Apply Online

Centralised System

Please be Noted and Carefull :
Enter information in this ONLINE APPLICATION FORM as in Passport . Any of the information produced in this ONLINE APPLICATION FORM mismatching with the Passport , Application might getrejected / delayed.

Lincoln University College will not be responsible for APPLICATION rejection / delay.

Nationality :

Select Program :

Passport / IC Number :

IC/Passport

Applicant Name (as in Passport) :

Applicant Name (as in Passport)

Ex: Surname: SESAY Given Name : RICHARD (MRZ Format)

Date of Birth(as in Passport) :

Put Date of Birth

Passport Issued Place (as in Passport) :

Passport Issued Place

Passport issue Date (as in Passport) :

Passport Issue Date

Passport Expiry Date (as in Passport) :

Passport Expire Date

Obtain Single Entry Visa From :

Applicant Mobile Number :

Applicant Mobile No

Applicant E-mail Id :

Applicant Email Id

Staff/Agent E-mail Id :

Staff/Agent Email Id

Sex :

MaleFemale

Marital Status :

SingleMarriedDivorceNever Married

Applicant Permanent Add. :

Applicant Permanent Address

Applicant City :

Applicant City

Applicant Postal Code :

Applicant Postal Code

Applicant State :

Applicant State

Country :

Mobile Number :

Applicant Mobile No.

Resident Number :

Applicant Resident No.

Check If (Same as Above)

Correspondence Address :

Applicant Correspondance Address

City :

Applicant City

Postal Code :

Applicant Postal Code

State :

Applicant State

Country :

Mobile Number :

Applicant Mobile Number

Resident Number :

Applicant Resident Number

Father's Name :

Applicant Father's Name

Fathers Tel No. :

Father's Occupation :

Applicant Father's Occupation

Mother's Name :

Applicant Mother's Name

Mothers Tel No. :

Mother's Occupation :

Applicant Mother's Occupation

Gurdian's Name :

Applicant Gurdian's Name

Gurdian's Tel No. :

Gurdian's Occupation :

Applicant Mother's Occupation

Highest Qualification :

Domain of Highest Qualification :

Year Of Passing :

Applicant Year Of Passing

Overall Grade :

Applicant Overall Grade

Sl No.	Subject Name	Grade
1
2
3
4

Please Re Confirm The Following as in passport :

Applicant Name (as in Passport) :

Applicant Name (as in Passport)

Ex: Surname: SESAY Given Name : RICHARD (MRZ Format)

Passport / IC Number :

Applicant Passport / IC Number

Do you have Current Malaysian Visa Pass Active ?

Current Malaysian Visa Pass Active ?

NoYes

Are you currently studying in any Malaysian University/College ?

NoYes

Sl.No.	Upload Document Example Link	Document Name
1	Page Link	Health Declaration Form
2	Page Link	Passport / NRIC Scanned [All Pages (zip)]
3	Page Link	Photo
4	Page Link	Academic Certificate 1
5	Page Link	Academic Certificate 2

I/We hereby declare that all the information given above is Matched with passport information and is best of my knowledge.Lincoln University College may Reject / Delay application if any of the information mismatched with Passport. I agree with the Lincoln University College that I shall not be asking / claiming under any circumstances any kind of refund of fees that include Tuition , EMGS , Application Procedure etc. once my visa is approved .