Academy Registration Form

Regional Selection *

SECTION 1 - Personal Details

Gender *

Full Name as NRIC/Passport *

First

Last

Mobile/Whatsapp No *

NRIC/Passport No. *

Email Address *

Date of Birth *

Nationality *

SECTION 2 - Permanent Address

Permanent Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

SECTION 3 - Last Academic Qualification

Last Academic Qualification *

Academy/College/University *

High School Name *

Others *

Student ID/Metric Number *

SECTION 4 - Immigration Pass Information

Are You Holding Any Type of Malaysian Immigration Pass Now? *

If Yes, Please Specify Type of Pass *

Immigration Pass Expiry Date *

Applicable To Students / Former Students From Other Institutions In Malaysia Only *

Please Advise As To Which Institution, Course, Year And Duration

Applicable To Students Who Need Single Entry VISA (SEV) *

Please Advise As To Which Malaysia Consulate / Embassy You Wish To Obtain Your SEV To Malaysia

SECTION 5 - Health Information

Do You Have Any Medical Condition That Need Attention? *

If Yes, Please Provide Details *

SECTION 6 - Funding

Funding Type *

SECTION 7 - Programme Applied For

Programme Level *

Others (Please Specify) *

Course *

Others (Please Specify) *

SECTION 8 - File Uploads

File Upload *

Click or drag files to this area to upload. You can upload up to 15 files.

One (1) Copy of Passport-Sized Photo, One (1) Copy of Passport (The Entire Booklet With At Least 18 Months Validity), Two (2) Certified True Copies of All Academic Qualifications (If Applicable), Two (2) Certified True Copies of English Language Proficiency (If Applicable), Pre Arrival Examination Report, Medical Examination Report, COVID-19 RTK Test Report, One (1) Copy of MySejahtera Vaccination PDF or Yellow Vaccination Card, Release Letter / Visa Cancelation, Other Supporting Documents (Where Necessary) and Accommodation Form.

SECTION 9 - Declaration by Parent / Guardian / Sponsor

Relationship *

Full Name of Parent / Guardian / Sponsor as NRIC/Passport *

First

Last

NRIC/Passport No. *

Mobile/Whatsapp No *

Email Address *

SECTION 10 - Declaration and Agreement By Applicant

I Declare That The Information Provided By Me In This Application Form Is True And Correct

I Acknowledge and Agree:-

(a) That JSC Studio Academy reserves right to vary or reserve any decision regarding admission or enrollment made on the basis of incorrect or incomplete information given by me.

(b) To abide by all academic, administrative and examination rules and regulations of the programme and to uphold the integrity and good name of JSC Studio Academy at all time.

(c) JSC Studio Academy shall have absolute right as it deem fit to defer, close or not to commence any module or programme and to review, change and update subject curriculum in any programme. (d) To abide by the JSC Studio Academy Code of Honour, as outlined in the General Rules and Regulation in the relevant JSC Studio Academy Student Handbook.

(e) The personal data you have provided in this form will be used by or on behalf of JSC Studio Academy to send you further details including events, academic programme and additionally will be shared to JSC Studio Academy Appointed Third Party Agents.

(h) By signing this form, you confirm that you have read, understood the contents and voluntarily completed this form.