ab 2011 part1 e - international islamic university...

ADMISSIONS & RECORDS DIVISION, IIUM, JALAN GOMBAK, 53100 KUALA LUMPUR Tel: 603-6196 4045 / 4043 / 3024 / 3261 Fax: 603-6196 4724 / 4160

E-Mail: [email protected] Website: h�p://www.iium.edu.my/anr

Admission BookletFor International Undergraduate

Programme 2011/2012INTERNATIONAL ISLAMIC UNIVERSITY MALAYSIA

PageAdmissions & Records Division

INTERNATIONAL ISLAMIC UNIVERSITY MALAYSIA

Admission Booklet

No. Particular Page

1. Offer Le�er

2. Admission Booklet 3-8

3. Order of A�ire for Students 9-12

4. Student Discipline Rules Please refer to: www.iiu.edu.my/rector/legal/

5. Appendix A 13-15 TUITION FEE AND OTHER RELATED ADMINISTRATIVE FEES

6. Appendix B 16-18 TERMS AND CONDITIONS OF OFFER AND ENROLMENT

7. Appendix C 19-29 ALL RELATED FORMS

2

* Admissions & Records Division March 2011

Admission ChecklistFor International Undergraduate

Students




Admission Booklet

1. Welcoming Message A NOTE FROM THE DEAN OF ADMISSIONS AND RECORDS DIVISION

2. Enrolment Guidelines

3. * Acceptance/Deferment/Rejection Form

4. * Financial Declaration Form

5. ** Health Examination Report For International Student

6. ***Mahallah Registration Form

On enrolment day,* These forms are to be submi�ed to the counter of Pre-Registra�on and Submission

** This form is to be submi�ed to the counter of Health Centre

*** This form is to be submi�ed to the counter Mahallah

( L A S T U P D A T E : M a r c h 2 0 1 1 )

3

Admission Booklet ContentsFor International Undergraduate

Students




Admission Booklet

I am so pleased to welcome you to the International Islamic University Malaysia. I would also like to take this opportunity to congratulate you on ge�ing a place at the University. I can assure you that we have an exciting educational program awaiting you. I trust you will find your time have rewarding and complimentary to your personal and professional goals.

At IIUM, we are blessed with beautiful surroundings. I am sure you will enjoy the beauty of our campus and appreciate the opportunity to study at the great university. The state-of-the-art program will equip you with the skills you need to gain control over your own destiny.

Over the years, the University has built a strong reputation as one of the leading Universi-ties in the Islamic world. We achieved this by exercising a tradition that fosters excellence and unity in diversity.

We are delighted that you have selected the International Islamic University Malaysia. We look forward to greeting you in person.

DeanAdmissions and Records DivisionInternational Islamic University Malaysia

4

A Note From The Dean ofADMISSIONS AND RECORDS DIVISION



Admission Booklet

Enrolment GuidelinesFOR NEW UNDERGRADUATE STUDENTS

1. CONGRATULATIONS for being selected to join the International Islamic University Malaysia (IIUM).

1.1 All the information provided is to prepare you for enrolment at the Main Campus, International Islamic University Malaysia, Gombak, Selangor Darul Ehsan.

1.2 Please read carefully and follow the instructions given.

2. ACCEPTANCE / DEFERMENT / REJECTION

If you accept or reject our offer, you should: -

2.1 Fill in the Reply Form (IIUM-R1) enclosed together with the offer le�er and a copy of your payment slip transaction through mail/e-mail/fax.

2.2 Fill in all the relevant documents/forms (to be submi�ed on the Enrolment Day).

If you defer our offer: -

2.3 Submit the Reply Form (IIUM-R2) together with the offer le�er to our University by stating that you have to defer your study or rejected our offer through mail/e-mail/fax. Note: No further application will be entertained once you have rejected the offer.

3. ATTIRE DURING ENROLMENT AND ORIENTATION WEEK

MALE

3.1 Long sleeve shirt. All round bo�om shirts must be tucked in. 3.2 Dark coloured trousers. 3.3 Dark coloured shoes.

FEMALE 3.4 Wear ‘Mini telekong’ or head gear. 3.5 National dress or dress which covers the aurah. 3.6 White ‘Long skirt’ for special occasion (Orientation Week)

5



Admission Booklet

4. You are required to bring along the original documents / items of the following on the Enrolment Day: -

1. Identity Card and Birth Certificate (for Malaysian students only).

2. Birth Certificate or Passport (for International students only).

3. School leaving certificate (for Malaysian undergraduate students).

4. SPM / ‘O’ Level certificate and STPM / ‘A’ Level certificate or their equivalent.

5. Five recent photographs of yourself measuring 3 cm x 3.5 cm with your name, matric number, programme offered to you wri�en at the back of every photograph. Bring them along during enrolment.

Note: -

a. You are required to submit your photographs to the following Unit / Divisions: - 1. Student Affairs & Development Div. 2 photos

2. Residence (Mahallah) 1 photo (to be submi�ed at the respective Mahallah Office)

3. Admissions and Records Division 2 photos 5 photos

b. Medical Check-up form and X-ray

i. All new students are required to do a medical check-up at the IIUM Health Centre (except the IIUM Matriculation students). Please refer to Appendix B on the health requirements for International students.

ii. In addition, you are also required to bring an X-ray film on that day. In case you cannot bring your X-ray, it can be done at the IIUM Health Centre.

iii. Please fill-in only Part 1 and 2 of the IIUM Medical Form (IIUM6-M). The remaining parts will be filled by our Medical Officer.

iv. The above directive must be observed. For any assistance, you can contact IIUM Health Centre upon your arrival in campus.

6



Admission Booklet

1. GENERAL FEATURES

1.1 The a�ire should cover the whole body except the face and palms (for sisters).

1.2 The a�ire to be worn should not be tight-fi�ing

1.3 Sarongs or skirts without slits may be worn if they are loose and long enough to reach and cover the ankles.

1.4 Women’s a�ire must not resemble that of man’s.

2. PANTS

2.1 Pants should not be figure-hugging, cover the ankles, tailored and loose.

2.2 Pants may be worn with a long, loose upper dress covering the hips, reaching as well as covering the knee and without slits.

3. BLOUSE

3.1 A long loose-fi�ing blouse, high-collared or high-necked with long sleeves reaching the wrists may be worn.

4. HEAD-COVER

4.1 The headgear should cover the head, neck, chest and shoulder.

5. MATERIAL

5.1 Dress materials should not be transparent and revealing.

6. FOOTWEAR

6.1 Footwear should cover the feet, and the heels of the footwear should not be excessively high i.e not more than 3 inches.

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IIUM Dress CodeDRESS CODE FOR MUSLIM FEMALE STUDENTS



Admission Booklet

1. The a�ire must cover the ‘aurah’ of the male body.

2. i. Students should not wear slippers, round-neck T-Shirts, tight-fi�ing trousers or pants during office hours, lectures, tutorials, formal indoor University functions and other formal activities.

ii. Jeans are not encouraged but if they are to be worn by the students they should not be tight fi�ing, multi-coloured, faded, fancy in design, torn or with patches.

3. Shirts of unusual fashion should not be worn.

4. Neck and wrist chains should not be worn except for medicinal purposes or on religious grounds.

5. The length of the hair should not extend beyond the collar and the hairstyle should not be of unusual or extraordinary fashion.

6. National dress/a�ire may be worn provided they do not violate or infringe the dress code.

8

IIUM Dress CodeDRESS CODE FOR MUSLIM MALE STUDENTS



Admission Booklet

Orders of A�ireFOR STUDENTS

1. GENERAL ORDERS

1.1 All Students are required to display on their upper dress/shirt their respective Students’ Identity cards at all material times whilst in University’s premises except when a�ending sports activities.

An offence under this Order is a compoundable offence and shall be dealt

with in accordance with the procedure in Rule 34 of the Students’ Discipline Rules.

1.2 Students are not allowed to wear any a�ire or accessory, which symbolize

any particular external organization or group except on certain proper occasions and with the permission from the University authorities. Students’ a�ires must not display any provocative or detrimental designs, images, words or phrases that may seem to be against the University Dress Code.

1.3 Jeans are not allowed to be worn except on non-formal occasions and during

physical activities such as sports or recreation, provided they are not tight-fi�ing, multicoloured, faded, fancy in design, torn or with patches.

An offence under this Order is a compoundable offence and shall be dealt


1.4 National dresses/a�ires may be worn provided that they do not violate or

infringe the University’s requirements and Islamic values and norms. 1.5 Vanity or ostentation should not be a motive in pu�ing on of any dress or

a�ire. 1.6 The a�ire of men shall not resemble that of the women’s and vice versa. An offence under this Order is a compoundable offence and shall be dealt


9



Admission Booklet

2.0 ORDERS OF ATTIRE FOR FEMALE STUDENTS

2.1 General Features For an example of the approved a�ire, refer to the illustrations in Appendix ‘A’. 2.1.1 As far as a female Muslim student is concerned, her a�ire must cover the

aurah (as provided under the Shariah). Save for the face and the palm the a�ire should cover the whole body. Any form of clothing that covers the face is prohibited.

An offence under this Order is a Compoundable Offence and shall be dealt with in

accordance with the procedure in Rule 34 of the Students’ Discipline Rules. 2.1.2 A�ires shall not be tight fi�ing. An offence under this Order is a compoundable offence and shall be dealt with in

accordance with the procedure in Rule 34 of the Students’ Discipline Rules. 2.1.3 The a�ire should be made from such material such that the colour of the

skin and shape of the body would not be visible. Dress materials should not be transparent or reveal the contour of the body.

An offence under this Order is a compoundable offence and shall be dealt with in

accordance with the procedure in Rule 34 of the Students’ Discipline Rules. 2.1.4 Sarongs and skirts without slits may be worn if they are loose and must be

long enough to reach and cover the ankles. Skirts which are tight or which does not cover the ankles are not allowed.


accordance with the procedure in Rule 34 of the Students’ Discipline Rules. 2.1.5 Excessive accessories, strong perfumes and facial make-ups are not allowed. 2.2 Pants 2.2.1 Pants should not be tight fi�ing or figure hugging; they should be loose and

cover the ankles. An offence under this Order is a compoundable offence and shall be dealt with in

accordance with the procedure in Rule 34 of the Students’ Discipline Rules. 2.2.2 Pants should be worn only with a long, loose upper dress, which covers the

hip. The upper dress should not have long slits or side cuts, which reveal the hip or thigh area.


accordance with the procedure in Rule 34 of the Students’ Discipline Rules.

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Admission Booklet

2.3 Blouse 2.3.1 A loose-fi�ing blouse and upper dress may be worn provided they have

long sleeves reaching the wrists and covering the hips as well. An offence under this Order is a Compoundable Offence and shall be dealt with in

accordance with the procedure in Rule 34 of the Students’ Discipline Rules.

2.4 Head-cover 2.4.1 For female Muslim students, the head-cover should properly cover the

head and should not reveal the hair, neck, chest and shoulders. 2.4.2 As for female Non-Muslim students, she may adopt Islamic dress, if she

so desires. Otherwise she should at least cover the head with a scarf or shawl or similar headgear as a symbol of respect to the Islamic University. For an example of the approve a�ire refer to the illustrations in Appendix ‘A’.

An offence under this Order is a compoundable offence and shall be

dealt with in accordance with the procedure in Rule 34 of the Students’ Discipline Rules.

Save as for convocation, the ceremonial a�ire for graduands, shall be

such as determined by the University from time to time. 2.5 Hair 2.5.1 As far as possible, students should avoid unnecessary dyeing or

colouring of hair.

An offence under this Order is a Compoundable Offence and shall be dealt with in accordance with the procedure in Rule 34 of the Students’ Discipline Rules.

2.6 Footwear 2.6.1 Footwear should cover the feet, and the heels of the footwear should not be

excessively high. Slippers are forbidden. An offence under this rule is a compoundable offence and shall be dealt with in

accordance with the Rule 34 herein.

3.0 ORDERS OF ATTIRE FOR MALE STUDENTS

For a be�er perspective of the sample of approved a�ire, students shall refer to the illustrations in Appendix ‘A’. 3.1 The a�ire of the male Muslim students must cover the aurah (as provided

under the Shariah) of the male body.

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Admission Booklet

An offence under this Order is a compoundable offence and shall be dealt with in accordance with the procedure in Rule 34 of the Students’ Discipline Rules.

3.2 Slippers, non-strip sandals, round neck T-shirts, tight-fi�ing trousers or

pants should not be worn by students during lectures, tutorials, official University functions and other formal activities as well as within the prox-imity of the IIUM administrative and faculty buildings and centres. In all the above occasions, jeans are absolutely not allowed.


3.3 Shirts and collared T-shirts are allowed to be worn when a�ending classes.

Except for bush jackets, properly-bu�oned Baju Melayu, batik shirts and other proper national suits, the shirts and collared T-shirts should be tucked in the trousers at all material times.


3.4 T-shirts of all kinds are not allowed to be worn during formal University

functions and other formal activities unless expressly allowed by the authorities for certain specific functions.


3.5 Neck and wrist chains should not be worn except for medical purposes or

on religious and/or traditional grounds. An offence under this Order is a compoundable offence and shall be dealt with in

accordance with the procedure in Rule 34 of the Students’ Discipline Rules. 3.6 The length of the hair should not extend beyond the collar and the hair-

style should not be of unusual or extraordinary. Unnecessary dyeing or colouring of hair is prohibited.


3.7 The areas of the body between the navel and the knee shall be covered in

public at all times including in the halls of residence (Mahallah) and all public premises, except under permissible circumstances such as sporting events.


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Admission Booklet


13

1. You will only be officially enrolled as a student of IIUM upon payment of the following fees:

a. Entrance Fees b. Semester Fees (Tuition Fee, Recurrent Academic Fees, Hostel Fee) c. Personal Bond

2. Self-financed students must provide the evidence in the Guarantee Le�er form or Bank Statements or Statutory Declaration that you have sufficient funds to cover all expenses throughout your studies. You should allocate sufficient funds for food, clothing, books, incidental expenses and necessary travel fare to and from the University.

3. Payments* can be made in the following forms:

a. Bank Dra� (Account No: 1407-0000005-71-9 (UIAM STUDENT)) b. Telegraphic Transfer (T & T) (SWIFT CODE: BMMBMYKL) c. Credit Card (at h�p://epayment.iiu.edu.my/eregister)

The payment should be made payable to:

Finance Director International Islamic University Malaysia

Or into the following bank account:

Bank Muamalat (M) Berhad IIUM Branch, Gombak 53100 Kuala Lumpur, Malaysia

* Payments can be made in the following currencies: USD$, £ or Euro € currencies (equivalent to the Ringgit Malaysia RM amount)

4. Sponsored students will not be enrolled unless they submit the original le�er of offer from the sponsoring agency.

APPENDIX A

Tuition Fee and Other Related Administrative FeesFOR INTERNATIONAL UNDERGRADUATE

5. ENTRANCE FEES

Orientation

Alumni

Registration

Student Identification card

College Deposit (Refundable)

University Caution money (Refundable)

Medical check-up

English and Arabic Placement Test

TOTAL ENTRANCE FEES

120.00

100.00

30.00

60.00

-

-

-

-

310.00

120.00

100.00

30.00

60.00

-

-

50.00*/75.00**

200.00

560.00*/585.00**

ENTRANCE FEES(ONCE IN DURATION OF STUDY)

InternationalEx-Matriculation***RM

InternationalDirectRM

* X-ray done outside the University. ** X-ray is carried out by the University’s Clinic.

6 . KULLIYYAH / PROGRAMME FEES (PER SEMESTER-EXCLUDING SHORT SEMESTER)

Pre-SessionalLawsEconomicsIslamic Revealed Knowledge & HumanSciencesInformation TechnologyEngineeringArchitectureScience -BSMSMedicineDentistryPharmacyNursingAllied Health Science

600.00 4,250.00 3,750.00

3,500.00

3,750.00

7,000.00 7,000.00

6,000.006,000.00

19,000.00 19,000.00 19,000.00 19,000.00

6,000.00

1,357.50 5,007.50 4,507.50

4,257.50

4,507.50 7,782.50 7,782.50 6,782.506,757.50

19,782.50 19,782.5019,782.50 19,782.50 6,782.50

ExaminationLibraryCo-curricularActivities & TransportCollege activitiesMedical FacilitiesWelfare fundInsuranceComputer FeeLaboratory / Studio

RELATED FEES

157.50 157.50 157.50

157.50

157.50

182.50 182.50

182.50157.60 182.50 182.50 182.50 182.50

182.50

600.00 600.00 600.00

600.00

600.00

600.00 600.00

600.00600.00 600.00 600.00 600.00 600.00

600.00

25.0025.00

37.50

25.0015.002.502.50

25.0025.00

182.50

25.0025.00

37.50

25.0015.002.502.50

25.00-

157.50

Undergraduate Programme – International

Tuition Fee (RM)

Recurrent Academic Fees*(RM)

Hostel Fees** (RM)

Total (RM)

RECURRENT ACADEMIC FEES DETAILS*(RM)

SCIENCE BASED(RM)

NON SCIENCE(RM)

** For Usrah/Transit room the rate is RM500.00 per semester

* NOTES: The University has the right to revise the fees without no�fica�on.

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APPENDIX A


INTERNATIONAL ISLAMIC UNIVERSITY MALAYSIA (IIUM)

Admission Booklet

7. PERSONAL BOND

All International students are required to pay a personal bond at the point of enrolment, which is refundable upon completion of studies. The rate of the personal bond varies by country as stipulated by the Malaysian Immigration Authority.

COUNTRY RATE (RM)

* Personal Bond of RM1, 500.00/USD395.00 is imposed on countries that are not listed above.

123456789

101112131415161718192021222324252627282930

AfricaAustraliaBangladeshBritish Commonwealth IndependenceBruneiCanadaChinaEuropeGermanHong KongIndiaIndonesiaIran/IraqJapanKoreaMacauMyanmarNepalPakistanPhilippinesPortugal Commonwealth IndependenceSaudi ArabiaSingaporeSri LankaTaiwanThailandTunisiaUnited KingdomUSAVietnam

1,500.00 1,500.00 750.00 1,500.00 1,500.00 2,000.00 1,500.00 1,500.00 1,500.00 1,000.00 750.00 500.00 1,500.00 1,000.00 1,000.00 1,000.00 750.00 750.00 750.00

1,500.00 1,500.00 1,500.00 200.00 750.00 750.00 300.00 1,500.00 1,500.00 2,000.00 1,500.00

395.00 395.00 198.00 395.00 395.00 527.00 395.00 395.00 395.00 264.00 198.00 132.00 395.00 264.00 264.00 264.00 198.00 198.00 198.00 395.00 395.00 395.00 53.00 198.00 198.00 79.00 395.00 395.00 527.00 395.00

RATE (USD)NO.

8. Entrance Fee will not be refunded in the event the student withdraws from the University.

9. The Tuition Fee and Related Fees paid will be refunded as follows in the event of withdrawal or study leave:

a. 90% refund – From first day up to first month. b. 60% refund – From first month up to the second month. c. No refund – A�er second month of semester.

10. In the event a student made an overpayment, he or she can request for either a refund or the amount to be set off against future semester charges.

11. The University has the right to revise the fees without notification.

15

APPENDIX A



Admission Booklet



Admission Booklet PageAdmissions & Records Division


Admission Booklet


1. ACCEPTANCE / REJECTION / DEFERMENT OF OFFER

i. Your reply using IIUM-R1/ IIUM-R 2 forms should reach us by the stipulated date as stated in the offer le�er, otherwise this offer of admission will automatically be revoked.

ii. Please be reminded that International students are not allowed to enter Malaysia unless the Immigration Department of Malaysia has approved their student pass. Therefore, please do not make any arrangements to come to the university before you receive the le�er of approval of your student pass from our office. The university will not be responsible if you come to Malaysia without the approval of your student pass and you will have to return to your home country. The university will not provide any passage allowance for your return or any extra allowance that you have to pay for the visa. All expenses incurred must be borne by you.

You are also required to make the necessary traveling arrangements to Kuala Lumpur, Malaysia. International students must ensure that your International passport has a validity period of at least two (2) years.

iii. For further information, you can contact the university’s officers in the following ways: -

Telephone number: 603-6196 4000 /4045 /4043 Extension: 3022 OR 3024 Fax number: 603-6196 4724 EMail address: [email protected]

16

Terms and Conditions of Offer and Enrolment(FOR INTERNATIONAL STUDENTS ONLY)

APPENDIX B



Admission Booklet

2. HEALTH REQUIREMENTS (for international students only) No cholera or smallpox vaccination certificate is required to be provided in order

to enter Malaysia. However, yellow fever vaccination is required from residents of South America and Africa (except South Africa). The health regulations of the country require those arriving from the above-specified regions without the valid immunization certificate or before the inoculation period, to be immediately quarantined for six days.

Please be informed that you are required to undergo a Medical Examination/Check-up in your respective country at the authorized government hospital. The Medical Examination/ Check-up report must be presented to the IIUM Health Centre during the medical check-up exercise conducted during the orientation (Ta’aruf) week. However, all international students are required to undergo a second screening at IIUM Health Centre upon enrolment prior or during the orientation (Ta’aruf).

The university health requirement stipulates that the students who wish to enroll into the university must be free of HIV/AIDS and drug addiction. As such, you are required to undergo urine and blood tests at your home country. The university has the right to ho can be contacted during emergency revoke the admission of a student if he/she is found to be affected by the said disease or is found positive for drug addiction.

3. ADVICE FOR MARRIED APPLICANTS If you are married, you are advised to come alone to the university to undergo the

process of enrolment and course registration. Please be reminded that the University will not be responsible for any ma�ers pertaining to Immigration (such as visa for your spouse or/and children) and will not provide any assistance if you run short of funds.

4. ENGLISH PROFICIENCY TEST (EPT) All new students are required to sit for the EPT. However, an exem if you can pres-

ent a score of 550 paper-based or 213 computer-based in the Test of English as a Foreign Language (TOEFL) or overall Band 6.0 in the test administered by the British Council (IELTS). The EPT test will be conducted during the first week of the orientation programme. If you do not fulfill the English language proficiency requirements (for programmes that use English as a medium of instruction), you are required to undergo the Pre-sessional Programme (PRSS) before proceeding to the respective programme of studies and pay the tuition and academic administrative fees while in the programme [please refer to Appendix A]. The maximum duration of Pre-sessional Programme (PRSS) is two (2) years.

Please refer to the a�ached brochure on the EPT requirements.

17

APPENDIX B



Admission Booklet

5. ARABIC PLACEMENT TEST (APT) All new students are required to sit for the APT. The test will be conducted during

the first week of the orientation programme. Those who do not fulfill the Arabic language proficiency requirements (for Arabic Language & Literature and Islamic Revealed Knowledge & Heritage programmes) are required to do Pre-sessional Programme (PRSS) before proceeding to the respective programme of studies that use Arabic as its medium of instruction. The maximum duration of the Pre-sessional Programme (PRSS) depends on the respective Kulliyyah requirement. The students are also required to pay the tuition and academic administrative fees while in the programme [Please refer to Appendix A].

6. TILAWAH PLACEMENT TEST (TPT) All new students are required to sit for the TPT to determine their level of

recitation and understanding of the Taj’wid. There are two (2) levels that students have to fulfill as their graduation requirements. The test will be conducted during the first week of the orientation programme. Those who are exempted from the first level may proceed to the second level.

7. TA’ARUF (ORIENTATION) PROGRAMME (compulsory to all new students) All students are required to a�end Ta'aruf (Orientation Programme) conducted by

the university and participate in all the programmes organised by various bodies of the university.

8. CODE OF CONDUCT Students of the International Islamic University Malaysia are expected to observe

Islamic behavioral norms at all times on or off campus.

9. DRESS CODE Please refer to “Discipline of Student Rules 1984 [Amendment (2002)]” handbook

for more details.

IMPORTANT NOTE: NO STUDENT WILL BE ALLOWED TO ENROL WITHOUT THE ORIGINAL ACADEMIC DOCUMENTS ON THE ENROLMENT DAY. IF THE UNIVERSITY AUTHORITIES DISCOVER ANY FALSE DECLARATION AND THE USE OF FORGED CERTIFICATES AND DOCUMENTS BY ANY STUDENT TO GAIN ENTRY INTO THE UNIVERSITY BEFORE OR AFTER THE ENROLMENT, THIS OFFER OF ADMISSION WILL BE REVOKED. THE UNIVERSITY MAY AT ITS ABSOLUTE DISCRETION TAKE OR CAUSE ANY LEGAL ACTION TO BE TAKEN AGAINST ANY STUDENT GUILTY OF COMMITTING FORGERY OR FRAUD.

18

APPENDIX B



Admission Booklet PageAdmissions & Records Division


Admission Booklet


19

1. I agree herewith and promise to pay all the fees as required by the University.

2. I agree that the University has the right to deduct from my scholarship or financial aid given to me to se�le the payments mentioned above.

3. I agree that the University has the right to demand the above payments from my guarantor if I leave the University without se�ling them.

4. I agree that the University has the right to revise the fees without any notification.

5. I fully understand and accept all other conditions as stated in the OFFER LETTER, ADMISSION BOOKLET AND APPENDICES.

IIUM2-D

NAME:

MATRIC NO.: PROGRAMME:

Signature of student: ………………………………………… Date: ……………………

(Please fill up this form)FINANCIAL DECLARATION FORM

APPENDIX C



Admission Booklet 20

Health Examination GuidelinesFOR FOR ENTRY INTO

MALAYSIAN HIGHER EDUCATIONAL INSTITUTIONS

1. PLEASE READ THE INSTRUCTIONS CAREFULLY BEFORE FILLING IN THE FORM.

2. PLEASE FILL IN THE FORM IN ENGLISH LANGUAGE.

3. PLEASE WRITE IN CAPITAL LETTERS.

4. THIS FORM HAS 4 SECTIONS: (a) SECTION 1 (PART A AND B) TO BE FILLED BY THE CANDIDATES; AND (b) SECTION 2, 3 AND 4 TO BE FILLED BY THE EXAMINING DOCTOR

5. PLEASE COMPLETE ALL THE TESTS REQUIRED IN THIS FORM.

6. THE UNIVERSITY / COLLEGE ONLY ACCEPTS MEDICAL EXAMINATION DONE WITHIN 60 DAYS BEFORE REGISTRATION OR WITHIN 30 DAYS AFTER REGISTRATION.

7. PLEASE ATTACH ALL THE ORIGINAL LABORATORY RESULTS.

8. PLEASE BRING ALONG CHEST X-RAY FILM A ND REPORT FOR REGISTRATION.

9. PLEASE ENSURE THE X-RAY FILM IS LABELLED WITH YOUR NAME AND DATE TAKEN (IN ENGLISH).

10. CHEST X-RAY DONE WITHIN 6 MONTHS PRIOR TO REGISTRATION CAN BE ACCEPTED.

11. THE UNIVERSITY / COLLEGE RESERVES THE RIGHT TO REPEAT FULL MEDICAL CHECK-UP OR ANY SPECIFIC LABORATORY TESTS SHOULD THERE BE ANY DOUBT IN THE MEDICAL REPORT SUBMITTED. ALL COSTS INVOLVED SHALL BE BORNE BY THE CANDIDATES.

12. THE UNIVERSITY / COLLEGE RESERVES THE RIGHT TO REJECT ANY APPLICATION:

(a) BASED ON THE RESULTS OF THE HEALTH EXAMINATION; OR (b) SHOULD THERE BE ANY EVIDENCE THAT THE APPLICANT HAS

GIVEN FALSE INFORMATION IN THE HEALTH EXAMINATION REPORT OR ANY SUPPORTING DOCUMENTS.

APPENDIX C



Admission Booklet

HEALTH EXAMINATION REPORTFOR INTERNATIONAL STUDENT

PLEASE USE CAPITAL LETTERS

SECTION 1 (To be completed by candidate)(PART A)

FULL NAME (As in passport)

INTERNATIONAL PASSPORT NO.

NATIONALITY CONTACT NUMBER

DATE OF BIRTH AGE SEX

MALEFEMALED D M M Y Y

MARTIAL STATUS

SINGLEMARRIED

ACADEMIC YEAR

Passport sizephoto

STUDENT ID

PROGRAMME OF STUDY PROGRAMME CODE

NEXT OF KIN

NEXT OF KIN’S ADDRESS

NEXT OF KIN’S CONTACT NUMBER

21



Admission Booklet

SECTION 1 - Please tick ( ) in the relevant box(PART B)Declaration of self and family illness. Explain in full if you or your family has any of the following illnesses.

* Immediate family refers to father, mother, brothers / sisters

Congenital or inherited disorder

Allergy

Mental illness

Fits, stroke, other neurologicaldisease

Diabetes Mellitus

Hypertension

Heart or vascular disease

Asthma

Thyroid disease

Kidney disease

Cancer

Tuberculosis

Drug addiction

AIDS, HIV

History of surgery

Other illnesses

MEDICAL PROBLEMSSELF IMMEDIATE

FAMILYYes No Yes No

If “Yes” please state.

Current medication (Long term)

IMMUNIZATION HISTORY(where applicable) DATE IMMUNIZED

Yellow Fear

BCG

Meningitis (Quadrivalent)

Hepatitis B

Others:

I hereby certify that the information given above is true. I understand that my application will be rejected if there is any false information given.

......................................Date

....................................................Signature of candidate

�

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

1.

2.

3.

4.

5:

22



Admission Booklet

2. GENERAL EXAMINATION ITEM YES NO COMMENT

a. DEFORMITIES

b. PALLOR

c. CYANOSIS

d. JAUNDICE

e. OEDEMA

f. SKIN DISEASES

3. SYSTEMIC EXAMINATION ITEM NORMAL COMMENT

a. EYES (including funduscopy)

b. EARS

c. NOSE

d. ORAL CAVITY / THROAT

e. NECK

f. HEART

g. LUNGS

h. ABDOMEN / HERNIA ORIFICES

i. NERVOUS SYSTEM

j. MENTAL CONDITION

k. MUSCULOSKELETAL SYSTEM

SECTION 2 - PHYSICAL EXAMINATION(To be filled by examining doctor)

1. BASIC MEASUREMENT HEIGHT : __________________ m BLOOD PRESSURE : ______________ mmHg

WEIGHT : __________________ kg PULSE RATE : ______________ / min

VISION TEST : Unaided : (R) _______ (L) ________

Aided : (R) _______ (L) ________

COLOUR VISION TEST :

NORMAL / ABNORMAL

23

ABNORMAL



Admission Booklet

URINE TEST ITEM DATE TAKEN RESULT

a. ALBUMIN

b. SUGAR

c. MICROSCOPIC

d. MORPHINE

e. CANNABIS

f. AMPHETAMINES TYPE STIMULANT

BLOOD TEST ITEM DATE TAKEN RESULT

a. HEPATITIS Bs ANTIGEN

b. HEPATITIS C

c. HIV

d. VDRL / TPHA

e. MALARIAL PARASITE

CHEST X-RAY INFORMATION CHEST X-RAY NO.

DATE TAKEN

PLACE TAKEN

REPORT

24

SECTION 3 - INVESTIGATIONS



Admission Booklet

I certify that I have on this date ___________________ examined

Remarks By University Official :

IN GOOD HEALTH

HAVING THE FOLLOWING MEDICAL COMPLICATION(S) (Please State)

UNDERGOING TREATMENT FOR: (Please State)

Please tick ( ) in the appropriate box : �SECTION 4 - CERTIFICATION BY THE EXAMINING DOCTOR

Mr. / Ms. _______________________________________________________ ,

Signature of Doctor / Date

Name of Doctor:

Qualification:

Hospital/Clinic:

Registration No.:

Official stamp:

Passport No.: ______________________ and found him/her :-

25



Admission Booklet

INTERNATIONAL ISLAMIC UNIVERSITY MALAYSIAINTERNATIONAL ISLAMIC UNIVERSITY MALAYSIA (IIUM)

28

APPENDIX C

(Please fill up this form)

1. Full Name: ………………………………………………………………………................ 2. Matric. No.: ………………………………………………………………………………...

3. Programme: ………………………………………………………………………………...

Please tick ( ) one of the followings:

I accept the offer of admission

I do not accept the offer of admission (Please note that no further appeal or application will be entertained once you have rejected the offer).

I also accept all terms and conditions as stated in the Offer Le�er as well as in the APPENDICES.

DECLARATION OF CANDIDATEI accept that if, in reading and completing the application form and accepting the offer, I knowingly or carelessly provided untrue or incomplete information,

a. any offer of admission, whether accepted or not, may be withdrawn by IIUM;b. I may be required to withdraw from the University or from any course in which I

am enrolled;c. I may be subjected to disciplinary actions.

I agree that IIUM may verify any of the information provided by contacting the relevant institution or person. I agree to comply with all rules and regulations of IIUM, present and future.

Signature of Student: ………………………………… Date: ….………………….Note: If we do not receive any response from you a�er the deadline as stated in the offer le�er,

we assume that you are no longer interested in the programme and your offer will be automatically revoked.

�

ACCEPTANCE / REJECTION FORM

DeanAdmissions and Records DivisionInternational Islamic University MalaysiaP.O. Box 10, 50728 Kuala Lumpur, MalaysiaFax No: 603-61964724

IIUM-R1



Admission Booklet

INTERNATIONAL ISLAMIC UNIVERSITY MALAYSIAINTERNATIONAL ISLAMIC UNIVERSITY MALAYSIA (IIUM)

1. Full Name: ………………………………………………………………………................ 2. Matric. No.: ………………………………………………………………………………...

3. Programme: ………………………………………………………………………………...

Please tick ( ) one of the followings:

I would like to defer the admission to next intake

I also accept all terms and conditions as stated in the Offer Le�er as well as in the APPENDICES.

DECLARATION OF CANDIDATEI accept that if, in reading and completing the application form and accepting the offer, I knowingly or carelessly provided untrue or incomplete information,

a. any offer of admission, whether accepted or not, may be withdrawn by IIUM;b. I may be required to withdraw from the University or from any course in which I

am enrolled;c. I may be subjected to disciplinary actions.

I agree that IIUM may verify any of the information provided by contacting the relevant institution or person. I agree to comply with all rules and regulations of IIUM, present and future.

Signature of Student: ………………………………… Date: ….………………….Note: If we do not receive any response from you a�er the deadline as stated in the offer le�er,

we assume that you are no longer interested in the programme and your offer will be automatically revoked.

29

(Please fill up this form)

�

DEFERMENT FORM

Sept. 201

Feb. 201

June 201

IIUM-R2

APPENDIX C

DeanAdmissions and Records DivisionInternational Islamic University MalaysiaP.O. Box 10, 50728 Kuala Lumpur, MalaysiaFax No: 603-61964724

ab 2011 part1 e - international islamic university...

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