Welcome to Applicant Portal

Application For Foundation Programme

Course Selection

Are you Malaysian

Yes

Intake

First Choice

Education Background

Highest Education Level

Certificate Name

Institution Name

Year of Graduation

Country

Language of Study

Personal Details

Title / Salutation

Full Name (in English – as in your ID)*

Date of Birth *

Gender *

Male Female

Race

Religion

Citizenship *

Are you disabled person (OKU)?

No
If Yes, Please Specify the Disability Type

Other Disablement Type (if any)

Identity Information

Id Card No.(NRIC/Security Card No.)

ID Card Type:

Malaysian Native (Bumiputera)

Contact Details

Email *

Phone No. (Home)

Phone No. (Mobile) *

I want to receive notifications via WhatsApp on this number

Yes No

Country

State/Province

City

Post Code

Street/P.O Box

Address

My residential address is same as the postal address above.
No, I live in

Additional Information

Do you have a Malaysian Tax Identification Number (TIN)? Yes No

Tax Identification Number (TIN)

Please enter your Malaysian TIN.

How Do You Know Al-Madinah International University?

MEDIU website
Social website
Agent
Student
Friend
Marketing
Others

Are you currently/planning to be enrolled in any institution of higher learning during your studies at MEDIU?

No Yes, as a part time student Yes, as a full time student

If yes, please specify the institution name

Please Enter Password with at Least Six Characters *

Password Comfirmation *