Register Form

Detail to register KPTM 

Email Maklumat ke : midimohd@gmail.com

Note

* Must fill all information 

** Can't proceed your application without complete      information

Name :

IC No : NO SPACE    E.g 710101012121

Address :

Tel No : NO SPACE E.g 0191212121

Email :

Gender :

Status :

Nationality :

Detail of father 

Name : 

IC NO :                NO SPACE    E.g 710101012121

Phone No : 

Job : 

Salary :

Address include poskod 

Detail of mother 

Name : 

IC NO :                 NO SPACE    E.g 710101012121      

Phone No : 

Job : 

Salary : 

Address :

Education Detail 

Last school attend :             e.g. Sek. Men. Keb / College 

Year Of SPM :

Education Result :

SPM /STPM HOLDER
 (Please advice to give your detail) include subjects )

E.g. Biology - 2A 
BM
BI
MATH
ETC

Diploma Holder

(please advise to give your detail)

College :

Year Start :                       Year End :                  E.g Years start : 2010  Years End : 2014 

Cgpa :                                 e.g. c.g.p.a 3.3 / 4

Reason Left college :                 Finished study

5 Courses and Branches.

e.g. 1. Diploma in Human Resource (Kesedar Branch.)

1.

2.

3.

4.

5