ICOM After School Online Application

Section A (Applicant's Personal Information)
Student Name:
(Please enter your name as per your IC or Passport)
First Name:
Last Name:
IC/Passport No:
Date of Birth:
Age:
Gender:
Nationality:
Race:
Home Address (in Malaysia):
Postcode:
City:
State:
Mobile No.:
FB ID:

Login Details

Email Address:
Password:
(must be minimum 8 characters)
Re-enter Password:
I have read and understood the terms and conditions for application for admissions into the International College of Music, Kuala Lumpur, Malaysia. I hereby agree and acknowledge that the application fee for admissions is non- refundable and indemnify the college against any claims or refunds in all or any circumstances.