ONLINE APPLICATION: REGISTRATION FORM (Postgraduate) A. PROGRAMME APPLIED FOR Master Degree (Islamic Theology)Master Degree (Arabic Language Teaching)Master Degree (Law of Islamic Economics)Ph.D (Aqidah and Islamic Philosophy) B. PERSONAL DETAILS Full Name * Citizenship * Gender * ...MaleFemale Place of Birth * Date of Birth * Marital Status * ...SingleMarriedWidowWidower IC/Passport Number * Date & Place of Issue * Country or State of Origin * Postal Address * City/State * Post/Zip Code * Country * Telephone/Mobile phone No. * Fax. No Email Address * Disability C. FAMILY DETAILS Name of Father/Guardian/Spouse * Citizenship * Occupation * Monthly Income (USD or IDR) No. of Dependants Telephone No. * Adress * D. ACADEMIC BACKGROUND 1. Bachelor Degree Name of Programme * Name of Institution * Start Date * End Date * Major * GPA Obtained * 2. Master Degree Name of Programme * Name of Institution * Start Date * End Date * Major * GPA Obtained * E. SUPPORTING DOCUMENTS Certified copy of Bachelor Degree Certificate Certified copy of Academic Transcript for Bachelor Degree Certified copy of Master Degree Certificate Certified copy of Academic Transcript for Master Degree Curriculum Vitae Referee Report (Recommendation) IELTS/TOEFL Certificate A recent passport size photo 4x6 DECLARATION I hereby attest that I have personally filled in this Application Form and the information contained herein is complete and accurate to the best of my knowledge. I understand that withholding or giving false information will render my application for admission invalid. I further understand that I may be required to appear for an interview or to undergo such tests as required by the University Board of Admission as a condition for admission to the programme of study for which I have applied.