APPLICATION - MALAYSIA & SEA STUDENTS

Please complete the form below to register online. If you need any assistance, please click here to contact us.

All sections of this application form must be completed, mandatory fields are indicated by a red asterisk (*). If any field is not applicable please enter the letters N/A. Please complete all sections in English.

PERSONAL PARTICULARS

Please enter your title
If you have selected 'Other' from the above options please enter your title here
Please enter your family name/surname
Please enter your first name(s)
Please enter your identity card or passport number
Files should be labelled clearly with your name and date of birth, for ease of reference. Files should be no larger than 64 MB.
Files should be labelled clearly with your name and date of birth, for ease of reference. Files should be no larger than 64 MB.
Please enter your matriculation number
Please enter your postal address, excluding postcode, city, state and country
Please enter your telephone number
Please enter your mobile phone number
Please enter your email address
Please enter your date of birth
Please select your country of birth
Please select your gender
Please enter your nationality
Please select your ethnicity
If you have selected 'Other' from the above options please enter your ethnicity here
Please select your religion
If you have selected 'Other' from the above options please enter your religion here
Please select 'Yes' or 'No'
If you answered 'Yes' to the above, please provide details of your health problems
Please select 'Yes' or 'No'
If you answered 'Yes' to the above, please provide details of your disability

NOTE: AIA operates a policy which offers equality of opportunity regardless of gender, ethnicity, colour, disability, religion, age, sexual orientation, or marital status.

ACADEMIC RECORD

SIJIL PELAJARAN MALAYSIA (SPM)/GCE O LEVELS

Please save the certified copies of your certificates either as a multiple page PDF document, or as RAR or ZIP archives. Files should be labelled clearly with your name and date of birth, for ease of reference. Files should be no larger than 64 MB.
Please enter the year you completed your SPM/GCE O Levels
Please enter all subjects taken at SPM/GCE O Level and the corresponding grade in the brackets provided

SIJIL TINGGI PELAJARAN MALAYSIA (STPM)/GCE A LEVELS

Please enter the year you completed your STPM/GCE A Levels
Please enter all subjects taken at SPM/GCE A Level and the corresponding grade in the brackets provided

MATRICULATION

Please enter your matriculation subject
Please enter the name of the awarding institution
Please enter the year you commenced your Matriculation
Please enter the year you graduated from your Matriculation

DIPLOMA

Please enter the subject of your Diploma
Please enter the name of the awarding institution
Please enter the year you commenced your Diploma
Please enter the year you graduated from your Diploma

BACHELOR DEGREE

Please enter the subject of your Bachelor Degree
Please enter the name of the awarding institution
Please enter the year you commenced your Bachelor Degree
Please enter the year you graduated from your Bachelor Degree

OTHER

Please enter the title of any other qualifications
Please enter the awarding institution where you obtained your qualification
Please enter the year you commenced your Bachelor Degree
Please enter the year you graduated from your Bachelor Degree

PARENT/GUARDIAN PARTICULARS

Please enter the title of your parent or guardian
If you have selected 'Other' from the above options please enter your title here
Please enter the family name/surname of your parent or guardian
Please enter the first name(s) of your parent or guardian
Please enter the NEW identity card number of your parent or guardian
Please enter the OLD identity card number of your parent or guardian
Please enter the occupation of your parent or guardian
Please enter the monthly income of your parent or guardian
RM
Please enter the postal address of your parent or guardian, excluding postcode, city, state and country

EMERGENCY CONTACT

Please enter the title of your emergency contact
If you have selected 'Other' from the above options please enter your title here
Please enter the family name/surname of your emergency contact
Please enter the first name(s) of your emergency contact
Please enter the postal address of your emergency contact, excluding postcode, city, state and country
Please enter the occupation of your emergency contact
Please state the relationship between you and your emergency contact

DECLARATIONS

Have you, in the last ten tears, had a court judgement made against you for debt or made a compromise arrangement with your creditors; have you ever been declared bankrupt or been subjected to bankruptcy procedures; have you ever, in respect of your creditors, signed a trust deed, made an assignment for their benefit or made any arrangement for the payment of a composition to them?
Have you been found guilty of any offences; or subjected to civil or court action relating to your professional business activities or your directorship or management or any company? Offences for which the conviction is spent for the purposes of the Rehabilitation of Offenders Act England and Wales 1974 (or equivalent legislation as may apply in other jurisdictions) provided that you have satisfied the conditions for rehabilitation and motoring offences that did not lead to disqualification or a prison sentence need not be mentioned. In respect of a conviction which is not spent under the Act, details are required regarding the offence, penalty imposed, the court which convicted you and the date of conviction.
Have you had any actions taken against you restricting your trade, business or profession; had any finding against you in respect of misconduct or malpractice in your business or profession; been subject to disciplinary finding against you by an employer or professional body; been refused entry to or excluded from membership of any profession or vacation; been dismissed or required to resign from any office; employment or partnership; been disciplined or publicly criticised or subject to court order by any regulatory body or officially appointed enquiry with the regulation of a financial, professional or other business activity?
AIA CODE OF ETHICS & CONSTITUTIONAL DOCUMENTS

All AIA students are subject to AIA's code of conduct and professional ethics, and to disciplinary requirements and procedures. Please download the Code of Ethics and the Constitutional Documents and ensure you read and understand them.

I hereby declare that all information stated in this form is correct and true, and I understand that AIA and UNISEL have the right to revoke the programme offered or terminate my studies with AIA/UNISEL at any time if any information given or certificate is false.

hereby declare that I have downloaded, read and will comply with the AIA Code of Ethics and the AIA Consitutional Documents.

The details provided on this application form will be entered on AIA’s database for administrative and regulatory use, in accordance with AIA’s registration under date protection legislation. AIA does not sell mailing lists to third parties; however, it does carry out controlled mailings of third parties where the product concerned is deemed likely to be of interest to accountants. Would you like to receive AIA third party mailings?