4/1/2017 OnlineAdmissionApplicationForm

Qualification:UEC Ref.
No

(ForOfficeuseOnly)

OnlineSubmissionRef.No : WB1705001323

Date : 01April2017

To : DivisionofAdmissionsandCreditEvaluation
UniversitiTunkuAbdulRahman

JalanSungaiLong
BandarSungaiLong
Cheras,43000Kajang,SelangorDarulEhsan
OR
JalanUniversiti,BandarBarat,
31900Kampar
PerakDarulRidzuan

DearSir/Madam,

APPLICATIONFORADMISSIONTOTHEBACHELOR'SHONOURSDEGREE
PROGRAMMES

I,LIMWENXUANI/CNo:980212565158wouldliketoapplyforadmissionintothefollowingBachelor'sHonoursDegree
ProgrammesattheUniversitiTunkuAbdulRahman:

1stchoice : BACHELOROFARTS(HONS)DIGITALANIMATION

Enclosedarethefollowingdocumentsmarked(X)asrequested

(AlldocumentsmustbecertifiedbySchoolPrincipal/JusticeofPeace/StateAssemblyman/Memberof
Parliament)

Certifiedtruecopyofactual/forecastSPM/Otherequivalentresults

Certifiedtruecopyofactual/forecastSTPM/ALevels/SAM/CPU/UEC/Otherequivalentresults

CertifiedtruecopyofSchoolLeavingCertificate

CertifiedtruecopyofBirthCertificate

CertifiedtruecopyofIdentityCard

CertifiedtruecopyofMUET(compulsoryforSTPMholders)

AnonrefundableprocessingfeeofRM60.00inmoneyorder/postalorder/bankdraftmadepayableto
UniversitiTunkuAbdulRahman.(Pleasenotethatpersonalcheque/cashisNOTaccepted)

Selfaddressedenvelopemeasuring7X10affixedwithRM1.00stampand

Selfaddressedenvelopemeasuring3.5X6affixedwithRM0.80stamp.

Submissionof3portfoliosofbuildingonA3sizedpaper(297mmx420mm)ONLYforBachelorof
Science(Hons)Architecture.Submit3piecesofA3sizedrawingsinhardcopies,inany
medium(pencil,watercolour,etc)togetherwiththeapplicationdocumentsThesubmission
toincludeaCDoranydigitalmediaconsistingof810minutesvideorecordingoftheapplicant
inthestageofdrawingoneofthethreedrawingsthevideoshouldcapturethefaceofthe
applicantduringthedrawingswithcloseupshotsofthedrawing.Inthevideo,theapplicant
shouldexplainbrieflytheidea/meaningofthedrawingandwhyhe/shechoosesarchitecture.
Thepanelsreservetherighttocalltheapplicantforaninterviewshouldtherebeanyquery.

Ifyouareusingotherequivalentqualification(s),forexample,DiplomaorAdvancedDiplomafroma

College/Institution/Polytechnic,youarealsorequiredtosubmittogetherwiththeapplicationform:

CertifiedtruecopyofCertificateofAwards

Officialacademictranscripts
http://portal.utar.edu.my/admission_online/appformBPrint.jsp 1/5
4/1/2017 OnlineAdmissionApplicationForm

Coursestructureandsyllabi

OfficialletterfromPrivateCollege/InstitutionofHigherLearningontheStandardMinimum/Accreditation
fromtheMalaysianQualificationsAgency(MQA)and

AllrelevantinformationandmaterialsrelatedtoyourpreviousstudiesfromSPMonwards.

Yourssincerely,

.........................................

(LIMWENXUAN)

Ideclarethattheaboveinformationprovidedbymeinconnectionwiththisapplicationistrueandcorrect.Iunderstandthat
UniversitiTunkuAbdulRahmanreservestherighttowithdrawtheofferofadmissionoraskmetoleavetheUniversityatany
timeifsuchinformationisfoundtobefalseorincorrect.

LIMWENXUAN __________________________ __________________________

NameofApplicant SignatureofApplicant Date

http://portal.utar.edu.my/admission_online/appformBPrint.jsp 2/5
4/1/2017 OnlineAdmissionApplicationForm

UNIVERSITITUNKUABDUL
RAHMAN
WhollyownedbyUTAREducationFoundation(CompanyNo.578227M)

ApplicationFormMay2017Intake
(BachelorHonoursDegreeProgrammes)

OnlineSubmissionRef.No:
SectionA:Tobecompletedbyapplicant
WB1705001323

I.PERSONALINFORMATION

Name(asinNRIC): LIMWENXUAN
I.C.No.
980212565158 Nationality: MALAYSIAN
(MalaysiaIdentityCardNo.):

DateofBirth: 12/02/1998 Gender: Female

Address: NO22JALAN17/2A
TAMANWILAYAHSELAYANG

WILAYAHPERSEKUTUAN,KUALA
PostalCode: 68100 State:
LUMPUR
ContactNo:(H) 0361270709 (H/P): 01112258098
EMail: xuanly_98@hotmail.com
Race: Chinese
Religion: Buddhism
Disability/Handicap NoDisability/Handicap

II.COURSEAPPLICATIONDETAILS

Youcanselectuptoamaximumof5choices.

1stChoice: BACHELOROFARTS(HONS)DIGITALANIMATION(SungaiLongCampus)
2ndChoice:
3rdChoice:

4thChoice:

5thChoice:

III.ACADEMICQUALIFICATION

LastSchool/InstitutionAttended
Nameof
CONFUCIANPRIVATESEC.SCH.
School/Institution:

Locationof
LORONGHANGJEBAT,50150KL
School/Institution:

Qualification

Actualresults UEC

http://portal.utar.edu.my/admission_online/appformBPrint.jsp 3/5
4/1/2017 OnlineAdmissionApplicationForm

No. Subjects Grade

1 BAHASAMALAYSIA 5
2 ENGLISHLANGUAGE 6
3 CHINESELANGUAGE 4
4 ART 1
5 HISTORY 1
6 GEOGRAPHY 3
7 MATHEMATICS 7

OtherQualification:

NameofInstitution:
LevelofStudy:

NameofAward:
CGPA: 0.0000 OR Grade:

YearofCompletion:

EnglishLanguageProficiency:(Pleasefillinyourgrade)

ENGLISH1119/O
IELTS TOEFL MUET
LEVEL

Others UECENGLISHLANGUAGEGRADEB

IV.COCURRICULARACTIVITIES

Sports:

Uniform:

Club/ GEOGRAPHY/HISTORYSOCIETY
Societies: COMMITTEEMEMBER
SCHOOLREPRESENTATIVELEVEL

Extras:

V.PARTICULARSOFPARENT/GUARDIAN

Nameof
LIMAIKSIN
Parent/Guardian:
Addressof
NO22,JALAN17/2ATAMANWILAYAH
Parent/Guardian:

SELAYANG68100KUALALUMPUR

Relationship: FATHER

Occupation: LORRYDRIVER
(Office)
ContactNo:(Home) 0361270709 0122599734
:

VI.DECLARATIONBYAPPLICANT

Ideclarethattheaboveinformationprovidedbymeinconnectionwiththisapplicationistrueandcorrect.Iunderstandthat
UniversitiTunkuAbdulRahmanreservestherighttowithdrawtheofferofadmissionoraskmetoleavetheUniversityatany
timeifsuchinformationisfoundtobefalseorincorrect.

LIMWENXUAN __________________________ __________________________

NameofApplicant SignatureofApplicant Date

http://portal.utar.edu.my/admission_online/appformBPrint.jsp 4/5
4/1/2017 OnlineAdmissionApplicationForm

SectionB:ForOfficeUse

DateReceived: CompleteandProcessed: Incomplete:

ProcessingfeeofRM60.00
CertifiedtruecopyofSPM/STPM/ALevels/SAM/CPUresults
CertifiedtruecopyofSchoolLeavingCertificate
BirthCertificate/IdentityCard
Others____________________

NameofStaffincharge:Date:


Remarks:

AcknowledgementSlip
(Pleasesubmitthissliptogetherwiththecompletedapplicationform)

*Name:___________________________________________________________________________

*Address:_________________________________________________________________________

_________________________________________________________________________________

RE:APPLICATIONFORADMISSIONTOUNIVERSITITUNKUABDULRAHMAN
MAY2017INTAKE
YourapplicationforadmissiontoUniversitiTunkuAbdulRahmanhasbeenreceivedon
_____________________________.

Pleasebeinformedthat:

Youhavecompletedtheapplicationformandsubmittedallcertifiedtruecopiesoftheresultsanddocumentsas
required.

Kindlynotethefollowing:

Youhavenotcompletedfullytheapplicationform.Pleasecallusat0390860288(SungaiLongCampus)or

054688888(KamparCampus)oremailusatadmission@utar.edu.myforfurtherclarification.

YouhavenotsubmittedapplicationfeeofRM60.00madepayabletoUniversitiTunkuAbdulRahmanin

postalorder/moneyorder/bankdraft.

Youhavenotattachedcertifiedtruecopyofyouractual/forecast/trialSPM/SPMV/STPM/ALevel/SAM/

CPU/UEC/MUET/otherexaminationresults.

YouhavenotattachedcertifiedtruecopyofyourDiplomacertificate/transcript/syllabus/coursestructure/

completeDiplomaresults(KTAR)/others.

YouhavenotattachedcertifiedtruecopyofyourIC/birthcertificate/schoolleavingcertificate/others.

Kindlysendtheoutstandingdocumentstousby___________________________.
TheUniversityisnotboundtoprocessyourapplicationifyoudonotsubmitthedocumentsasrequired
beforeorbythestipulateddate.

*Tobecompletedbyapplicant DivisionofAdmissionsandCreditEvaluation

http://portal.utar.edu.my/admission_online/appformBPrint.jsp 5/5