Unirazak Application

Personal Info

Name*

IC/Passport No*

Nationality*

Contact No (Primary)* Contact No (Primary) required.

Alternate Number 1 (Mobile)

Alternate Number 2 (Fixed Line)

Email (Primary)* Email (Primary) required.

Email (Alternate)

Address* Address required.

City* City required.

State* State required.

Postcode* Postcode required.

Country* Country required.

Academic

Campus* Campus required.

Program Category* Program Category required.

Program Choice* Program Choice required.

Intake* Intake required.

Class Mode* Class Mode required.

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.