REGISTRATION FORM

Microsoft IT Academy (180111002)________________________________________________________________________

Application Form

Personal Particulars (fill whichever applicable)

Student ID

Name

Degree (Major)

YearAlpha / Beta / Gamma / Delta / Epsilon

Contact no.

E-mail address

Date

I would like to register for: FORMCHECKBOX

ASP.NET 4.0 (Visual Studio 2010) - Trimester 1 2011/2012 : RM1000.00** Training fee, online learning materials, and exam fee for MTA WebNote:

1. Completed form should be emailed to the respective trainer latest by 18 June 2011 (Friday):

Neoh Kee LinEmail: klneoh@mmu.edu.my Room no.: FIT BR4023Tel.: +60 (3) 8312 53382. Registration is strictly on first-paid-first-served basis, only 30 seats are available per course.

3. Payment methods:

CIMBClicks

You must have MMU Student ID and CIMBClicks account to use this method:

a. Log on to CIMBClicks website at https://www.cimbclicks.com.my.

b. Select Pay Bills on the top menu.c. For Payee List, select Multimedia University.

d. Type in your Student ID, Name, and IC no (passport no. for internationsal student), and Amount. Click Submit button.e. For Payment Type, select Other. Type Microsoft IT Academy Cyberjaya 180111002 in the Other box. Click Submit button. f. Keep a copy of the online payment receipt/acknowledgement.g. Three days after Step f, collect the official receipt at the Finance counter at STAD building. Make sure that the description of the receipt specifies Microsoft IT Academy Program.Credit Card

Pay at the Finance counter at STAD building (office hour only). Official MMU receipt.will be issued immediately. Make sure the description on the receipt specifies "Microsoft IT Academy Program".Other MethodIf you cannot pay via any of the above methods, please contact your trainer for separate arrangement.4. Email the CIMBClick payment acknowledgement (pay via CIMBClick) or official MMU receipt number and date (pay via credit card) to your trainer to secure your seat.

5. ELMS online account for you to download software and product key will be created and emailed to you latest during the class. Look for email sent by e-academy.com in your mail box (check Spam/Junk folder).6. Submit the office copy of the official MMU receipt to your trainer during the first class.

7. No refund is allowed.