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Registration Form
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1
Category
*
This field is required.
Select your category
Student
Academic Staff
Admin Staff
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2
Name
*
This field is required.
Please fill your full name as per I/C or Passport.
e. g : Mr. Halim Bin Ahmad / Ms. Ebetty Fernandes Ebitigo / Ms. Nur Elina Binti Firdaus
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3
I/C / Passport No
*
This field is required.
Please fill your I/C / Passport No.
e. g : 1234580012345 / AB123456
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4
Email
*
This field is required.
Ensure your email is valid and activated. All submission details will thru by email
e.g : example@gmail.com / example@ktg.edu.my
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5
Phone Number
*
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Fill up your phone no.
e . g : 011123456789
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6
Faculty
*
This field is required.
Please select your faculty
Faculty of Business And Accounting (FOBA)
Faculty of Engineering And Technology (FOET)
Faculty of Built Environment (FOBE)
Academy of Applied and Visual Arts (AVVA)
School of Nursing (IASM)
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7
Institutions
*
This field is required.
Kindly refer institution logo at your student / staff ID No.
Linton University College (LUC)
Institut Teknologi Pertama (ITP)
JATI
IASM
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8
Student / Staff ID No
*
This field is required.
Please fill your student / staff ID No.
e. g : DNS5-03/018-00000 / ADV0000
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