International Activities Form

This form is designed for faculty personnel to submit information regarding international activities happening in the faculty. Please fill in this form every month. If coordinator have nothing to report on a particular month, please select NO and submit. If faculty have multiple activities, please list them in the form and submit multiple attachment.

International Activity Form

Faculty *

Others/Please state your PTJ

Reporting Month *

Any activities to report? *

Yes

PIC of Faculty (UTM STAFF) *

Name of staff who report the activity

Email PIC of Faculty (UTM STAFF) *

Email of staff who report the activity

Activity

Please upload ALL attachment (pictures, paperwork, approval, letters, etc.) for the activities above in PDF form. You can upload multiple files or compress them into one file. *Outcome = MoU discussion, proceedings, Joint Publication, Article, Grant Application. Please add more lines as required.

Name of Program/Activity *

Full name of the program/activities

Category *

Staff Mobility

Student Mobility

Visit

OtherOther

Start Date *

Date of the program start

End Date *

Date of the program end

Partner Institution / Universities *

Partner Institution/Universities from all around the world NOT include local institution/universities.

Country of Partner Institution/Universities *

Details of Activity *

Outcome *

Outcome from the program. Example : MoU discussion, proceedings, Joint Publication, Article, Grant Application. Please add more lines as required.

Name of PIC for Program/Activities *

Name of the PIC who responsible for the program/activities

Attachment *

Maximum upload size: 16.78MB

Please submit any attachment related to program/activities. Example : Name list, Official Letter and etc.

Add Remove

Email of PIC for Program/Activities *

Person in charge who responsible for the program/activities