Application Form - TECH Malaysia

Enrollment form

Name

Surname 1

Surname 2

E-mail

Telephone

MyKad

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Payment Modes and Methods

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Cash payment

Split payment

Deadlines

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Credit card

Account

Internship program Third Generation Therapies

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Cash price

RM 31,520

Installment price

RM 15,560 of tuition + 5 fees of RM 4,670

Total amount

Initial payment

Installment fees