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Student Statement Form

Student Statement Form Template for Malaysia

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Key Requirements PROMPT example:

Student Statement Form

"I need a Student Statement Form for an international medical program starting in January 2025, including health declarations and visa compliance sections, to be used at a private university in Kuala Lumpur."

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Document background
The Student Statement Form is a crucial document required by educational institutions in Malaysia for student enrollment and record-keeping purposes. It serves as a comprehensive declaration where students provide their personal information, acknowledge institutional policies, and make various commitments regarding their academic conduct. The form ensures compliance with Malaysian legislation, including the Education Act 1996, Private Higher Educational Institutions Act 1996, and Personal Data Protection Act 2010. It is typically completed during the enrollment process or at the beginning of each academic year, containing sections for personal details, academic integrity pledges, financial obligations, and specific declarations for international students where applicable. The document helps institutions maintain accurate student records while protecting both the institution's and students' interests through clear documentation of mutual understanding and commitments.
Suggested Sections

1. Student Personal Information: Collection of student's basic details including full name, student ID, program of study, and contact information

2. Declaration of Information Accuracy: Student's declaration that all information provided is true and accurate

3. Academic Integrity Statement: Student's commitment to academic honesty and understanding of academic misconduct consequences

4. Institutional Policies Acknowledgment: Confirmation of understanding and agreement to comply with university policies and regulations

5. Financial Obligations: Acknowledgment of financial responsibilities and fee payment obligations

6. Data Protection Notice: Statement regarding collection and processing of personal data under PDPA 2010

7. Health Declaration: Basic health information and emergency contact details

8. Student Conduct Pledge: Commitment to maintain good conduct and follow institutional rules

9. Signature and Date: Space for student signature, date, and witness details if required

Optional Sections

1. International Student Declaration: Additional declarations for international students regarding visa requirements and immigration laws

2. Special Needs Declaration: Section for students to declare any special needs or accommodations required

3. Scholarship/Sponsorship Declaration: For sponsored students to declare funding sources and related obligations

4. Accommodation Declaration: For students requiring university housing or accommodation services

5. Parent/Guardian Consent: Required for students under 18 years of age as per Age of Majority Act 1971

6. COVID-19 Health Declaration: Temporary section for pandemic-related health declarations when required

Suggested Schedules

1. Schedule A - Required Documents Checklist: List of supporting documents that must be submitted with the form

2. Schedule B - Student Code of Conduct: Detailed institutional code of conduct referenced in the main form

3. Schedule C - Fee Schedule: Breakdown of applicable fees and payment schedules

4. Appendix 1 - Medical History Form: Detailed health information form if required by the institution

5. Appendix 2 - Visa Requirements: Documentation requirements for international students

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

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alex.den.21@genieai.co
Relevant legal definitions
Institution
Student
Academic Term
Program
Course
Identity Card
Student Identification Number
Academic Year
Registration
Tuition Fees
Academic Misconduct
Personal Data
Academic Record
Semester
Study Period
Disciplinary Action
Student Handbook
Campus
Academic Calendar
Educational Services
Student Pass
Academic Integrity
Institutional Policies
Contact Information
Emergency Contact
Medical Certificate
Academic Requirements
Financial Obligations
Registration Fee
Official Communication
Relevant Industries

Education

Higher Education

Private Education

International Education

Professional Training

Vocational Education

Student Services

Educational Administration

Relevant Teams

Admissions

Student Affairs

International Office

Registry

Administration

Compliance

Legal

Student Services

Records Management

Data Protection

Relevant Roles

Registrar

Admissions Officer

Student Affairs Manager

International Student Coordinator

Enrollment Manager

Academic Administrator

Compliance Officer

Student Services Coordinator

Education Consultant

Administrative Secretary

Legal Officer

Data Protection Officer

Student Records Manager

Industries
Education Act 1996: The primary legislation governing education in Malaysia, establishing the framework for educational institutions and student rights
Private Higher Educational Institutions Act 1996: Regulates private higher education institutions and their responsibilities towards students, including requirements for documentation and student agreements
Personal Data Protection Act 2010: Governs the collection, processing, and storage of personal data, which is crucial for student information management
Malaysian Qualifications Agency Act 2007: Ensures quality assurance in higher education and affects how educational information is documented and verified
Immigration Act 1959/63: Relevant for international student documentation requirements and visa-related declarations
Contracts Act 1950: Governs the basic principles of contract formation and enforcement, applicable to student agreements and declarations
Age of Majority Act 1971: Determines the legal age for entering into contracts and making legally binding declarations (18 years in Malaysia)
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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