International Office Enquiry

SEG Salesforce Web-to-Lead

ENQUIRY FORM
INTERNATIONAL OFFICE

First Name:*

Last Name:*

Gender:

Date of Birth:

Phone Number:

Nationality:*

Residing Country:*

Email:*

Programme Of Interest:

Course of Interest (Others):

Is Alumni?:

LATEST EDUCATION STATUS

Current Academic Qualification:*

Others (Qualification):

Staff Name:*

Remarks (if any)

Personal Data Protection Statement
The proctection of personal data is an important concern to Sunway College and Sunway University and any personal data collected on this form will be treated in accordance with the Personal Data Proctection Notice of the company.

* required fields
No signature is required on this e-Form. Upon submission of this form, you are also giving consent to Sunway Education Group to collect and process my personal information for promotional purposes.