RIMA Group Of Colleges

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CAMPUS

RIMA College Kuala Lumpur	RIMA College Petaling Jaya
RIMA College Johor Bahru	RIMA College Penang
RIMA Secretarial Finishing College

COURSE

Name of Course
1.
2.
3.
4.
5.
Date of Commencement

Full Time Part Time

PERSONAL INFORMATION

First Name	:		Last Name (Surname)	:
IC No/Pastport No	:		Nationality	:
DOB	:
Gender	:	Male Female
Place of Birth	:
Marital Status	:	Single Married
Home Address	:
Mailing Address (If different from above)	:
Tel No (House)	:		Tel No (Mobile)	:
Email Address	: