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Registration Form IYLSP 2026

Full Name

Passport No

Date of Birth

Gender

Male

Female

Contact Number

Email Address

Name of University

Course of Study

Year of study/Trimester of study (e.g. Y1T1):
(State “N/A” if not applicable)

Passport Size Photo (in jpg format)

Renamed the photo to "NAME_PASSPORT SIZE PHOTO"

Accepts .jpg, .png, .jpeg files

Size limit: 10 MB

Payment

Please remit payment by Cheque/ Bank Draft/ Telegraphic Transfer payable to Universiti Tunku Abdul Rahman to the portal address/ bank account below:

Bank Account: University Tunku Abdul Rahman

Name of Beneficiary: Universiti TAR / UTAR

Name of Bank: Public Bank Berhad

Current Account No: 3118325015

Swift Code: PBBEMYKL

Branch Name: Public Bank Bandar Sungai Long

Bank Address: Jalan SL 1/11, Bandar Sungai Long, 43200 Kajang, Selangor Payment Reference: IYLSP 2026

Upload the Payment Receipt (in jpg format) Renamed the photo to "NAME_RECEIPT"

Accepts .jpg, .jpeg, .png files

Size limit: 10 MB

Declaration

I understand that the University reserves the right to cancel or postpone, or to make any amendments and/or changes to the activities if warranted by circumstances beyond its control.

I grant permission to UTAR and its agents or employees to take photos of me and/or use photos taken of me on the above training for use in university publications and/or for commercial use in printed and electronic or in whatever form and means. I waive the right to inspect or approve the photos and also waive the right to any payment or royalties arising from or related to the taking of my photos and/or use of my photos.

Registration Form IYLSP 2026

Full Name

Passport No

Date of Birth

Gender

Contact Number

Email Address

Name of University

Course of Study

Year of study/Trimester of study (e.g. Y1T1):(State “N/A” if not applicable)

Passport Size Photo (in jpg format)

Payment

Declaration

Year of study/Trimester of study (e.g. Y1T1):
(State “N/A” if not applicable)