Application Form

Thank you for your interest in INSTEDT. The online application process is free, easy to complete and should only take a few minutes. Once you have successfully submitted your application you will receive a confirmation email from The Common Application. Our staff will contact you once your application has been processed.

Personal Details (Maklumat Peribadi)
Full Name (Nama Penuh)
IC No (No. IC)*(Ex: 800130015577)
Email Address (Alamat Email)*
Phone No. (No. Telefon)*
Mobile No. (No. Telefon Bimbit)*
Date of Birth (Tarikh Lahir)*(Ex: 11-11-1990 / Day-Month-Year)
Race (Bangsa)*
Religion (Agama)*
Gender (Jantina)*
Marital Status (Status Perkahwinan)*
Address Line 1 (Alamat)*
Address Line 2 (Alamat)*
Postcode (Poskod)*
City (Bandar)*
State (Negeri)*

SPM Results (Keputusan SPM)
Subject (Matapelajaran)
Result (Keputusan)
Other Subjects (Matapelajaran lain)
Sila senaraikan matapelajaran yang tidak terdapat di dalam pilihan di atas.
 
Result (Keputusan)

Course Selection (Pilihan Kursus)
First Choice
(Pilihan Pertama)
Second Choice
(Pilihan Ke Dua)
Third Choice
(Pilihan Ke Tiga)

I hereby declare that all the information given and statements made in this application are true and correct. I also understand that if at any stage, it is found that the information furnished by me in this application is incorrect or false, my application will be liable to be cancelled irrespective the result of my application.