1. Universiti Kuala Lumpur
Online Application: Intake January 2012
APPLICANT REFERENCE
Name : NUR AFEEFA BT AHMAD FISAL
IC Number : 941105085210
Highest Qualification : SPM
Submission Date : 26-MAR-12
ACADEMIC QUALIFICATION
:: SPM / SPMV / REPEAT PAPERS (include at least one science/technical subjects)
Exam Year : 2011
Type of School :
School Name : SEKOLAH MENENGAH KEBANGSAAN SERI PERAK
Subjects Grade
1. BAHASA MELAYU A-
2. BAHASA INGGERIS A
3. MATEMATIK A
4. SEJARAH A-
5. PENDIDIKAN ISLAM A
6. MATEMATIK TAMBAHAN B
7. FIZIK C+
8. KIMIA C
9. BIOLOGI D
10. PENGETAHUAN SAINS SUKAN / PENDIDIKAN JASMANI & KESIHATAN B+
PROGRAMME APPLIED
1. E01 - FOUNDATION IN SCIENCE AND TECHNOLOGY - ENGINEERING
2. E01 - FOUNDATION IN SCIENCE AND TECHNOLOGY - ENGINEERING
3. E02 - FOUNDATION IN SCIENCE AND TECHNOLOGY - SCIENCE
Do you agree if being offered into other programmes in UniKL? : YES
Do you agree if being offered into other franchises college? : YES

2. Universiti Kuala Lumpur
Online Application: Intake January 2012
PERSONAL INFORMATION
Name : NUR AFEEFA BT AHMAD FISAL
NRIC Number : 941105085210
Mailing Address : 55, JALAN MURNI 1,
TAMAN MURNI
Postcode : 34200 City : PARIT BUNTAR
State : PERAK
Gender : FEMALE Citizenship : MALAYSIAN
Race : MALAY Ethnic : MELAYU
Religion : ISLAM Marital Status : SINGLE
Date of Birth : 05-JAN-90
Telephone No : 0174485756 Email : PILIHANSAL@YAHOO.COM
Medical Background
Disability : TIDAK CACAT
Chronic Disease : NONE
Parents/Guardian Information
:: Father/Guardian
Name : AHMAD FISAL BIN SHAHFEEI
Mailing Address : 55, JALAN MURNI 1,
TAMAN MURNI
Postcode : 34200 City : PARIT BUNTAR
State : PERAK
Tel. No : 0195733884
:: Mother/Guardian
Name : NORAINI BINTI GHAZALI
Mailing Address : 55, JALAN MURNI 1,
TAMAN MURNI
Postcode : 34200 City : PARIT BUNTAR
State : PERAK
Tel. No : 0195134588
:: Parents/Guardian Monthly Income
Combined Income : RM5,001 - RM6,000
(Information is required for MARA/PTPTN study loan evaluation purposes)