PENJANA HRDF – APPLICATION FORM – IEG Campus

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Application Form

1Course Selection

2Personal Details

3Declaration

COURSE SELECTION

Select Course : *

A copy of applicant NRIC : *

Click or drag a file to this area to upload.

Recipient confirmation slip of Bantuan Sara Hidup (BSH)/any other government assistance : *

Click or drag a file to this area to upload.

Latest payslip or income declaration endorsed by Commissioner of Oath : *

Click or drag a file to this area to upload.

Confirmation letter from employers for employees’ participation : *

Click or drag a file to this area to upload.

PERSONAL DETAILS

Name (as per NRIC) : *

NRIC No : *

*eg: xxxxxxxxxxxx

Age : *

Gender : *

Male
Female

Highest Education Level : *

Secondary School
Diploma
Bachelor’s Degree
Master’s Degree
Professional

Current Status of Employment : *

Employed
Unemployed

Company Name : *

Please indicate reason : *

Phone No : *

Valid Email Address : *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Are you the recipient of any of the following government assistance? *

Yes
No

If Yes, please select the government assistance: *

Bantuan Sara Hidup (BSH)
MySalam
PeKA B40
eKasih
Others

Have you enroll/registered/completed any other course under the B40/GIG/IREV.40 PENJANA HRDF initiative? *

Yes
No

EMERGENCY CONTACT

Emegency Contact Name *

Mobile Number *

Relationship *

HEALTH DECLARATION

Have you been to any area or countries of COVID-19 as indicated by WHO over the past 14 days? *

Yes
No

Have you been in close contact with person suspected to have COVID-19? *

Yes
No

Have you had any of the following symptoms over the past 14 days? *

No
Fever
Cough / Sore throat
Difficulty in breathing
Others

Do you have a disability? *

Yes
No

If yes, we will contact you for further details.

Do you have any criminal convictions? *

Yes
No

If yes, we will contact you for further details.

APPLICANT DECLARATION

I understand that: *

IEG Campus/RED Consulting Group is collecting the information on this form for the purposes of processing my application and for the supply of educational services.
IEG Campus/RED Consulting Group may disclose personal information about me to others where required or authorised by law.
I declare that I have read the instructions and that all information submitted is correct and complete.
I acknowledge that the provision of incorrect information may result in the withdrawal by IEG Campus/RED Consulting Group of any place which may be offered.

Website

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Study in Russia

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IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

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Phone

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Phone

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Name *

Email *

Phone

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Name *

Email *

Phone

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Name *

Email *

Phone

IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

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IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

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IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

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Phone

IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

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Phone

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Phone

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Phone

IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

Name *

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Phone

IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

Name *

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Phone

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Name *

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Phone

IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

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Phone

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Phone

IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

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IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

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IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

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Phone

IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

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IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

Name *

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Phone

IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

Name *

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Phone

IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

Name *

Email *

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IEG Scholarship and Bursary is now available. To proceed, kindly please fill in the form:

Name *

Email *

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1Who are you?

2When and where we can meet?

Name *

First

Last

Phone *

Email *

You are: *

a Student
an Investor
a Partner

Checkboxes *

I agree to IEG terms and privacy policy

Please read our Term of Use and Personal Data Protection in this website before you apply.

Schedule An e-Meet *

I prefer to meet
I prefer a call

Date / Time *

//Date

Time

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Email

IEG IS LIVE NOW!

IEG Campus (IEG) is closely monitoring the ongoing Coronavirus (COVID-19) pandemic. Our top priority remains the health and safety of students, staff and those who make up our wider community across the globe.

IEG is now on virtual as we have introduced a digital platform for you to connect with us. Together we will navigate through this platform while ensuring our operations run seamlessly, online!

If you wish to connect with IEG, you can click here to schedule for a meeting with us, and we will set the appointments virtually now!

This is a defining moment for all of us; therefore let’s stand together to fight this pandemic!

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