Registration Form

Name*: Gender: MaleFemale    Age*:
NRIC no.*: Race*: Religion*:
Date of Birth*: Place of Birth*:
Tel/Mobile no.*: Email*:
Present Address*:
Area*: Postcode*: State*:

Father's Name*: Father's NRIC no.*:
Date of Birth*: Father's contact no.*:
Occupation*: Email*:
Address*:

Please give details of all your secondary and other post-secondary education. You must attach certified copies of your academic results.

Name of School 1*:
Qualification or Examination*: SPMUECO-LevelOthers | Others Qualification:
Years attended*: From To
Grades/Results*:

Company SponsorshipParent SponsorSelf Sponsor
Company Sponsorship Name:

I declare that to the best of my knowledge the information given in this application and the supporting documents are correct and complete. I acknowledge that the provision of any incorrect information or documentation or withholding of any information or documentation in relation to my application may result in cancellation of any offer or enrolment by Axismatics. I also understand that Axismatics reserves the absolute right to discontinue or alter any course, subject, fees, entry requirements, staffing or other arrangements without prior notice.