CENTEXS ONLINE APPLICATION FORM

Please provide a valid email address.



No. Campus Intake Programme
1
2
3




Spouse
Father/Guardian
Mother/Guardian




* For recommendation letter must be certified by community leader/Penghulu/Pengang/Headmaster/School Principal/District Officer/Head of Department or any Government Official Group A and Professional


Terms & Conditions The personal data collected on this form will be used for purposed related to your APPLICATION OR Scholarship application. These purposes include without limitation, to access your eligibility leading to the selection for the scholarship programme, to conduct reference and background checks, and for verification of information. We will not disclose your personal data to any third party, whether located in or outside Malaysia, unless it is required for these purposes. Failure to provide the information requested for may influence the outcome of your application. By signing at the bottom of this form, you are consenting to the processing of your personal data for the purposes stated. It is our policy to retain the personal data of unsuccessful applicants for a period of 12 months from the date of application.