Student Academic Visit

A group of 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 Academic Visit to UTM

If you are human, leave this field blank.

A. Applicant Details

University 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 *

Name of the Group Leader *

Group Leader Contact Number *

Group Leader Email Address *

Programme date from *

To *

Host Faculty *

B. Program Background / Objectives

This form can be filled up as a group.

Programme Background *

Objectives *

C. Participant List

(All participant names must be listed)

Name *

Gender *

Passport Num. *

Year/Course *

Email *

Status (Staff/ Student) *

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D. Activities List

Date

Activity *

Details *

Add Remove