Unirazak Application

Personal Info

Name*

IC/Passport No*

Nationality*

Contact No (Primary)*

Alternate Number 1 (Mobile)

Alternate Number 2 (Fixed Line)

Email (Primary)*

Email (Alternate)

Address*

City*

State*

Postcode*

Country*

Academic

Campus*

Program Category*

Program Choice*

Intake*

Class Mode*

Only pdf formats are allowed for uploading the files.

Others

Please choose if any staff from Unirazak assisting you?

Acceptance

Kindly note that the Admission Administrator has the authority to update/edit your profile as deemed necessary, in order to ensure that student information is kept updated.