi University College, and will keep both the Centre and Genovasi University College indemnified on the matter of recognition of the degree awarded by Genovasi Centre for Higher Learning in association with Genovasi University College to me as a student who must complete and/or exempted based on my prior qualifications from the Centre online virtual learning platform and qualify for the assessment for the degree award. Should I fail to fulfil the above undertaking for whatever reason/s, Genovasi Centre for Higher Learning, an establishment under the School of Continuing and Professional Education (SCOPE) of Genovasi University College, reserves all rights and privileges to take any actions (including but not limited to legal actions) against me and claim compensation for any loss and damage to the reputation of Genovasi Centre of Higher Learning and/or the School of Continuing and Professional Education (SCOPE) of Genovasi University College, in view of my actions and non-compliances.
Send