Please read our Enrolment Terms & Conditions carefully before filling in the application form.
(For course fee only)CLAZROOM EDUCATION SDN BHDMAYBANK5627 6840 firstname.lastname@example.org & email@example.com
(For hostel fee only)CLAZROOM RESIDENCES SDN BHDMAYBANK5127 6361 firstname.lastname@example.org
Phone Number :
Do you have any disability, impairment or long term medical condition which may affect your studies?
T Shirt Size :
School/Institution Name :
Date Commenced & Completed :
Name of Qualification :
Course Program :
Parents/Guardian Name 1 :
Parents/GuardianPhone Number :
Parents/Guardian Name 2 :
Applicant NRIC (Front & Back) :
Payment Receipt :
· Bank Name: Maybank Berhad
· Account Name: CLAZROOM EDUCATION SDN BHD
· Account Number: 5627 6840 2884
Students and parents are advised to read carefully and understand fully the terms and conditions before proceeding to the next section of this application form
I consent to Clazroom College processing my personal data (including sensitive personal data as defined in the Personal Data Protection Act 2010) for purposes not limited to admission, statistical analysis, compliance to statutory requirements and to be shared from time to time with Clazroom College’s appointed third party agents.I declare that all information provided by me in this form, including the information given in all other documents provided, is true and accurate. I willpresent my original documents to Clazroom College within the stipulated time to sight in ensuring my documents are genuine.
I acknowledge that Clazroom College reserves the right to amend or reverse any decision regarding enrollment that’s made on the basis of incorrect, incomplete, fraudulent information or non-attainment of minimum entry requirements, including pre-requisite results to enroll into a program.I authorize Clazroom College to verify my academic records from previous institutions or my work experience from past employers, for program entry purposes, if applicable. If tuition fees are paid by an organization or my parents (”Sponsor”), I authorize Clazroom College to release my fees and academic progress information to my parents and the sponsor upon request.
I agree to abide by the statutes, regulation, and policies of Clazroom College at all times
I provide consent to Clazroom College to process my child’s personal data (including sensitive personal data as defined in the Personal Data Protection Act 2010) for purposes such as but not limited to admission, statistical analysis, compliance to statutory requirements and to be shared from time to time with Clazroom College's appointed third party agents.
I hereby apply for his/her enrollment at Clazroom College and undertake to pay the full fees of this program until complete.
I hereby agree to pay all the fees due on the dates stipulated by Clazroom College, failing which Clazroom College reserves the right to bar my child/ward from attending classes including termination of the study.
If tuition fees are paid by an organization (”Sponsor”), I authorize Clazroom College to release the applicant’s fees and academic progress information to the sponsor upon request.