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University Representative Application Page

Fill up this application page to start the process

Please read carefully
Section - 1 : Recruitment Strength
How many students will you be recruiting yearly?*
Where is your company located? *
What kind of students you will be recruiting?*
Section - 2 : Company Profile
What is your Company name?*
What is your Company Registration Number? *
What is your Company Website?
Provide two Social Media links (At least one is mandatory)
No. Platform Link
1 *
2  
What is your main office's email address? *
What is your Company's phone number? (with country code) *
Kindly provide an alternative phone number (if any)
Do you have Multiple Office Location? (Any One)
How did you hear about Lincoln University College? *
Kindly provide details of your introducer
Name * Email ID *
Section - 3 : Owner/Director Details

Info

Are you the company owner or director? *
What is your full name? *
What is your phone number? (with country code) *
What is your personal email address? *
What is your country of residence? *

Address

Apartment/Suite Name *
Block No
Floor No
City *
Postal /Zip Code *
State/Province *
Country *

Owner/Director Document Upload   ensure all files are under 100 MB. (PDF only)

Upload a copy of your identification *
Document Name Upload

Partnership with other institutes

Do you have any MOU with any Malaysian College or University? *
  
Section - 4 : Company Documents Upload   ensure all files are under 100 MB. (PDF only)
Upload your Company registration *
Upload your Company Profile *
Upload a utility bill *
Section - 5 : Bank Details

These details will be used in disbursement of commission
Beneficiary's Name *
Beneficiary's Account Number *
Name of the bank *
Country *
Bank Branch Address (in full) *