UNIVERSITI KUALA LUMPUR

CAMPUS : MALAYSIAN INSTITUTE OF AVIATION TECHNOLOGY

STUDENT RESIDENTIAL COLLEGE APPLICATION FORM

A. INSTRUCTION

1. All information must be provided and written in capital letters.

2. Incomplete form will not be accepted.

3. Ensure the application is done through online form as per

"IN-CAMPUS RESIDENTIAL APPLICATION FOR NEW SEMESTER (JANUARY 2015)" memo 4. Online form is available at this link - http://goo.gl/forms/hY4c2LrwAf

B. CURRENT RESIDENTIAL COLLEGE (IN CAMPUS / OFF CAMPUS CANDIDATE)

IN CAMPUS CANDIDATE OFF CAMPUS CANDIDATE

BLOCK NAME ROOM NO.

CURRENT RENTAL ADDRESS

C. CURRENT ACADEMIC DETAILS

Please use previous semester details for CGPA and CPA

PROGRAM / COURSE

PROGRAM CODE

SEMESTER CGPA GPA

D. STUDENT DETAILS

NAME

GENDER (Please Tick)

MEN

IC NO. / PASSPORT

LADIES

E-MAIL HP NO.

E. DETAILS OF ACTIVITY INVOLVED

Please provide separate list if total activities are more than 5

NO. TYPE OF ACTIVITY POSITION LEVEL OF PARTICIPATION

1

2

3

4

5

F. FELLOW RECOMMENDATION

For office use only

AGREE REMARKS

NOT AGREE

G. STUDENT CONFESSION

I sincerely declare and affirm that this is my name and handwriting and that the contents are true and correct in every particular. I will be held liable to any contradictory information given.

H. FOR SDCL OFFICE USE

For office use only

RECEIVED BY: APPROVED BY:

UNIVERSITI KUALA LUMPUR

Malaysian Institute of Aviation Technology

IN-CAMPUS APPLICATION

SELECTION CRITERIA CALCULATION SLIP

Name : ID : Course :

Percentage Criteria Details Calculation SCORE

40% Merit points Strictly University event only

Total merit for Semester Jul Dec 2014 is 150. If you scored 110, hence your point will be; 110/150 x 40%

30% CGPA Previous semester IF applicant scored 3.50 hence, the CGPA in percentage is; 3.50/4.00 x 30%

30% Family financial background

Parents / Guardian income

< 3k = 30%

RM3k - RM5k = 15%

RM5k - RM10k = 10%

> RM10k = 5%

Unknown = 0%

TOTAL SCORE