Student Application Register

Name (as in MyKad)

Please enter your full name as it appears on your MyKad.

MyKad No.

Format: 010203-14-1234

Please enter a valid MyKad number.

E-Mail Address

Please enter a valid email address.

Phone No.

Please enter a valid phone number.

Home Address

Please enter your home address.

Do you need a hostel?

YesNo

Please select Yes or No.

Parent/s Name

Please enter parent/s name.

Parent/s Occupation

Please enter parent/s occupation.

Parent/s Phone No.

Please enter a valid phone number.

Course Selection

Please select a course, or state your preferred course.

PDPA Consent

By submitting this form, you agree that the personal data provided may be collected, processed, and used by City University Malaysia / City Academy Sabah for admission purposes, communication, academic programmes, and administrative matters in accordance with the Personal Data Protection Act 2010 (Act 709).

Please complete all required fields and accept the PDPA consent before submitting.

Received

CUM-000000

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Your application has been recorded. Please keep your application number for reference. To continue, click here.

Staff access

Enter the staff access code to view and compile submitted applications.

Incorrect access code.