Online Application

Please complete the form below and have your passport-size photo, NRIC copy and academic results ready to upload

First Name *

Last Name *

NRIC / MyKad (12 digits, no hyphens)

Gender

Phone *

Email *

Religion

Marital Status

Race *

Address

Street Address *

City *

State

Country *

Postal code

Age

Date of Birth

Name of Awarding Institution *

Date of Award or Expected Graduation

Work experience *

Recent Gradate

less than 5 years

At least 5 years

At least 10 years

Programmes first choice

Mode of Study *

External Scholarships

Photo *

JPEG or JPG

English Proficiency Transcripts

PDF, JPEG or JPG

Academic Results *

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Father's Name *

Father's Phone Number *

Mother's Name *

Mother's Contact Number *

Emergency / Guardian Contact *

Emergency / Guardian Contact Phone Number *

Accommodation required

Yes

No

How did you get to know about MAHSA? *

Marketing Staff Name *

Please enter the name of the person who referred you: *

Organization *

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I hereby confirm that I have read, understood, and agreed to MAHSA’s Terms and Conditions and I accept all terms governing my application and enrolment.

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