Application Form - BPTV 2025Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.12345678Passport Size Photo * Click or drag a file to this area to upload. Max file size: 1 MB. | Allowed file type: .jpg, .png | Min number of file: 1Surname *Forename *Title (e.g. Mr/Ms/Mrs) *Other NamesLayoutNationality *IC No. *Upload your IC * Click or drag a file to this area to upload. Max file size: 1 MB. | Allowed file type: .jpg, .png, .pdf | Min number of file: 1Date of Birth *LayoutRace *Religion *Address *LayoutTown/City *Tel. No (Home)Post Code *Tel No. (Work)Tel No. (Mobile) *Email Address *NextParents DetailsLayoutFather's Name *Father's IC No. & Colour *Father's Address *Father's Tel No. (H)Father's Tel No. (M) *Father's Email AddressMother's Name *Mother's IC No. & Colour *Mother's Address *Mother's Tel No. (H)Mother's Tel No. (M) *Mother's Email AddressNextSpouse/ Guardian DetailsNameLayoutRelationshipIC No.AddressLayoutTel No. (Home)Tel No. (Mobile)Email AddressNextHow Did You Hear About Us?Please tell us how you have heard of the college *Word of mouthSocial MediaConsultant/Agent (Please provide name)OthersPlease specify NextQualificationse.g. High School, Diplomas, Degrees, etcPrevious School/ Educational Institution *Qualification Certificates(s) [O' LEVELS/A' LEVELS ETC] * Click or drag a file to this area to upload. Max file size: 5 MB. | Allowed file type: .pdf | Min number of file: 1English Languageif you have passed any English Qualifications (e.g. TOEIC, TOEFL, IELTS, O Levels), please list above.NextSelect course *BTEC International Level 2 Certificate in BusinessBTEC International Level 2 Certificate in BusinessBTEC International Level 2 Certificate in Travel & TourismBTEC International Level 2 Diploma in ITCity and Guilds Level 2 Diploma in Food Preparation and Culinary ArtsCity and Guilds Level 2 Diploma in Food Preparation and Culinary Arts - PatisserieCity and Guilds Level 2 Diploma in Food and Beverage ServiceNextHealth StatementHave you ever been under observation or surgical advice or treatment or have been hospitalised during the last 5 years that would affect your studies? *YesNoDo you have any disabilities, health issues or ongoing medical conditions that may affect your studies? *YesNoIf yes, please specifyIf yes to the above questions, Laksamana College of Business will require further information from a relevant health professional outlining the potential impact of your health condition on your intended study program. LayoutNextTerms and Conditions * I confirm that the information given in this form is correct and complete. I accept that this agreement is subject to the College’s Terms & Conditions that I have read and understood.1. Students are required to attend all lectures, tutorials, tests/exams as specified on the timetable and to submit written work as required by the College. The student also agrees that if he/she fails to achieve an attendance level of at least 80%, this could lead to disciplinary action including termination of the course, in which event there will be no refund to the student. 2. Any absence of leave should be approved in writing by the College prior to the leave. 3. If a student has submitted any false/forged documents/certificates/bank statements, the College will report the same to the police/Ministry of Education/awarding bodies and any fees paid will be forfeited. 4. The student hereby confirms warrants and represents that he/she is fully aware of the subjects that are offered on his/her course and is fully aware of the facilities and services offered by the College. 5. The student hereby consents to the College obtaining and verifying his/her registration details, assessment registration and results from all professional institutes/ examination bodies. 6. The student agrees that he/she cannot change, defer, suspend or withdraw from the course offered without prior written permission from the College. 7. The Director of the College reserves the right to enact disciplinary procedures and/or expel a student if he/she does not fulfill the above requirements or fails to act with an appropriate level of conduct when: in the College, dealing with staff or fellow students, representing the College or using facilities associated with the College off-campus. (Examples would include disrupting the general operation of the College; offensive, threatening, discriminatory or harassing behavior; misrepresentation; misuse of the site/facilities/equipment). In such an event there will be no refund to the student and the relevant authorities will be informed. 8. When enrolling, each student will be required to produce evidence of previous relevant examination performance and/or work experience. The College reserves the right to refuse admission to students who do not provide such evidence, in which event there will be no refund to the student. 9. Credit can only be confirmed after a student has registered and submitted documentary evidence of academic qualifications with course syllabi. The admissions office will evaluate credits from other institutions on a module-by-module basis. Students should not assume that their academic qualifications will allow them credits until written confirmation has been given. 10. Students whose fees are to be paid by the Bank Loan, employer or other body directly to the College must produce written evidence of this at enrolment (or earlier). In the event of loan, employer, or other body not paying such fees, the student will remain personally liable for them. 11. The tuition fees are not refundable after two weeks upon registration. Please refer to the Refund and Compensation Policy (available upon request at any Reception counter) 12. Students whose fees remain unpaid may be denied access to the College facilities, and the College reserves the right to withhold examination results, until payment is made. 13. Your course fees include first attempt examination/coursework fees but not re-sit/repeat fees. 14. The College reserves the right not to commence any classes set out in the prospectus and to close, alter or combine classes which have commenced. In that event it further reserves the right to decide in its entire discretion whether the whole fee, or any portion of it, shall be returned to the student. 15. This application form is correct at the time of printing but is subject to alteration. 16. LCB reserves the right, as a part of this contract, to contact your parents or other responsible persons/organisations, should you be absent from lectures and not personally be contactable by the College. LayoutName *Date *APPLY