GSU Online Registration Form

Name:		Male Female	Age:
Address:(O)
(R)
I/C No:	Passport:	D.O.B:
Tel: (O)	(R)	Fax:
H/P No:	Email:	Marital Status:

Program

	Bachelor		Major
	Master		Major
	Doctoral		Major
	Ph. D		Major

Send all correspondence to: Residence Office

Education Background

School/College/University	Attendance		Major	Graduated	Full/Part Time	Qualification Obtained

	From	To		(Yes / No)

Working Experience

Organization/Company's Name	Position/Title	Duration of Services

*All Application should be submitted with the following items:

Enrollment form
Supporting Certificates
Two Passport Size Photos
One Photocopy of I/C or passport

I declare that the information given above is true and correct and hereby authorise the University or its authorised Agent to obtain
official confirmation from the necessary sources as and when the need arises. I also declare that I shall unconditionally accept and strictly abide by any (current or future) rules and regulations of the University regarding the Program and the payment of fees.
I fully understand and am aware that whatever Program fees paid to the University or its authorized Agent will not be refundable
(proportionally or otherwise), irrespective of whether the Letter of Acceptance has been received by me or not, and / or whether
I have attended (partly or none at all) any organized workshop(s) or have yet to commence or complete the Program.