UTM Student Academic Visit Online Application 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.