UTM Student Academic Visit Online Application Form

Application for Academic Visit to UTM

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) *

D. Activities List

Date

Activity *

Details *

Links

About Us
Global Networking
Corporate Visitors

Outbound Mobility Programs

Long-Term Programs

Short-Term Programs

Inbound Mobility Programs

Long-Term Programs

Short-Term Programs

Visa & Pass
Apply Visa

Contact Us

General Email: international@utm.my
Student Mobility Program: globaleducation@utm.my

Drop your appointment for our consultation on student mobility program HERE!

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<img class="size-small alignright" src="https://www.utm.my/international/files/2014/04/fb.png" alt="" width="150" height="45" />

<img class="size-small alignright" src="https://www.utm.my/international/files/2014/04/fb.png" alt="" width="150" height="45" />