Form

⚠️Please note that Excelerate ONLY ACCEPTS registrations to the K-Youth Development Programme Track B 2024 via this official form on the Excelerate website. We DON'T ACCEPT registrations through WhatsApp / phone calls / Google Forms or any other non-Excelerate websites or emails.

Important instructions:
Complete this form using Google Chrome to avoid issues.
Fill out ALL sections before clicking "Submit".

Personal Details

Full Name (as per MyKad)*

Email*

Please input your personal email address, not your student email address

Phone number*

MyKad No.*

Age*

Date of Birth*

Day/Month/Year

Gender*

Race*

Are you Bumiputera?*

Nationality*

Full Address*

Postcode*

City*

State*

Education Background

Faculty*

Major of Studies*

Current Academic Qualification.*

Current CGPA*

UPSI Graduation Year*

Have you participated in a similar programme? (if yes, specify programme name, e.g. Penjana, MySTEP, Protege, SL1M, etc)*

Yes

I have a working computer or laptop that will be available to me throughout the duration of my course and I have a working internet connection that can handle video streaming.*

Yes

Family Information

Number of person(s) in your household?*

If you are renting or staying alone (i.e., not living with family), then use 1 as your household number, and your monthly household income range should be your salary.

*Household income is the total gross income received by all members of a household within a month.

Household Monthly Income Range (RM)*

Are you or your parent/guardian a recipient of Bantuan Sara Hidup (BSH) or any other government assistance such as MySalam, PeKa B40, eKasih and others?*

Yes

Course Choice

Course Interested*

Important instructions:
Complete this form using Google Chrome to avoid issues.
Fill out ALL sections before clicking "Submit".