Inbound Student Academic Visit

This form is prepared for a group of students from international institutions/ universities for a short-term visit to UTM. The students can spend 1 to 7 days in UTM to experience the unique Southeast Asian cultures, to study the global issue or to get access to extraordinary learning opportunities.

Application for Student Academic Visit to UTM

A. Visit Details

Application must be made 14 days prior to the visit date

Proposed End Date *

Proposed Start Date *

Time

91011121234 : 0030 AMPM

Range meeting time is between 9:00 - 16:00.

University/ Institute/ Organization Name *

Country

Name of officer in charge (International Office) *

This should be the contact from the International Office in your university.

International Office Contact Number

International Office Email Address *

B : Contact Person

Group Leader Name *

Group Leader Contact Number *

Group Leader Email Address *

C. Program Background / Objectives

This form can be filled up as a group.

Host Faculty/ Department at UTM Please ChooseFaculty of Civil Engineering - UTM Johor BahruFaculty of Mechanical Engineering - UTM Johor BahruFaculty of Chemical & Energy Engineering - UTM Johor BahruFaculty of Electrical Engineering - UTM Johor BahruFaculty of Built Environment and Surveying (FABU) - UTM Johor BahruFaculty of Computing - UTM Johor BahruFaculty of Science (FS) - UTM Johor BahruFaculty of Social Sciences and Humanities (FSSH) - UTM Johor BahruFaculty of Management - UTM Johor BahruRazak Faculty of Technology and Informatics - UTM Kuala LumpurAzman Hashim International Business School (AHIBS) - UTM Kuala LumpurMalaysia-Japan International Institute of Technology (MJIIT) - UTM Kuala LumpurUTM International (International Office)Other Host Faculty/ Department at UTM

Program Background *

Objective of the visit *

D. Group Category

Group Category Please SelectA group of student onlyA group of student and staff

Participant(s) List including Group Leader

(All participant names must be listed)

Name *

Position/Year/Course *

Passport Num. *

Gender *

Staff/ Student

Email *

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