Full Name:

Matrics Number:

IC Number/Passport Number:

Email Address:

Mobile Phone Number:

Diploma Requirements:

1. Total Credit Hours:

2. Aviation English 1 Result:

3. Aviation English 2 Result:

4. ICGPA Result:

Student Activities:
1. Participate in Aviator CampYesNo
2. Organize one student activity and received the certificate from the ManagementYesNo

Any Remarks you want to add:

I hereby declare that the information furnished above is true, complete and correct to the best of my knowledge and belief. I also realize that any deliberate dishonesty might result in my application being denied.