Application Form For Homeopathic Courses /  Borang 

To,

The Registrar

The Faculty of Homeopathy Malaysia

Lot 122,  University Campus,

Kampong Gelang Mas, 17010  Pasir Mas,  Kelantan, Malaysia. Tel: 09-7972948

Nature of Course:  Homeopathy : Basic / Advance Diploma / Doctorate

Name of applicant:...................................................................................

Full Postal Address:...................................................................................

.......................................................................................................................

........................................................................................................................

Date of Birth:...................................I/C NO:...............................................

Tel: ....................................(Res)............................................(Office)

Academic Qualification:.........................................................................

Lecture Note :  Malay / English

Please send  this form along with:-

1. Bank Draft / Money Order in favor of The Faculty of Homeopathy Malaysia

2. 3 passport size photograph

3. Supported document : certificate / diploma/ degree ( Photostat)

Date:..................................................Signature:.......................................................