SECTION 1: Programme Preference

SECTION 2: Student's Personal Details

SECTION 3: Emergency Contact

SECTION 4: Academic Qualification

SECTION 5: English Language Achievement
(Skip this step if you do not possess)

All students will be required to sit for the English Placement Test (EPT) of BERJAYA University College. If you do not meet the minimum requirement you will be required to register for the Intensive English Programme (IVEP).

SECTION 6: Employment History
(Skip this step if you do not possess)

SECTION 7: Financial Resources / Sponsorship
(Skip this step if you do not possess)

SECTION 8: Medical History

SECTION 9: Declaration

PLEASE READ CAREFULLY BELOW:

• I warrant that the information on this form, or provided in support of my application, is correct and complete.
• I acknowledge that the provisions of incorrect information or the act of withholding relevant information relating to my application, including academic transcript(s), might invalidate my application and that BERJAYA University College may withdraw an offer of a place or cancel my enrolment in consequence.
• I understand that conditional enrolment does not in any way or form constitutes registration into my intended programme of study, and that this enrolment will be reviewed upon submission of my SPM results.
• I further agree to abide by BERJAYA University College policies, rules and regulations at all times.
• I accept that BERJAYA University College reserves the right to revise the current fees without prior notice.
• I hereby agree to give consent to BERJAYA University College to release my academic reports/results and attendance reports to my parents/guardians/sponsors as and when necessary.
• I have also read and understood the Tuition Fees Refund Policy of BERJAYA University College as stated in the Fees Schedule.
• I undertake to ensure that all fees are paid by the specified due dates, and failing which I agree to pay any late payment and/or administrative charges incurred after the due dates.
• I understand that I may be barred from classes, examinations and the use of facilities if I fail to pay all fees.
• I hereby give permission to BERJAYA University College for the use of photographs, images and videos in publicity and promotional materials and to release relevant information to our Career Centre, Alumni, Collaborative Partners and any Government bodies or agencies as required.
  Dengan ini saya memberi kebenaran kepada Kolej Universiti BERJAYA untuk kegunaan gambar, imej dan video dalam publisiti dan bahan promosi dan untuk memberikan maklumat yang relevan kepada Pusat Kerjaya, Alumni, institusi yang bekerjasama dengan Kolej Universiti kami serta mana-mana badan kerajaan atau agensi-agensi seperti yang dikehendaki.
• By providing my personal data I consent to receiving information on courses, programmes and events that may benefit me.
  Dengan menyediakan data peribadi saya, saya bersetuju untuk menerima maklumat mengenai kursus-kursus, program dan acara yang boleh memberi manfaat kepada saya.