Test Activity form 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 Choose Faculty of Civil Engineering - UTM Johor Bahru Faculty of Mechanical Engineering - UTM Johor Bahru Faculty of Chemical & Energy Engineering - UTM Johor Bahru Faculty of Electrical Engineering - UTM Johor Bahru Faculty of Built Environment and Surveying (FABU) - UTM Johor Bahru Faculty of Computing - UTM Johor Bahru Faculty of Science (FS) - UTM Johor Bahru Faculty of Social Sciences and Humanities (FSSH) - UTM Johor Bahru Faculty of Management - UTM Johor Bahru Razak Faculty of Technology and Informatics - UTM Kuala Lumpur Azman Hashim International Business School (AHIBS) - UTM Kuala Lumpur Malaysia-Japan International Institute of Technology (MJIIT) - UTM Kuala Lumpur UTM International (International Office) Other Host Faculty/ Department at UTM Program Background * Objective of the visit * D. Group Category Group Category Please Select A group of student only A 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 * Add Remove If you are human, leave this field blank.