Name (as per Identity Card/Passport)
IC No. / Passport No.
Please provide your mobile number if you have one. For international applicants, please provide the phone number inclusive of the country code, e.g., +673 3456 7890 (673 is the code for Brunei Darussalam).
Level of study:
Please choose your intended level of study from the choices provided.ChooseFoundation
Note: Programmes 1 to 4 are offered at Gombak Campus while the rest are conducted at Gambang Campus.
First choice:1. Foundation in Economics and Management Sciences2. Foundation in Human Sciences
Second choice:1. Foundation in Economics and Management Sciences2. Foundation in Human Sciences
Third choice:1. Foundation in Economics and Management Sciences2. Foundation in Human Sciences
Date of birth (Please write date in digit, month in word and year in digit, e.g.: 10 Jan 2000)
Place and country of birth
Country of residence
Applicant City (International Only)
Region/State/Province (International Only)
Ethnic Origin (Malaysian only)
MalayChineseIndianSikhSarawak BumiSabah BumiOther
If you have a disability, please state it.
Father's name (CAPITAL LETTER)
Mother's name (CAPITAL LETTER)
Guardian's name (if not living with parents)
Parent's or guardian's current occupation
Parent's or guardian's monthly income in either Malaysian currency (MYR) or US currency (USD)
Number of Dependent
Phone number of parent / guardian / next of kin
Correspondence address of parent / guardian
Please upload relevant documents to the form. If documents are in languages other than Malay and English, notarized translations are needed.
1. Your identity document:
(i) For Malaysians: NRIC (MyKad).
(ii) For International applicants: All pages of the passport.
1.A. Your father's birth certificate (REQUIRED for Malaysians. For non-Malaysians, please upload your father's ID, e.g., passport's biodata page).
1.B. Your mother's birth certificate (REQUIRED for Malaysians. For non-Malaysians, please upload your mother's ID, e.g., passport's biodata page).
2. Certificate of study (high school certificate/diploma).
3. Academic transcript (statement of results of the high school certificate/diploma).
4. TOEFL/IELTS statement of result (if any).
If you are non-Malaysian, please upload your parent's or guardian's bank statement covering the period of at least the last 3 months
Please click the relevant processing fee (This fee is non-refundable):Malaysian processing fee of RM100 for this application.NON-MALAYSIAN processing fee of USD25 for this application.
Please make payment of processing fee to IIUM Academy's account number: 1407 0000 010 710.
Beneficiary/Account name is IIUM CONTINUING EDUCATION CENTRE. Bank name and address: Bank Muamalat Malaysia Berhad, Azman Hashim Complex, International Islamic University Malaysia, 53300 Kuala Lumpur. SWIFT CODE: BMMBMYKL
Please upload proof of processing fee payment.
Did you decide to apply after getting information about IIUM ACADEMY's programmes from one of our representatives/registered agents or an introducer?[radio* radio-320 use_label_element default:1 "Yes" "No"]
If YES, please provide the name of the representative/agent/introducer.
How did you get to know about this programme?IIUM Academy's websiteIIUM Academy's InstagramIIUM Academy's FacebookSocial media / Online resourcesNewspaper AdvertisementPublic PreviewExhibition / Road tourWord of mouthUni Akademia
Declaration: I hereby attest that the documents and information provided by me are accurate and genuine and I acknowledge that IIUM ACADEMY shall have the right to rescind any offer made to me if the information or documents provided are inaccurate or not genuine.