APPLICATION FORM

Please complete ALL sections in this form. DO NOT leave any section blank.
Write NA where not applicable. Admission No.:

SECTION A: PERSONAL INFORMATION OF APPLICANT (LOCAL) Print Form Reset Form

Full Name as per NRIC: Amanda Chan Kar Hei

NRIC No.: 090507100740 Date of Birth: 07/05/2009 Gender: Male Female

(dd/mm/yyyy) eg: 31/05/2001

Place of Birth*: Country: Malaysia State: Selangor

Ethnicity / Race:* Malay Chinese Indian Punjabi Others Bumiputera status:*

Bumiputra
(Kindly specify your ethnicity) :
Religion:* Buddhist Christian Sikh
Others
Muslim Hindu None
Non-Bumiputra

* Required for reporting purposes to relevant Authorities

SECTION B: CONTACT DETAILS OF APPLICANT

Mobile No.: 0102816628 Phone No.: 0102816628

E-mail: 07amanda1863@[Link]

Home Address: 22a Jalan Prima Impian 3, Taman Prima Impian 51200, Segambut

Postcode: 51200 Town/City: Kepong State: Selangor Country: Malaysia

Correspondence Address (if same as above, write NA): NA

NA

Postcode: NA Town/City: NA State: NA Country: NA

Do you require accommodation arrangement from the College? Yes No

CONTACT INFORMATION OF PARENT / GUARDIAN

Name June Chow Shan Shan Allan Chan Pak Weng

E-mail jsschow@[Link] allanchan76@[Link]

Phone No. 0196183246 0163316628

Relationship Mother Father

Occupation Personal assistant Owner of HR company

EMERGENCY CONTACT INFORMATION

Name: June Chow Shan Shan Phone No: 0196183246 Relationship: Mother

SECTION C: ACADEMIC ACHIEVEMENTS AND QUALIFICATIONS (Please attach your respective results)

SPM IGCSE Equivalent Completed in month Nov year 2025

Name of School: Tzu Chi International School Kuala Lumpur

STPM A Level Equivalent Completed in month year

Name of School:

Tertiary Studies (Diploma/Degree) Completed in month year

Name of Institution:
Application Form 2022-1 November 2021-page 1
SECTION D: PROGRAMME ENROLMENT (All students are required to complete Service Learning and Character Formation as compulsory subjects)

Intake Year: 2026 Month: January

CAMBRIDGE A LEVEL (CAL)

Refer to Subject Sheet A (CAL)

AUSTRALIAN MATRICULATION (AUSMAT)

Refer to Subject Sheet A (AUSMAT)

DIPLOMA PROGRAMMES
EARLY CHILDHOOD EDUCATION* COMPUTER SCIENCE** E-COMMERCE**

SOCIAL WORK* INFORMATION TECHNOLOGY** DIGITAL MARKETING**

* These programmes are available in part time and micro-credentials modes. ** These programmes are available in micro-credentials modes.

Full Time Part Time Micro-credentials

No. Subject Code Subject Title

AMERICAN DEGREE TRANSFER PROGRAM (ADTP)

Majors Interested Undecided

PROFESSIONAL QUALIFICATION

ACCA FOUNDATION IN ACCOUNTANCY* ACCA QUALIFICATION*

No. Papers Enrolled
* By enrolling on these courses you agree to allow ACCA to disclose
to us the results of your examination.

Please tick here if you DO NOT wish ACCA to disclose your

results upon which we (MCKL) will not include your info in the
results service submission

SECTION E: ENGLISH LANGUAGE PROFICIENCY (Please attach your respective results)

Applicable for ACCA local applicants who are from non-English medium educational background
Have you taken an English proficiency test within the last 12 months?

If yes, please specify IELTS TOEFL MUET Band/Score:

Others Please specify: Exam Date (mm/yyyy):

CHECKLIST OF REQUIRED DOCUMENTS AND FEES (All Students)

A Completed MCKL Application Form
Application Fee and Admission Deposit
All payments must be addressed to METHODIST COLLEGE KUALA LUMPUR (Public Bank Account No.: 3-153-4483-00).
Payments made via direct bank transfer are to enclose bank-in slip as proof of payment. Applicants may also email payment slip as proof of payment, providing the
Student's Name, Cohort & Programme to [Link]@[Link]

Certified True Copy of SPM / IGCSE results or equivalent

Certified True Copy of PT3 / IGCSE Year 9 & UPSR results (Applicable for AUSMAT applicants)
Certified True Copy of Pre-University / Bachelor's Degree / Professional Qualifications Certificates & Results (Applicable for ADTP & ACCA applicants)
Photocopy of NRIC
Covid-19 Vaccination Certificate
Certified True Copy of English Requirement Supporting Document (MUET / IELTS / TOEFL) (Applicable for ACCA applicants who are from non-English medium
background)

Others:
Application Form 2022-1 November 2021-page 2
SECTION F: TERMS & CONDITIONS FOR ADMISSION AND DISCLOSURE

GENERAL TERMS AND CONDITIONS

1. The Application Fee and Admission Deposit are due together with the submission of the Application Form.
2. Enrolment in the selected Programme is not complete until all fees, deposits, and other payments have been made in full. Payment of all outstanding or balance fees shall be
made no less than 14 days prior to the first day of classes ("Commencement Date").
3. A student may be barred from classes and MCKL facilities in the event of failure to fully settle all fees and applicable payments prior to the Commencement Date.
4. Students who receive conditional offers based on forecast results (or the equivalent) shall submit their actual results to the Registrar's Office within 7 days of the release of the
actual results. If the actual results do not meet the minimum requirement for entry into the selected Programme, the student will have to withdraw from the Programme and the
refund policy set out in paragraph 5 below will apply.
5. MCKL's fee refund policy:
(a) The Application Fee is not refundable under any circumstances.
(b) Applicants who withdraw before the Commencement Date are eligible for a refund of fees paid (other than the Application Fee) provided that the Application for Refund Before
Programme Commencement Form is submitted and received by the Registrar's Office prior to the Commencement Date.
(c) Students who withdraw within 14 calendar days from Commencement Date will be eligible for a 50% refund on fees paid (excluding Application Fee, Laboratory Fee and
Admission Deposit).
(d) Students who withdraw after 14 calendar days from Commencement Date will not be entitled to any refund whatsoever.
(e) The refund policy for students under the MCKL scholarships and other awards shall be according to the terms and conditions of the respective scholarship or award.
(f) All withdrawals after the Commencement Date are subject to MCKL's prevailing policies and the terms set out in the Student Handbook.
(g) In the event a student discontinues or drops a subject, the refund (if any) will be subject to the provisions of the Student Handbook.
(h) The Admission Deposit is refundable upon completion of Programme less any amount chargeable on account of unreturned library books, fines, unpaid damages, outstanding
fees, etc. Students shall submit the Admission Deposit Refund Form within 30 calendar days of his/her last examination paper.
6. Students who transfer from a Programme/intake to another Programme/intake before the Commencement Date of the original Programme/intake, may apply to transfer the fees
paid to the new Programme of study/intake (minus Application Fee).
7. MCKL's decision on all matters pertaining to admission, fees, and refund shall be absolute and final.

DISCLOSURE
Are you a recipient or are you planning to apply for any external scholarships or loans?
If yes, please state the name(s) of the company or organisation
Yes No

Do you have any existing physical or psychological health problems that are certified by a legally qualified medical
practitioner? If yes, please provide details.
Yes No

Have you received double (2) doses of vaccination. (If no, please state the amount of doses taken)

Yes No

DECLARATIONS
I have read and hereby accept all terms and conditions hereof for the admission to MCKL.

I declare that all information and documents supplied by me are true, complete, and valid. I give consent to MCKL to seek verification on any information and
documents supplied by me from relevant third parties. Should any information be found to be untrue, incomplete, or invalid, I accept that I may be discontinued from the
programme or required to withdraw without recourse to any fee refund.

I have read MCKL's Personal Data Protection Notice and I give express consent to MCKL to process my personal data accordingly. I shall immediately update MCKL
through the Office of the Registrar in the event of any changes to my personal data.

I undertake to comply with all rules, regulations, and policies of MCKL including those set out in the Student Handbook, Student Sharepoint, and other communications
from time to time.
I authorise MCKL to release my academic progress, fee details, and other relevant information to my parents and/or any third party sponsoring my studies.

I give consent to MCKL to publicise my achievements in its marketing materials, social media platforms, and other channels.

As parent/legal guardian of the applicant who has yet to attain 18 years of age, I hereby confirm, accept, and/or give my express consent to all of the above for and on
behalf of my minor child/ward. I undertake to be responsible for all his/her actions, omissions, and undertakings. (Must be accepted by parent/guardian where the applicant has
yet to attain 18 years of age.)

(Signature of Applicant) (Signature of Parent/Guardian)

Name: Amanda Chan Kar Hei Name: June Chow Shan Shan
NRIC No.: 090507100740 NRIC/Passport No.: 76061810
Date: 19/11/2025
Relationship to Applicant: Mother
Date: 19/11/2025

Application Form 2022-1 November 2021-page 3

FOR OFFICE USE
Programme & Intake: Scholarship Detail: Signature & Stamp of Recruitment Agent

Additional Advising/Note:

(Company Stamp)
Name:
E-Mail:

Send Offer Letter to Agent Office

Finance & Accounts

Date: Cheque No.: Amount.: Received By:

Department Action Remarks (If any) Name & Signature Date

1. Form complete
2. Relevant documents attached
Programme Advisor 3. Entry requirement fulfilled
4. Subject advising session
remarks recorded if required

Enrollment & 1. Form complete

Admissions 2. Relevant documents attached

1. Form and documents verified

Office of The
2. Relevant documents attached
Registrar
3. Data entered into system

Head of Programme/ Director of Academic Studies Accepted Accepted Conditionally Declined

Remarks:

Name/ Stamp Signature: Date:

Office of The Registrar Accepted Accepted Conditionally Declined Offer Letter Given

Remarks:

Name/ Stamp Signature: Date:

METHODIST COLLEGE KUALA LUMPUR

(operating under WESLEYAN EDUCATION SERVICES SDN. BHD. (200101005044/540800U))

Off Jalan Tun Sambanthan 4, Brickfields 50470 Kuala Lumpur, Wilayah Persekutuan KL, Malaysia

Tel: (603)-2274 1851 || E-mail: admission@[Link] || Website: [Link]

Application Form 2022-1 November 2021-page 4

SUBJECT SHEET A (LOCAL) (All students are required to complete Service Learning and Character Formation as compulsory subjects)

Intake Year: 2026

Month: January

CAMBRIDGE A LEVEL (CAL)

JANUARY & JULY INTAKE SUBJECT COMBINATION (Please choose 3 or 4 subjects within the same combination only)

Pure Science (S) / Mathematics / Chemistry / Biology Physics

/
Chemistry
Science with Further Mathematics
Mathematics Physics Further Mathematics Economics
(D) (only as the 4th subject, must be taken
Computer Science together with Mathematics)

Chemistry Physics Accounting

Sub-Science (M) Mathematics Biology
Literature in English Economics Psychology

Literature in English Accounting

Arts (A) Mathematics Economics Law
Business Psychology

Chemistry
German Pathway German Language
Mathematics Physics Economics
Science (S/M) (AS)
Computer Science

German Pathway German Language

Mathematics Chemistry Biology
Science (S/M) (AS)

Optional Subject Divinity (only as the 4th subject)

SEPTEMBER INTAKE SUBJECT COMBINATION (Please tick 3 or 4 subjects within the same combination only)

Pure Science (S) Mathematics Chemistry Biology Physics

Chemistry Physics Accounting

Sub-Science (M) Mathematics Biology
Literature in English Economics Psychology

Literature in English Accounting

Arts (A) Mathematics Economics Law
Business Psychology

AUSTRALIAN MATRICULATION (AUSMAT)

JANUARY INTAKE SUBJECT COMBINATION (Please choose 5 subjects including English/EALD; choose only 1 subject from each column)

Applied Information
English Mathematics Applications Chemistry Physics Biology
Technology

Business Management &

English as Additional Language Enterprise
Mathematics Methods Psychology Economics Accounting & Finance
or Dialect (EALD)*
Mathematics Specialist**

**APRIL INTAKE SUBJECT COMBINATION (Please choose 5 subjects including English/EALD; choose only 1 subject from each column)

English Mathematics Applications Chemistry Human Biology

Psychology Physics
English as Additional Language Business Management &
Mathematics Methods Economics
or Dialect (EALD)* Enterprise

AUGUST INTAKE SUBJECT COMBINATION (Please choose 5 subjects including English/EALD; choose only 1 subject from each column)

Appllied Information
Mathematics Applications Chemistry Physics Biology
Technology
English
Business Management &
Mathematics Methods Psychology Economics Accounting & Finance
Enterprise
Note:
Students joining August intake will be covering Australian Year 11 syllabus in the 1st semester. They are then required to re-register their subjects in 2nd semester & are allowed to choose a different subject combination.
*UPSR Certificate is needed for application of EALD (Less than 7 years of English medium education
**Subject to change

DECLARATIONS
I hereby acknowledge my selection of subjects as above.
/

/ I undertake to comply with all rules, regulations and policies of the College, including those set out in the Student Handbook, Student Sharepoint and other applicable College platforms.

As parent/legal guardian of a minor child/ward (<18 years of age), I hereby affirm and give the required consent to all the above for and on behalf of my minor child/ward. I further undertake to be
/ responsible for his/her acts, omissions and undertakings. (For completion where applicant is less than 18 years old at point of application.)

(Signature of Applicant) (Signature of Parent/Guardian)

Name: Amanda Chan Kar Hei Name: June Chow Shan Shan
Date: 19/11/2025 Relationship to Applicant: Mother
Date: 19/11/2025 Subject Sheet A - 20 October 2021