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JWC Academy Enrollment Form
Please enable JavaScript in your browser to complete this form.
Programme
Programme Name
*
Barista Work & Study Programme
Barista Work & Study Programme
Diploma in Barista, Mixology & Pastry Course
Barista Weekend Course
Bread Baking Weekend Course
DISM (Diploma in Self Media Digital Marketing)
Intake Year
*
July 2022
July 2022
Oct 2022
Intake Year
*
July 2022
July 2022
Nov 2022
Intake Year
*
Apr 2022
Apr 2022
May 2022
July 2022
Aug 2022
Oct 2022
Intake Year
*
Apr 2022
Apr 2022
Intake Year
*
July 2022
July 2022
Version
*
Chinese Version
Chinese Version
English Version
Venue
*
Kajang/ Puchong, Kuala Lumpur
Kajang/ Puchong, Kuala Lumpur
Taman Mount Austin, Johor Bahru
Student Information
English Name (NRIC Name)
*
Chinese Name
*
Passport/ NRIC No.
*
Gender
*
Male
Female
Date of Birth
*
Passport / NRIC Photocopy (Front & Back in one page)
*
Click or drag a file to this area to upload.
Age
*
Nationality
*
Malaysian
Malaysian
Singaporean
Other
Religion
Islam
Islam
Buddhism
Christianity
Hinduism
Other
Race / Ethnicity
Chinese
Chinese
Malays
Indian
Others
Non-Malaysian Resident
Phone
*
Email
*
Address
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Wallis and Futuna
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Yemen
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Country
Education Background
Year
*
Name of Secondary School / Institute
*
SPM / UEC
*
SPM
UEC
Parent / Guardian Information
English Name (Father)
*
Chinese Name (Father)
*
NRIC No. (Father)
*
Phone (Father)
*
Passport / NRIC Photocopy (Father)(Front & Back in one page)
*
Click or drag a file to this area to upload.
English Name (Mother)
*
Chinese Name (Mother)
*
NRIC No. (Mother)
*
Phone (Mother)
*
Passport / NRIC Photocopy (Mother)(Front & Back in one page)
*
Click or drag a file to this area to upload.
Emergency Contact
Guardian
*
Father
Mother
Guardian not parent
Full English Name
*
Chinese Name
*
NRIC No.
*
Phone
*
Relationship with Student
*
Bank Information
Bank
Bank Account No.
Account Holder
Account Holder NRIC No.
Remark
T-Shirt Size
S
M
L
Loan Apply
Yes
No
Hostel Apply (apply to student@newera.edu.my)
Yes
No
KOJADI Loan Apply
Yes
No
Special Remark
Course & Payment Structure
Course (Barista Weekend Course)
Foundation Weekend Course - RM1300
Intermediate Weekend Course - RM1600
Advanced Weekend Course - RM2200
Full Weekend Course (iNSTA) - RM2652
Course (Bread Baking Weekend Course)
Foundation Weekend Course - RM1300
Intermediate Weekend Course - RM1600
Advanced Weekend Course - RM2200
Full Weekend Course (iNSTA) - RM2652
Payment Method
*
Fully Payment
Fully Payment
Partial Payment
Payment Slip
*
Click or drag a file to this area to upload.
Counsellor Name
*
Installment Plan Application
File Upload
Click or drag a file to this area to upload.
Please fill out the form and submit to below column
Link for download the form:
Installation Payment Application Form
Confirm and Click Here
*
I hereby acknowledge that I have read, understand and agree to the terms of this application form and tuition fee payment structure. And also, I am currently in good health and free from malignant and legal communicable diseases, mental illness, epilepsy, physical and mental disabilities, etc. In the event during my studies that I have suffer from any of the above-mentioned diseases or conditions, I am responsible to inform to the university immediately. Failure to do so, the university has the right to make the decision to either defer or discontinue my studies or make any suitable arrangement for me, I am duly agree to comply with such decision and further understand that all fees paid are not refundable.
IMPORTANT
:
By submitting this form, you acknowledge all fees, charges and accounts will be payable in advance as determined by JWC Coffee Academy from time to time.
Students will not be permitted to commence or continue their studies at the beginning of any semester until all outstanding fees, charges or accounts are paid.
Students have to confirm that they have read and understood the terms and conditions outlined in offer letter, and accept the offer of admission.
Please note that once your payment done you can't get a refund for any payments you've already made.
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