Diploma Application Form Application for Specialised Diplomas, Group Diplomas or Diplomas Please complete one application form per candidate and submit to LCCI Malaysia for processing. Candidate name

LCCIIQ candidate number Diploma title Diploma code

Subject code

Subject and level

Result

Date of examination

Result verified Please attach copy of result slip or certificate

Instructions for completing this form: 1 Candidates should submit this form via their local Centre who should complete the section below. 2 3 4. 5.

Complete both sides of this form. Please indicate overleaf for award being claimed Candidates should complete the details above and enclose photocopies of the relevant result slips / certificates. Do not submit original documents. You must claim your Diploma within 12 months from the final examination sat. Duration of processing will take approx. 2 months from date of receipt of complete documents. Send the appropriate administration fee together with this form. Administration Fee: RM100.00 and Postage Fee: RM15.00 Payment mode: (Please tick √ where appropriate) Bank draft or Banker’s cheque payable to LCCI INTERNATIONAL QUALIFCATIONS (MALAYSIA) SDN BHD Direct Bank-in or telegraphic transfer to LCCI bank account No: HSBC HSBC 359-131224-101 ** For direct bank-in or telegraphic transfer to HSBC account, please submit a copy of “bank-in slip” or remittance details for payment tracking ** Please include bank charges for all International transactions

NRIC / Passport number Mailing address Phone / Email

EDI USE ONLY Date received  Cheque received

Date issued  Invoiced to Centre

Amount

LCCI International Qualifications (Malaysia) Sdn Bhd | Level 1, Tower 2A |Avenue 5, Bangsar South | No. 8, Jalan Kerinchi | 59200 Kuala Lumpur | Malaysia

Tel. +603 2289 7000 | Fax. +603 2289 7195 | Email. [email protected] | www.lcciasia.com

OP-RPC-F3 version 1.0

Signature / Date

Please tick  box to indicate award being claimed Diplomas – Candidates are required to complete a given number of subjects at any level within 24 months  Diploma title

Diploma code

Level

Subject Combination

Diploma in Foundations of Business

DIPFOB1

1

Book-keeping English for Business or English for Commerce Business Administration/ Business Administrative Principles & Practice or Commercial Calculations

Diploma in Administration

ASEDBAG11

1

Business Administration/ Business Administrative Principles & Practice English for Business Either one: Audio Transcription, Text Production, Practical ICT Skills

Diploma in Travel and Tourism

DIPTT1

1

Introductory Certificate in Marketing Travel and Tourism English for Business or English for Tourism

Diploma in Business Studies

DIPBST2

2

Book-keeping and Accounts or Book-keeping and Accounts (IAS) Business Administration/ Business Administrative Principles & Practice Business Calculations English for Business or English for Commerce Any two other Level 2 subjects

Diploma in Computerised Accounting

DIPCOMACC2

2

Computerised Book-keeping Skills or MYOB Computerised Accounting Book-keeping and Accounts or Book-keeping and Accounts (IAS) Any one other Level 2 subjects

Diploma in Book-keeping and Accounts

DIPBKACC2

2

Book-keeping and Accounts or Book-keeping and Accounts (IAS) Any two: Business Calculations, Business Statistics, Cost Accounting, English for Business, English for Commerce, Practical ICT Skills, Computerised Book-keeping Skills, MYOB Computerised Accounting

Diploma in Marketing

ASEIDIPMKT

2