{"id":1021,"date":"2021-10-05T15:46:11","date_gmt":"2021-10-05T15:46:11","guid":{"rendered":"https:\/\/www.ukm.my\/csam\/?page_id=1021"},"modified":"2022-01-04T11:38:35","modified_gmt":"2022-01-04T11:38:35","slug":"register","status":"publish","type":"page","link":"https:\/\/www.ukm.my\/csam\/register\/","title":{"rendered":"User Registration"},"content":{"rendered":"<div id=\"um-admin-form-shortcode\" class=\"postbox \">\n<div class=\"inside\">\n<div class=\"um-admin-metabox\">\n<div id=\"um-admin-form-shortcode\" class=\"postbox \">\n<div class=\"inside\">\n<div class=\"um-admin-metabox\">\n\n<div class=\"um um-register um-536\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\">\n\t\t\t<div class=\"um-row _um_row_1 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_536_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><label for=\"first_name-536\">Name<span class=\"um-req\" title=\"Required\">*<\/span><\/label><span class=\"um-tip um-tip-w\" title=\"As per IC\/Passport\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"first_name-536\" id=\"first_name-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><label for=\"user_email-536\">E-mail Address<span class=\"um-req\" title=\"Required\">*<\/span><\/label><span class=\"um-tip um-tip-w\" title=\"example@ipt.ede.my\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_email-536\" id=\"user_email-536\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_user_login\" class=\"um-field um-field-text  um-field-user_login um-field-text um-field-type_text\" data-key=\"user_login\"><div class=\"um-field-label\"><label for=\"user_login-536\">Username<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_login-536\" id=\"user_login-536\" value=\"\" placeholder=\"\" data-validate=\"unique_username\" data-key=\"user_login\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"user_password\"><div class=\"um-field-label\"><label for=\"user_password-536\">Password<span class=\"um-req\" title=\"Required\">*<\/span><\/label><span class=\"um-tip um-tip-w\" title=\"Must contain at least 8 characters and a combination of one lowercase letter, one uppercase letter and one number.\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"user_password-536\" id=\"user_password-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"user_password\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_confirm_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"confirm_user_password\"><div class=\"um-field-label\"><label for=\"confirm_user_password-536\">Confirm Password<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"confirm_user_password-536\" id=\"confirm_user_password-536\" value=\"\" placeholder=\"Confirm Password\" data-validate=\"\" data-key=\"confirm_user_password\"  aria-invalid=\"false\" \/><\/div><\/div><div  id=\"um_field_536_title\" class=\"um-field um-field-select  um-field-title um-field-select um-field-type_select\" data-key=\"title\"><div class=\"um-field-label\"><label for=\"title-536\">Title<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"title\" id=\"title\" data-validate=\"\" data-key=\"title\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Brigidier Jeneral Dato&#039;\" >Brigidier Jeneral Dato&#039;<\/option><option value=\"Cik\" >Cik<\/option><option value=\"Datin\" >Datin<\/option><option value=\"Datin Amar\" >Datin Amar<\/option><option value=\"Datin Dr.\" >Datin Dr.<\/option><option value=\"Datin Paduka\" >Datin Paduka<\/option><option value=\"Datin Patinggi\" >Datin Patinggi<\/option><option value=\"Datin Professor\" >Datin Professor<\/option><option value=\"Datin Professor Dr.\" >Datin Professor Dr.<\/option><option value=\"Datin Seri\" >Datin Seri<\/option><option value=\"Datin Setia\" >Datin Setia<\/option><option value=\"Datin Sri\" >Datin Sri<\/option><option value=\"Datin Sri Cempaka\" >Datin Sri Cempaka<\/option><option value=\"Datin Sri Dr.\" >Datin Sri Dr.<\/option><option value=\"Dato&#039;\" >Dato&#039;<\/option><option value=\"Dato&#039; Dr.\" >Dato&#039; Dr.<\/option><option value=\"Dato&#039; Ir Dr.\" >Dato&#039; Ir Dr.<\/option><option value=\"Dato&#039; Ir\" >Dato&#039; Ir<\/option><option value=\"Dato&#039; Paduka Dr.\" >Dato&#039; Paduka Dr.<\/option><option value=\"Dato&#039; Professor Madya Dr.\" >Dato&#039; Professor Madya Dr.<\/option><option value=\"Dato&#039; Senara Muda\" >Dato&#039; Senara Muda<\/option><option value=\"Dato&#039; Seri\" >Dato&#039; Seri<\/option><option value=\"Dato&#039; Sri\" >Dato&#039; Sri<\/option><option value=\"Datu\" >Datu<\/option><option value=\"Datuk\" >Datuk<\/option><option value=\"Datuk Amar\" >Datuk Amar<\/option><option value=\"Datuk Bentara Luar\" >Datuk Bentara Luar<\/option><option value=\"Datuk Bentara Raja\" >Datuk Bentara Raja<\/option><option value=\"Datuk Dr.\" >Datuk Dr.<\/option><option value=\"Datuk Ir.\" >Datuk Ir.<\/option><option value=\"Datuk Patinggi\" >Datuk Patinggi<\/option><option value=\"Datuk Professor\" >Datuk Professor<\/option><option value=\"Datuk Professor Dr.\" >Datuk Professor Dr.<\/option><option value=\"Datuk Setia\" >Datuk Setia<\/option><option value=\"Datuk Setia Wangsa\" >Datuk Setia Wangsa<\/option><option value=\"Datuk Sri\" >Datuk Sri<\/option><option value=\"Datuk Sri Amar Diraja\" >Datuk Sri Amar Diraja<\/option><option value=\"Datuk Sri Dr.\" >Datuk Sri Dr.<\/option><option value=\"Datuk Wira\" >Datuk Wira<\/option><option value=\"Datuk Wira Jaya\" >Datuk Wira Jaya<\/option><option value=\"Doktor\" >Doktor<\/option><option value=\"Duli Yang Maha Mulia\" >Duli Yang Maha Mulia<\/option><option value=\"Encik\" >Encik<\/option><option value=\"Haji\" >Haji<\/option><option value=\"Hajjah\" >Hajjah<\/option><option value=\"Ir\" >Ir<\/option><option value=\"Ir Dr.\" >Ir Dr.<\/option><option value=\"Jeneral\" >Jeneral<\/option><option value=\"Kadet\" >Kadet<\/option><option value=\"Kapten\" >Kapten<\/option><option value=\"Ke Bawah Duli Yang Teramat Mulia\" >Ke Bawah Duli Yang Teramat Mulia<\/option><option value=\"Kebawah Duli Yang Maha Mulia\" >Kebawah Duli Yang Maha Mulia<\/option><option value=\"Kolonel\" >Kolonel<\/option><option value=\"Komander\" >Komander<\/option><option value=\"Laksamana\" >Laksamana<\/option><option value=\"Laksamana Armada\" >Laksamana Armada<\/option><option value=\"Laksamana Madya\" >Laksamana Madya<\/option><option value=\"Laksamana Muda\" >Laksamana Muda<\/option><option value=\"Laksamana Pertama\" >Laksamana Pertama<\/option><option value=\"Leftenan\" >Leftenan<\/option><option value=\"Leftenan Komander\" >Leftenan Komander<\/option><option value=\"Leftenan Madya\" >Leftenan Madya<\/option><option value=\"Leftenan Muda\" >Leftenan Muda<\/option><option value=\"Lt. Kolonel\" >Lt. Kolonel<\/option><option value=\"Major\" >Major<\/option><option value=\"Pegawai Kadet Kanan\" >Pegawai Kadet Kanan<\/option><option value=\"Professor\" >Professor<\/option><option value=\"Professor Dato&#039; Dr.\" >Professor Dato&#039; Dr.<\/option><option value=\"Professor Diraja\" >Professor Diraja<\/option><option value=\"Professor Dr.\" >Professor Dr.<\/option><option value=\"Professor Madya\" >Professor Madya<\/option><option value=\"Professor Madya Dr.\" >Professor Madya Dr.<\/option><option value=\"Puan\" >Puan<\/option><option value=\"Puan Sri\" >Puan Sri<\/option><option value=\"Puan Sri Datin\" >Puan Sri Datin<\/option><option value=\"Puan Sri Datin Professor\" >Puan Sri Datin Professor<\/option><option value=\"Puan Sri Dr.\" >Puan Sri Dr.<\/option><option value=\"Puan Sri Utama\" >Puan Sri Utama<\/option><option value=\"Tan Sri\" >Tan Sri<\/option><option value=\"Tan Sri Dato&#039;\" >Tan Sri Dato&#039;<\/option><option value=\"Tan Sri Dato&#039; Dr.\" >Tan Sri Dato&#039; Dr.<\/option><option value=\"Tan Sri Dato&#039; Ir\" >Tan Sri Dato&#039; Ir<\/option><option value=\"Tan Sri Dato&#039; Seri\" >Tan Sri Dato&#039; Seri<\/option><option value=\"Tan Sri Datuk Professor\" >Tan Sri Datuk Professor<\/option><option value=\"Tan Sri Datuk Professor Dr.\" >Tan Sri Datuk Professor Dr.<\/option><option value=\"Tan Sri Datuk Seri\" >Tan Sri Datuk Seri<\/option><option value=\"Tan Sri Dr.\" >Tan Sri Dr.<\/option><option value=\"Tan Sri General\" >Tan Sri General<\/option><option value=\"Tan Sri Professor\" >Tan Sri Professor<\/option><option value=\"To&#039;Puan\" >To&#039;Puan<\/option><option value=\"To&#039;Puan Sri\" >To&#039;Puan Sri<\/option><option value=\"Toh Puan\" >Toh Puan<\/option><option value=\"Tuan\" >Tuan<\/option><option value=\"Tun\" >Tun<\/option><option value=\"Yang Amat Mulia\" >Yang Amat Mulia<\/option><option value=\"Yang Mulia\" >Yang Mulia<\/option><\/select><\/div><\/div><div  id=\"um_field_536_identification_type\" class=\"um-field um-field-radio  um-field-identification_type um-field-radio um-field-type_radio\" data-key=\"identification_type\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"identification_type-536\">Self Identification<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"identification_type[]\" value=\"MyKad\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">MyKad<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"identification_type[]\" value=\" Passport\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\"> Passport<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"identification_type[]\" value=\" No. Tentera\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\"> No. Tentera<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"identification_type[]\" value=\" No. Polis\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\"> No. Polis<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_536_id_number\" class=\"um-field um-field-text  um-field-id_number um-field-text um-field-type_text\" data-key=\"id_number\"><div class=\"um-field-label\"><label for=\"id_number-536\">Self Identification Number (based on choice above)<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"id_number-536\" id=\"id_number-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"id_number\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_dob\" class=\"um-field um-field-date  um-field-dob um-field-date um-field-type_date\" data-key=\"dob\"><div class=\"um-field-label\"><label for=\"dob-536\">Date of Birth (dd-mm-yyyy)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input   class=\"um-form-field valid not-required um-datepicker \" type=\"text\" name=\"dob-536\" id=\"dob-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"dob\" data-range=\"years\" data-years=\"100\" data-years_x=\"past\" data-disabled_weekdays=\"\" data-date_min=\"1926,4,26\" data-date_max=\"2026,4,26\" data-format=\"d mmm yyyy\" data-value=\"\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_nationality\" class=\"um-field um-field-radio  um-field-nationality um-field-radio um-field-type_radio\" data-key=\"nationality\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"nationality-536\">Nationality<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"nationality[]\" value=\"Malaysian\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Malaysian<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"nationality[]\" value=\"Non-Malaysian\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non-Malaysian<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_536_country\" class=\"um-field um-field-select  um-field-country um-field-select um-field-type_select\" data-key=\"country\"><div class=\"um-field-label\"><label for=\"country-536\">Country<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"country\" id=\"country\" data-validate=\"\" data-key=\"country\" class=\"um-form-field valid um-s1 \" style=\"width: 100%\" data-placeholder=\"Choose a Country\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"\u00c5land Islands\" >\u00c5land Islands<\/option><option value=\"Albania\" >Albania<\/option><option value=\"Algeria\" >Algeria<\/option><option value=\"American Samoa\" >American Samoa<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antarctica\" >Antarctica<\/option><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Argentina\" >Argentina<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Australia\" >Australia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Bermuda\" >Bermuda<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Bolivia, Plurinational State of\" >Bolivia, Plurinational State of<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Bouvet Island\" >Bouvet Island<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"British Indian Ocean Territory\" >British Indian Ocean Territory<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Cayman Islands\" >Cayman Islands<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Chile\" >Chile<\/option><option value=\"China\" >China<\/option><option value=\"Christmas Island\" >Christmas Island<\/option><option value=\"Cocos (Keeling) Islands\" >Cocos (Keeling) Islands<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Congo\" >Congo<\/option><option value=\"Congo, the Democratic Republic of the\" >Congo, the Democratic Republic of the<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Falkland Islands (Malvinas)\" >Falkland Islands (Malvinas)<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"French Guiana\" >French Guiana<\/option><option value=\"French Polynesia\" >French Polynesia<\/option><option value=\"French Southern Territories\" >French Southern Territories<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Greenland\" >Greenland<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guadeloupe\" >Guadeloupe<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guernsey\" >Guernsey<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Heard Island and McDonald Islands\" >Heard Island and McDonald Islands<\/option><option value=\"Holy See (Vatican City State)\" >Holy See (Vatican City State)<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran, Islamic Republic of\" >Iran, Islamic Republic of<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Isle of Man\" >Isle of Man<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jersey\" >Jersey<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Korea, Democratic People&#039;s Republic of\" >Korea, Democratic People&#039;s Republic of<\/option><option value=\"Korea, Republic of\" >Korea, Republic of<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Lao People&#039;s Democratic Republic\" >Lao People&#039;s Democratic Republic<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libyan Arab Jamahiriya\" >Libyan Arab Jamahiriya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macao\" >Macao<\/option><option value=\"Macedonia, the former Yugoslav Republic of\" >Macedonia, the former Yugoslav Republic of<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Martinique\" >Martinique<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Micronesia, Federated States of\" >Micronesia, Federated States of<\/option><option value=\"Moldova, Republic of\" >Moldova, Republic of<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Montserrat\" >Montserrat<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"New Caledonia\" >New Caledonia<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Niue\" >Niue<\/option><option value=\"Norfolk Island\" >Norfolk Island<\/option><option value=\"Northern Mariana Islands\" >Northern Mariana Islands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Pitcairn\" >Pitcairn<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Puerto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9union\" >R\u00e9union<\/option><option value=\"Romania\" >Romania<\/option><option value=\"Russian Federation\" >Russian Federation<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Barth\u00e9lemy\" >Saint Barth\u00e9lemy<\/option><option value=\"Saint Helena\" >Saint Helena<\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Martin (French part)\" >Saint Martin (French part)<\/option><option value=\"Saint Pierre and Miquelon\" >Saint Pierre and Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"South Georgia and the South Sandwich Islands\" >South Georgia and the South Sandwich Islands<\/option><option value=\"South Sudan\" >South Sudan<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Svalbard and Jan Mayen\" >Svalbard and Jan Mayen<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Syrian Arab Republic\" >Syrian Arab Republic<\/option><option value=\"Taiwan, Province of China\" >Taiwan, Province of China<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Tanzania, United Republic of\" >Tanzania, United Republic of<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Timor-Leste\" >Timor-Leste<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tokelau\" >Tokelau<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"Turks and Caicos Islands\" >Turks and Caicos Islands<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"United States\" >United States<\/option><option value=\"United States Minor Outlying Islands\" >United States Minor Outlying Islands<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Venezuela, Bolivarian Republic of\" >Venezuela, Bolivarian Republic of<\/option><option value=\"Viet Nam\" >Viet Nam<\/option><option value=\"Virgin Islands, British\" >Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\" >Virgin Islands, U.S.<\/option><option value=\"Wallis and Futuna\" >Wallis and Futuna<\/option><option value=\"Western Sahara\" >Western Sahara<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><div  id=\"um_field_536_Home_Address\" class=\"um-field um-field-text  um-field-Home_Address um-field-text um-field-type_text\" data-key=\"Home_Address\"><div class=\"um-field-label\"><label for=\"Home_Address-536\">Home Address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"Home_Address-536\" id=\"Home_Address-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Home_Address\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_state\" class=\"um-field um-field-text  um-field-state um-field-text um-field-type_text\" data-key=\"state\"><div class=\"um-field-label\"><label for=\"state-536\">State<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"state-536\" id=\"state-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"state\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_city\" class=\"um-field um-field-text  um-field-city um-field-text um-field-type_text\" data-key=\"city\"><div class=\"um-field-label\"><label for=\"city-536\">City\/Area<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"city-536\" id=\"city-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"city\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_Postcode\" class=\"um-field um-field-number  um-field-Postcode um-field-number um-field-type_number\" data-key=\"Postcode\"><div class=\"um-field-label\"><label for=\"Postcode-536\">Postcode<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  class=\"um-form-field valid not-required \" type=\"number\" name=\"Postcode-536\" id=\"Postcode-536\" value=\"\" placeholder=\"\" data-validate=\"0\" data-key=\"Postcode\"   aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_ContactNo\" class=\"um-field um-field-number  um-field-ContactNo um-field-number um-field-type_number\" data-key=\"ContactNo\"><div class=\"um-field-label\"><label for=\"ContactNo-536\">Contact No:<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"um-icon-android-call\"><\/i><\/div><input  class=\"um-form-field valid not-required um-iconed \" type=\"number\" name=\"ContactNo-536\" id=\"ContactNo-536\" value=\"\" placeholder=\"\" data-validate=\"numeric\" data-key=\"ContactNo\"   aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_occupation\" class=\"um-field um-field-text  um-field-occupation um-field-text um-field-type_text\" data-key=\"occupation\"><div class=\"um-field-label\"><label for=\"occupation-536\">Occupation<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"occupation-536\" id=\"occupation-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"occupation\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_Institution\" class=\"um-field um-field-select  um-field-Institution um-field-select um-field-type_select\" data-key=\"Institution\"><div class=\"um-field-label\"><label for=\"Institution-536\">Institution:<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"Institution\" id=\"Institution\" data-validate=\"\" data-key=\"Institution\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"UM -\u00a0Universiti Malaya, KL\" >UM -\u00a0Universiti Malaya, KL<\/option><option value=\"UKM -\u00a0Universiti Kebangsaan Malaysia, Selangor\" >UKM -\u00a0Universiti Kebangsaan Malaysia, Selangor<\/option><option value=\"UPM -\u00a0Universiti Putra Malaysia, Selangor\" >UPM -\u00a0Universiti Putra Malaysia, Selangor<\/option><option value=\"USM -\u00a0Universiti Sains Malaysia, Pulau Pinang\" >USM -\u00a0Universiti Sains Malaysia, Pulau Pinang<\/option><option value=\"UTM -\u00a0Universiti Teknologi Malaysia, Johor\" >UTM -\u00a0Universiti Teknologi Malaysia, Johor<\/option><option value=\"UMP -\u00a0Universiti Malaysia Pahang, Pahang\" >UMP -\u00a0Universiti Malaysia Pahang, Pahang<\/option><option value=\"UIAM -\u00a0Universiti Islam Antarabangsa Malaysia, Selangor\" >UIAM -\u00a0Universiti Islam Antarabangsa Malaysia, Selangor<\/option><option value=\"UUM -\u00a0Universiti Utara Malaysia, Kedah\" >UUM -\u00a0Universiti Utara Malaysia, Kedah<\/option><option value=\"UNIMAS -\u00a0Universiti Malaysia Sarawak, Sarawak\" >UNIMAS -\u00a0Universiti Malaysia Sarawak, Sarawak<\/option><option value=\"UMS -\u00a0Universiti Malaysia Sabah, Sabah\" >UMS -\u00a0Universiti Malaysia Sabah, Sabah<\/option><option value=\"UPSI -\u00a0Universiti Pendidikan Sultan Idris, Perak\" >UPSI -\u00a0Universiti Pendidikan Sultan Idris, Perak<\/option><option value=\"USIM -\u00a0Universiti Sains Islam Malaysia, Negeri Sembilan\" >USIM -\u00a0Universiti Sains Islam Malaysia, Negeri Sembilan<\/option><option value=\"USAS -\u00a0Universiti Sultan Azlan Shah Malaysia, Perak\" >USAS -\u00a0Universiti Sultan Azlan Shah Malaysia, Perak<\/option><option value=\"UITM -\u00a0Universiti Teknologi MARA, Selangor\" >UITM -\u00a0Universiti Teknologi MARA, Selangor<\/option><option value=\"UMT -\u00a0Universiti Malaysia Terengganu, Terengganu\" >UMT -\u00a0Universiti Malaysia Terengganu, Terengganu<\/option><option value=\"UTHM -\u00a0Universiti Tun Hussein Onn Malaysia, Johor\" >UTHM -\u00a0Universiti Tun Hussein Onn Malaysia, Johor<\/option><option value=\"UTeM -\u00a0Universiti Teknikal Malaysia Melaka, Melaka\" >UTeM -\u00a0Universiti Teknikal Malaysia Melaka, Melaka<\/option><option value=\"UniMAP -\u00a0Universiti Malaysia Perlis, Perlis\" >UniMAP -\u00a0Universiti Malaysia Perlis, Perlis<\/option><option value=\"UniSZA -\u00a0Universiti Sultan Zainal Abidin, Terengganu\" >UniSZA -\u00a0Universiti Sultan Zainal Abidin, Terengganu<\/option><option value=\"UMK -\u00a0Universiti Malaysia Kelantan, Kelantan\" >UMK -\u00a0Universiti Malaysia Kelantan, Kelantan<\/option><option value=\"UPNM -\u00a0Universiti Pertahanan Nasional Malaysia, KL\" >UPNM -\u00a0Universiti Pertahanan Nasional Malaysia, KL<\/option><option value=\"Al-Madinah International University (MEDIU), Selangor\" >Al-Madinah International University (MEDIU), Selangor<\/option><option value=\"Asia e University (AeU), K Lumpur\" >Asia e University (AeU), K Lumpur<\/option><option value=\"Asia Pacific University of Technology &amp; Innovation (Asia Pasific UTI), KL\/Selangor\" >Asia Pacific University of Technology &amp; Innovation (Asia Pasific UTI), KL\/Selangor<\/option><option value=\"Asia School Of Business (ASB), K Lumpur\" >Asia School Of Business (ASB), K Lumpur<\/option><option value=\"Binary University of Management &amp; Entrepreneurship (BUME)\" >Binary University of Management &amp; Entrepreneurship (BUME)<\/option><option value=\"City University, PJ Selangor\" >City University, PJ Selangor<\/option><option value=\"DRB-HICOM University Of Automotive Malaysia, Pahang\" >DRB-HICOM University Of Automotive Malaysia, Pahang<\/option><option value=\"GlobalNxt University, K Lumpur\" >GlobalNxt University, K Lumpur<\/option><option value=\"International Centre for Education in Islamic Finance (INCEIF)\" >International Centre for Education in Islamic Finance (INCEIF)<\/option><option value=\"International Medical University (IMU)\" >International Medical University (IMU)<\/option><option value=\"International Medical University, Kuala Lumpur\" >International Medical University, Kuala Lumpur<\/option><option value=\"International University of Malaya - Wales (IUMW)\" >International University of Malaya - Wales (IUMW)<\/option><option value=\"Kolej Universiti Antarabangsa Cosmopoint (CiUC)\" >Kolej Universiti Antarabangsa Cosmopoint (CiUC)<\/option><option value=\"Kolej Universiti Antarabangsa Kejururawatan, Selangor\" >Kolej Universiti Antarabangsa Kejururawatan, Selangor<\/option><option value=\"Kolej Universiti Binary, Selangor\" >Kolej Universiti Binary, Selangor<\/option><option value=\"Kolej Universiti Darul Quran Islamiah (KUDQI), Terengganu\" >Kolej Universiti Darul Quran Islamiah (KUDQI), Terengganu<\/option><option value=\"Kolej Universiti HELP, KL\" >Kolej Universiti HELP, KL<\/option><option value=\"Kolej Universiti Hospitaliti Berjaya, KL\" >Kolej Universiti Hospitaliti Berjaya, KL<\/option><option value=\"Kolej Universiti Infrastruktur Kuala Lumpur (KLIUC), Selangor\" >Kolej Universiti Infrastruktur Kuala Lumpur (KLIUC), Selangor<\/option><option value=\"Kolej Universiti Insaniah (KUIN), Kedah\" >Kolej Universiti Insaniah (KUIN), Kedah<\/option><option value=\"Kolej Universiti Islam Antarabangsa Selangor (KUIS), Selangor\" >Kolej Universiti Islam Antarabangsa Selangor (KUIS), Selangor<\/option><option value=\"Kolej Universiti Islam Melaka (Kuim), Melaka\" >Kolej Universiti Islam Melaka (Kuim), Melaka<\/option><option value=\"Kolej Universiti Islam Sultan Azlan Shah (KUISAS), Perak\" >Kolej Universiti Islam Sultan Azlan Shah (KUISAS), Perak<\/option><option value=\"Kolej Universiti Islam Sultan Azlan Shah\u00a0(KUISAS)\" >Kolej Universiti Islam Sultan Azlan Shah\u00a0(KUISAS)<\/option><option value=\"Kolej Universiti KDU, Selangor\" >Kolej Universiti KDU, Selangor<\/option><option value=\"Kolej Universiti Linton (KUL), Negeri Sembilan\" >Kolej Universiti Linton (KUL), Negeri Sembilan<\/option><option value=\"Kolej Universiti Mahsa (MAHSA), KL\" >Kolej Universiti Mahsa (MAHSA), KL<\/option><option value=\"Kolej Universiti Metropolitan Kuala Lumpur (KLMU), KL\" >Kolej Universiti Metropolitan Kuala Lumpur (KLMU), KL<\/option><option value=\"Kolej Universiti Nilai, Negeri Sembilan\" >Kolej Universiti Nilai, Negeri Sembilan<\/option><option value=\"Kolej Universiti Sains dan Teknologi City (CUCST), Selangor\" >Kolej Universiti Sains dan Teknologi City (CUCST), Selangor<\/option><option value=\"Kolej Universiti Sains Kesihatan Masterskill, Selangor\" >Kolej Universiti Sains Kesihatan Masterskill, Selangor<\/option><option value=\"Kolej Universiti Sains Perubatan Allianze (AUCMS), Pulau Pinang\" >Kolej Universiti Sains Perubatan Allianze (AUCMS), Pulau Pinang<\/option><option value=\"Kolej Universiti Sains Perubatan Cyberjaya (CUCMS), Selangor\" >Kolej Universiti Sains Perubatan Cyberjaya (CUCMS), Selangor<\/option><option value=\"Kolej Universiti SEGi, Kuala Lumpur\" >Kolej Universiti SEGi, Kuala Lumpur<\/option><option value=\"Kolej Universiti Selatan, Skudai, Johor\" >Kolej Universiti Selatan, Skudai, Johor<\/option><option value=\"Kolej Universiti Shahputra (SHAHPUTRA), Pahang\" >Kolej Universiti Shahputra (SHAHPUTRA), Pahang<\/option><option value=\"Kolej Universiti TATI (TATiUC), Terengganu (dulu TATI)\" >Kolej Universiti TATI (TATiUC), Terengganu (dulu TATI)<\/option><option value=\"Kolej Universiti Teknologi &amp; Inovasi Asia Tenggara (UCTI), KL\" >Kolej Universiti Teknologi &amp; Inovasi Asia Tenggara (UCTI), KL<\/option><option value=\"Kolej Universiti Teknologi Antarabangsa Twintech (IUCTT), KL\" >Kolej Universiti Teknologi Antarabangsa Twintech (IUCTT), KL<\/option><option value=\"Kolej Universiti Tunku Abdul Rahman, KL\" >Kolej Universiti Tunku Abdul Rahman, KL<\/option><option value=\"Malaysia Institute For Supply Chain Innovation (MISI)\" >Malaysia Institute For Supply Chain Innovation (MISI)<\/option><option value=\"Malaysia University of Science and Technology, Selangor\" >Malaysia University of Science and Technology, Selangor<\/option><option value=\"Management and Science University (MSU), Selangor\" >Management and Science University (MSU), Selangor<\/option><option value=\"Manipal International University\" >Manipal International University<\/option><option value=\"Meritus University\" >Meritus University<\/option><option value=\"Open University Malaysia (OUM)\" >Open University Malaysia (OUM)<\/option><option value=\"Perdana University -\u00a0Perdana University, Selangor\" >Perdana University -\u00a0Perdana University, Selangor<\/option><option value=\"Putra Business School (PBS)\" >Putra Business School (PBS)<\/option><option value=\"Quest International University Perak\" >Quest International University Perak<\/option><option value=\"Raffles University Iskandar\" >Raffles University Iskandar<\/option><option value=\"Universiti AIMST (AIMST University)\" >Universiti AIMST (AIMST University)<\/option><option value=\"Universiti Antarabangsa Albukhary, Kedah\" >Universiti Antarabangsa Albukhary, Kedah<\/option><option value=\"Universiti Antarabangsa Al-Madinah, Selangor\" >Universiti Antarabangsa Al-Madinah, Selangor<\/option><option value=\"Universiti Antarabangsa INTI (INTI International University), Negeri Sembilan\" >Universiti Antarabangsa INTI (INTI International University), Negeri Sembilan<\/option><option value=\"Universiti HELP\" >Universiti HELP<\/option><option value=\"Universiti Infrastruktur Kuala Lumpur\" >Universiti Infrastruktur Kuala Lumpur<\/option><option value=\"Universiti Islam Antarabangsa Sultan Abdul Halim Mu\u2019adzam Shah (UniSHAMS)\" >Universiti Islam Antarabangsa Sultan Abdul Halim Mu\u2019adzam Shah (UniSHAMS)<\/option><option value=\"Universiti Islam Malaysia\" >Universiti Islam Malaysia<\/option><option value=\"Universiti Kuala Lumpur (UniKL)\" >Universiti Kuala Lumpur (UniKL)<\/option><option value=\"Universiti MAHSA (MAHSA University)\" >Universiti MAHSA (MAHSA University)<\/option><option value=\"Universiti Metropolitan Asia (Asia Metropolitan University)\" >Universiti Metropolitan Asia (Asia Metropolitan University)<\/option><option value=\"Universiti Monash Malaysia, Selangor\" >Universiti Monash Malaysia, Selangor<\/option><option value=\"Universiti Multimedia (MMU), Kampus Cyberjaya\" >Universiti Multimedia (MMU), Kampus Cyberjaya<\/option><option value=\"Universiti Multimedia (MMU), Kampus Johor\" >Universiti Multimedia (MMU), Kampus Johor<\/option><option value=\"Universiti Multimedia (MMU), Kampus Melaka\" >Universiti Multimedia (MMU), Kampus Melaka<\/option><option value=\"Universiti Nilai\" >Universiti Nilai<\/option><option value=\"Universiti Nottingham Malaysia, Selangor\" >Universiti Nottingham Malaysia, Selangor<\/option><option value=\"Universiti Perubatan Newcastle Malaysia, Johor\" >Universiti Perubatan Newcastle Malaysia, Johor<\/option><option value=\"Universiti SEGi (SEGi University)\" >Universiti SEGi (SEGi University)<\/option><option value=\"Universiti Selangor (UNISEL)\" >Universiti Selangor (UNISEL)<\/option><option value=\"Universiti Sultan Azlan Shah (USAS)\" >Universiti Sultan Azlan Shah (USAS)<\/option><option value=\"Universiti Sunway, Selangor\" >Universiti Sunway, Selangor<\/option><option value=\"Universiti Taylor\u2019s (Taylor\u2019s University)\" >Universiti Taylor\u2019s (Taylor\u2019s University)<\/option><option value=\"Universiti Teknologi Curtin, Sarawak\" >Universiti Teknologi Curtin, Sarawak<\/option><option value=\"Universiti Teknologi Kreatif Limkokwing (LUCT)\" >Universiti Teknologi Kreatif Limkokwing (LUCT)<\/option><option value=\"Universiti Teknologi Petronas (UTP)\" >Universiti Teknologi Petronas (UTP)<\/option><option value=\"Universiti Teknologi Petronas, Kampus Perak\" >Universiti Teknologi Petronas, Kampus Perak<\/option><option value=\"Universiti Teknologi Swinburne Malaysia, Sarawak\" >Universiti Teknologi Swinburne Malaysia, Sarawak<\/option><option value=\"Universiti Tenaga Nasional  (UNITEN), Kampus Putrajaya\" >Universiti Tenaga Nasional  (UNITEN), Kampus Putrajaya<\/option><option value=\"Universiti Tenaga Nasional (UNITEN), Kampus Sultan Haji Ahmad Shah\" >Universiti Tenaga Nasional (UNITEN), Kampus Sultan Haji Ahmad Shah<\/option><option value=\"Universiti Terbuka Wawasan (WOU)\" >Universiti Terbuka Wawasan (WOU)<\/option><option value=\"Universiti Tun Abdul Razak (UniRazak), Kuala Lumpur\" >Universiti Tun Abdul Razak (UniRazak), Kuala Lumpur<\/option><option value=\"Universiti Tunku Abdul Rahman (UTAR)\" >Universiti Tunku Abdul Rahman (UTAR)<\/option><option value=\"Universiti UCSI, Kuala Lumpur\" >Universiti UCSI, Kuala Lumpur<\/option><option value=\"Universiti Terbuka Wawasan (WOU), Pulau Pinang\" >Universiti Terbuka Wawasan (WOU), Pulau Pinang<\/option><option value=\"Other : Please Specify in Department\/Center\/Unit:\" >Other : Please Specify in Department\/Center\/Unit:<\/option><\/select><\/div><\/div><div  id=\"um_field_536_csam_recommender\" class=\"um-field um-field-select  um-field-csam_recommender um-field-select um-field-type_select\" data-key=\"csam_recommender\"><div class=\"um-field-label\"><label for=\"csam_recommender-536\">CSAM Recommender Name<\/label><span class=\"um-tip um-tip-w\" title=\"Please refer to your institution&#039;s representative or CSAM&#039;s website at https:\/\/www.ukm.my\/csam\/csam-secretariat\/\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"csam_recommender\" id=\"csam_recommender\" data-validate=\"\" data-key=\"csam_recommender\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Dahlia Asyiqin Ahmad Zainaddin (GMI)\" >Dahlia Asyiqin Ahmad Zainaddin (GMI)<\/option><option value=\"Dr. Azah Anir Norman (UM)\" >Dr. Azah Anir Norman (UM)<\/option><option value=\"Dr. Cik Feresa Mohd Foozy (UTHM)\" >Dr. Cik Feresa Mohd Foozy (UTHM)<\/option><option value=\"Dr. Fakariah Hani Hj Mohd Ali (UiTM)\" >Dr. Fakariah Hani Hj Mohd Ali (UiTM)<\/option><option value=\"Dr. Farizah Binti Yunos (UMT)\" >Dr. Farizah Binti Yunos (UMT)<\/option><option value=\"Dr. Fiza Abdul Rahim (UNITEN)\" >Dr. Fiza Abdul Rahim (UNITEN)<\/option><option value=\"Dr. Julia Juremi (APU)\" >Dr. Julia Juremi (APU)<\/option><option value=\"Dr. Mohamad Fadli Zolkipli (UUM)\" >Dr. Mohamad Fadli Zolkipli (UUM)<\/option><option value=\"Dr. Mohammed Hazim Alkawaz (MSU)\" >Dr. Mohammed Hazim Alkawaz (MSU)<\/option><option value=\"Dr. Mohd Fadzli Marhusin (USIM)\" >Dr. Mohd Fadzli Marhusin (USIM)<\/option><option value=\"Dr. Mohd Taufik Abdullah (UPM)\" >Dr. Mohd Taufik Abdullah (UPM)<\/option><option value=\"Dr. Muhammad Reza Z&#039;aba (UM)\" >Dr. Muhammad Reza Z&#039;aba (UM)<\/option><option value=\"Dr. Nadia Natra Musa (UNIMAS)\" >Dr. Nadia Natra Musa (UNIMAS)<\/option><option value=\"Dr. Noor Hayani Abd Rahim (UIA)\" >Dr. Noor Hayani Abd Rahim (UIA)<\/option><option value=\"Dr. Nur Haryani Zakaria (UUM)\" >Dr. Nur Haryani Zakaria (UUM)<\/option><option value=\"Dr. Shamsul Kamal Bin Ahmad Khalid (UTHM)\" >Dr. Shamsul Kamal Bin Ahmad Khalid (UTHM)<\/option><option value=\"Dr. Shuhaili Talib (UIA)\" >Dr. Shuhaili Talib (UIA)<\/option><option value=\"Dr.\u00a0Hanifah Abdul Hamid (USIM)\" >Dr.\u00a0Hanifah Abdul Hamid (USIM)<\/option><option value=\"En Ahmad Faisal Amri Bin Abidin (UNISZA)\" >En Ahmad Faisal Amri Bin Abidin (UNISZA)<\/option><option value=\"En. Mohd Saufy Rohmad (UiTM)\" >En. Mohd Saufy Rohmad (UiTM)<\/option><option value=\"Hazni Yati Mohd Ghadzi (GMI)\" >Hazni Yati Mohd Ghadzi (GMI)<\/option><option value=\"PM Dr Normaziah Abdul Aziz (UIA)\" >PM Dr Normaziah Abdul Aziz (UIA)<\/option><option value=\"PM Dr Roshidi Din (UUM)\" >PM Dr Roshidi Din (UUM)<\/option><option value=\"PM Dr Wan Su Emi Yusnita binti Wan Yusof (GEOMATIKA)\" >PM Dr Wan Su Emi Yusnita binti Wan Yusof (GEOMATIKA)<\/option><option value=\"PM Dr.  Ahmad Kamil Mahmood (UTP)\" >PM Dr.  Ahmad Kamil Mahmood (UTP)<\/option><option value=\"PM Dr. Ainuddin Wahid Abdul Wahab (UM)\" >PM Dr. Ainuddin Wahid Abdul Wahab (UM)<\/option><option value=\"PM Dr. Anazida Zainal (UTM)\" >PM Dr. Anazida Zainal (UTM)<\/option><option value=\"PM Dr. Ghassan Saleh Hussein (GEOMATIKA)\" >PM Dr. Ghassan Saleh Hussein (GEOMATIKA)<\/option><option value=\"PM Dr. Masnizah Mohd - Setiausaha (UKM)\" >PM Dr. Masnizah Mohd - Setiausaha (UKM)<\/option><option value=\"PM Dr. Mohamad Afendee Bin Mohamed (UNISZA)\" >PM Dr. Mohamad Afendee Bin Mohamed (UNISZA)<\/option><option value=\"PM Dr. Nor Badrul Anuar Juma&#039;at (UM)\" >PM Dr. Nor Badrul Anuar Juma&#039;at (UM)<\/option><option value=\"PM Dr. Nur Izura Udzir (UPM)\" >PM Dr. Nur Izura Udzir (UPM)<\/option><option value=\"PM Dr. Roslan Ismail (UNITEN)\" >PM Dr. Roslan Ismail (UNITEN)<\/option><option value=\"PM Dr. Sapi\u2019ee Jamel (UTHM)\" >PM Dr. Sapi\u2019ee Jamel (UTHM)<\/option><option value=\"PM Dr. Siti Norul Huda Sheikh Abdullah - Pengerusi (UKM)\" >PM Dr. Siti Norul Huda Sheikh Abdullah - Pengerusi (UKM)<\/option><option value=\"PM Dr. Ts Shukor Bin Abd Razak (UTM)\" >PM Dr. Ts Shukor Bin Abd Razak (UTM)<\/option><option value=\"PM Dr. Azizol Hj Abdullah (UPM)\" >PM Dr. Azizol Hj Abdullah (UPM)<\/option><option value=\"PM Mohd Hazali Bin Mohamed Halip (UPNM)\" >PM Mohd Hazali Bin Mohamed Halip (UPNM)<\/option><option value=\"PM Ts Dr. Norziana Jamil (UNITEN)\" >PM Ts Dr. Norziana Jamil (UNITEN)<\/option><option value=\"PM Ts. Dr. Madihah Mohd Saudi (USIM)\" >PM Ts. Dr. Madihah Mohd Saudi (USIM)<\/option><option value=\"Pn Nor Azlina Abd Rahman (APU)\" >Pn Nor Azlina Abd Rahman (APU)<\/option><option value=\"Pn. Norhaiza Ya Abdullah (UNIKL)\" >Pn. Norhaiza Ya Abdullah (UNIKL)<\/option><option value=\"Pn. Shafiza Mohd Shariff (UNIKL)\" >Pn. Shafiza Mohd Shariff (UNIKL)<\/option><option value=\"Prof Dr Azman Samsudin (USM)\" >Prof Dr Azman Samsudin (USM)<\/option><option value=\"Prof Dr. Rabiah Ahmad (UTEM)\" >Prof Dr. Rabiah Ahmad (UTEM)<\/option><option value=\"Prof. Dr Mohd Aizaini Bin Maarof (UTM)\" >Prof. Dr Mohd Aizaini Bin Maarof (UTM)<\/option><option value=\"Prof. Dr. Jasni Mohamad Zain (UiTM)\" >Prof. Dr. Jasni Mohamad Zain (UiTM)<\/option><option value=\"Prof. Dr. Zarina Shukur - Penasihat (UKM)\" >Prof. Dr. Zarina Shukur - Penasihat (UKM)<\/option><option value=\"Prof. Ts. Dr. Miss Laiha Mat Kiah (UM)\" >Prof. Ts. Dr. Miss Laiha Mat Kiah (UM)<\/option><option value=\"Raphael Phan Chung Wei (MMU)\" >Raphael Phan Chung Wei (MMU)<\/option><option value=\"Ts Dr. Sundresan A\/L Perumal (USIM)\" >Ts Dr. Sundresan A\/L Perumal (USIM)<\/option><option value=\"Ts. Dr. Ahmad Shukri Bin Mohd Noor (UMT)\" >Ts. Dr. Ahmad Shukri Bin Mohd Noor (UMT)<\/option><option value=\"Ts. Dr. Khairul Azmi Abu Bakar - Bendahari (UKM)\" >Ts. Dr. Khairul Azmi Abu Bakar - Bendahari (UKM)<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_2 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_536_status\" class=\"um-field um-field-radio  um-field-status um-field-radio um-field-type_radio\" data-key=\"status\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"status-536\">Working Status<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"status[]\" value=\"Working\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Working<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"status[]\" value=\" Not working\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\"> Not working<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"status[]\" value=\" Retired\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\"> Retired<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_536_category\" class=\"um-field um-field-radio  um-field-category um-field-radio um-field-type_radio\" data-key=\"category\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"category-536\">Working Category<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"category[]\" value=\"Academic\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Academic<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"category[]\" value=\"Non-academic\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non-academic<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_536_23\" style=\"border-bottom:4px solid #eeeeee;\"><div class=\"um-field-divider-text\"><span>Please answer this section if you are working.<\/span><\/div><\/div><div  id=\"um_field_536_EmployerName\" class=\"um-field um-field-text  um-field-EmployerName um-field-text um-field-type_text\" data-key=\"EmployerName\"><div class=\"um-field-label\"><label for=\"EmployerName-536\">Employer Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"EmployerName-536\" id=\"EmployerName-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"EmployerName\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_country_25\" class=\"um-field um-field-select  um-field-country_25 um-field-select um-field-type_select\" data-key=\"country_25\"><div class=\"um-field-label\"><label for=\"country_25-536\">Country<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"country_25\" id=\"country_25\" data-validate=\"\" data-key=\"country_25\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"Choose a Country\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"\u00c5land Islands\" >\u00c5land Islands<\/option><option value=\"Albania\" >Albania<\/option><option value=\"Algeria\" >Algeria<\/option><option value=\"American Samoa\" >American Samoa<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antarctica\" >Antarctica<\/option><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Argentina\" >Argentina<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Australia\" >Australia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Bermuda\" >Bermuda<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Bolivia, Plurinational State of\" >Bolivia, Plurinational State of<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Bouvet Island\" >Bouvet Island<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"British Indian Ocean Territory\" >British Indian Ocean Territory<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Cayman Islands\" >Cayman Islands<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Chile\" >Chile<\/option><option value=\"China\" >China<\/option><option value=\"Christmas Island\" >Christmas Island<\/option><option value=\"Cocos (Keeling) Islands\" >Cocos (Keeling) Islands<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Congo\" >Congo<\/option><option value=\"Congo, the Democratic Republic of the\" >Congo, the Democratic Republic of the<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Falkland Islands (Malvinas)\" >Falkland Islands (Malvinas)<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"French Guiana\" >French Guiana<\/option><option value=\"French Polynesia\" >French Polynesia<\/option><option value=\"French Southern Territories\" >French Southern Territories<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Greenland\" >Greenland<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guadeloupe\" >Guadeloupe<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guernsey\" >Guernsey<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Heard Island and McDonald Islands\" >Heard Island and McDonald Islands<\/option><option value=\"Holy See (Vatican City State)\" >Holy See (Vatican City State)<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran, Islamic Republic of\" >Iran, Islamic Republic of<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Isle of Man\" >Isle of Man<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jersey\" >Jersey<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Korea, Democratic People&#039;s Republic of\" >Korea, Democratic People&#039;s Republic of<\/option><option value=\"Korea, Republic of\" >Korea, Republic of<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Lao People&#039;s Democratic Republic\" >Lao People&#039;s Democratic Republic<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libyan Arab Jamahiriya\" >Libyan Arab Jamahiriya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macao\" >Macao<\/option><option value=\"Macedonia, the former Yugoslav Republic of\" >Macedonia, the former Yugoslav Republic of<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Martinique\" >Martinique<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Micronesia, Federated States of\" >Micronesia, Federated States of<\/option><option value=\"Moldova, Republic of\" >Moldova, Republic of<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Montserrat\" >Montserrat<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"New Caledonia\" >New Caledonia<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Niue\" >Niue<\/option><option value=\"Norfolk Island\" >Norfolk Island<\/option><option value=\"Northern Mariana Islands\" >Northern Mariana Islands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Pitcairn\" >Pitcairn<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Puerto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9union\" >R\u00e9union<\/option><option value=\"Romania\" >Romania<\/option><option value=\"Russian Federation\" >Russian Federation<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Barth\u00e9lemy\" >Saint Barth\u00e9lemy<\/option><option value=\"Saint Helena\" >Saint Helena<\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Martin (French part)\" >Saint Martin (French part)<\/option><option value=\"Saint Pierre and Miquelon\" >Saint Pierre and Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"South Georgia and the South Sandwich Islands\" >South Georgia and the South Sandwich Islands<\/option><option value=\"South Sudan\" >South Sudan<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Svalbard and Jan Mayen\" >Svalbard and Jan Mayen<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Syrian Arab Republic\" >Syrian Arab Republic<\/option><option value=\"Taiwan, Province of China\" >Taiwan, Province of China<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Tanzania, United Republic of\" >Tanzania, United Republic of<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Timor-Leste\" >Timor-Leste<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tokelau\" >Tokelau<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"Turks and Caicos Islands\" >Turks and Caicos Islands<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"United States\" >United States<\/option><option value=\"United States Minor Outlying Islands\" >United States Minor Outlying Islands<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Venezuela, Bolivarian Republic of\" >Venezuela, Bolivarian Republic of<\/option><option value=\"Viet Nam\" >Viet Nam<\/option><option value=\"Virgin Islands, British\" >Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\" >Virgin Islands, U.S.<\/option><option value=\"Wallis and Futuna\" >Wallis and Futuna<\/option><option value=\"Western Sahara\" >Western Sahara<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><div  id=\"um_field_536_Home_Address_26\" class=\"um-field um-field-text  um-field-Home_Address_26 um-field-text um-field-type_text\" data-key=\"Home_Address_26\"><div class=\"um-field-label\"><label for=\"Home_Address_26-536\">Address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"Home_Address_26-536\" id=\"Home_Address_26-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Home_Address_26\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_state_28\" class=\"um-field um-field-text  um-field-state_28 um-field-text um-field-type_text\" data-key=\"state_28\"><div class=\"um-field-label\"><label for=\"state_28-536\">State<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"state_28-536\" id=\"state_28-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"state_28\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_city_29\" class=\"um-field um-field-text  um-field-city_29 um-field-text um-field-type_text\" data-key=\"city_29\"><div class=\"um-field-label\"><label for=\"city_29-536\">City\/Area<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"city_29-536\" id=\"city_29-536\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"city_29\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_536_Postcode_30\" class=\"um-field um-field-number  um-field-Postcode_30 um-field-number um-field-type_number\" data-key=\"Postcode_30\"><div class=\"um-field-label\"><label for=\"Postcode_30-536\">Postcode<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  class=\"um-form-field valid not-required \" type=\"number\" name=\"Postcode_30-536\" id=\"Postcode_30-536\" value=\"\" placeholder=\"\" data-validate=\"0\" data-key=\"Postcode_30\"   aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><\/div>\n<!-- This file should primarily consist of HTML with a little bit of PHP. -->\n<div class=\"um-field um-field-type_terms_conditions\" data-key=\"use_terms_conditions_agreement\" style=\"display:block;padding:0;\">\n\t<div class=\"um-field-area\">\n\t\t<div class=\"um-gdpr-content\" style=\"display:none;\">\n\t\t\t<p><strong>BORANG PERLINDUNGAN DATA PERIBADI (PDP) UNTUK INDIVIDU<\/strong><\/p>\n<p>Untuk memproses permohonan ini dan selanjutnya meneruskan pelaksanaan perjanjian-perjanjian kontrak yang dimeterai antara anda dan mana-mana entiti dalam ekosistem PERTUBUHAN AKADEMIA KESELAMATAN SIBER MALAYSIA kami mungkin perlu mendedahkan data peribadi anda kepada entiti-entiti lain dalam ekosistem PERTUBUHAN AKADEMIA KESELAMATAN SIBER MALAYSIA dan pihak-pihak luar yang lain.<\/p>\n<p>Pihak luar yang kami dedahkan data peribadi anda mungkin termasuk tetapi tidak terhad kepada (1) LETAK PIHAK YANG BERKENAAN (secara kolektif, &#8220;Pihak Luar&#8221;). Pihak Luar ini boleh mencari, menyimpan, mengekalkan dan\/atau memproses data peribadi anda di dalam atau di luar Malaysia.)<\/p>\n<p>Di bawah Akta Perlindungan Data Peribadi (Akta PDP) 2010, kami dikehendaki memperolehi persetujuan jelas anda apabila kami mengumpul dan memproses data peribadi sensitif anda. Kami mengumpul data peribadi sensitif anda untuk menilai permohonan anda dan untuk mentadbirkan produk-produk dan perkhidmatan-perkhidmatan yang anda telah meterai perjanjiannya.<\/p>\n<p>Dari masa ke semasa, kami, termasuk entiti lain dalam ekosistem PERTUBUHAN AKADEMIA KESELAMATAN SIBER MALAYSIA atau rakan kongsi strategik yang kami mempunyai hubungan berkenaan produk, perkhidmatan dan promosi tertentu (secara kolektif, \u201cEntiti-entiti Lain\u201d) mungkin memiliki maklumat tentang produk-produk, perkhidmatan-perkhidmatan dan promosi-promosi yang mungkin menarik minat anda. Untuk mendapatkan maklumat sedemikian, persetujuan anda diperlukan untuk kami memproses, mendedah dan\/atau berkongsi maklumat\/data anda dengan entiti-entiti Lain. Selanjutnya, sila letakkan pilihan anda dengan menandakan kotak berkenaan dalam deklarasi di bawah.<\/p>\n<p>Deklarasi:<\/p>\n<p>Dengan menandatangani borang ini, saya mengisytiharkan bahawa saya telah baca dan fahami serta bersetuju untuk tertakluk kepada Notis Privasi PERTUBUHAN AKADEMIA KESELAMATAN SIBER MALAYSIA dan saya menyatakan persetujuan dan memberi kuasa kepada PERTUBUHAN AKADEMIA KESELAMATAN SIBER MALAYSIA:<\/p>\n<p>Untuk meminta dan memperolehi kesemua maklumat dan data peribadi dalam borang ini bagi tujuan memproses permohonan ini dan semua tujuan-tujuan lain yang diperlukan berkaitan dengan mana-mana produk, perkhidmatan dan promosi yang ditawarkan oleh kami;<\/p>\n<p>Untuk mendedahkan data peribadi saya kepada Entiti-entiti Lain dan Pihak Luar apabila dikehendaki bagi tujuan yang dinyatakan didalamnya; dan\/atau<\/p>\n<p>Untuk mengumpul dan memproses data sensitif peribadi saya untuk tujuan permohonan ini yang mana berkaitan.<\/p>\n<p>Dengan menandatangani borang ini, saya\/kami seterusnya mengesahkan bahawa kesemua data peribadi yang saya\/kami telah berikan adalah semuanya benar, terkini dan tepat. 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