Visitor Request/Notification Form

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Start of proposed visit date *

The proposed date must at least 21 working days prior the visit date

End of proposed visit date *

Campus *

Time of proposed visit : *

:

Name of person making the visit request *

Title ( Prof./Dr./Mr./Mrs.) *

Contact Number (Preferable WhatsApp) *

Email *

Position *

Organisation *

Country

Organisation website *

Overview of your institution / organisation *

(Background, strengths, centres of excellence, etc.)

Objective of the visit *

Expected outcome of the visit *

FACULTY YOU WOULD LIKE TO MEET

There are 7 faculties in UTM which is in Johor Bahru (main campus) and in Kuala Lumpur. The distance between Johor State and Kuala Lumpur is 4 hours by road. Hence, please specify which faculty that you really want to focus for the meeting. If you are not planning to travel to both campuses, please select related faculties from one campus only. Here is the link of the faculties https://www.utm.my/about/faculties/

Faculty *

Faculty of Engineering (FE) - UTM Johor Bahru

Faculty of Sosial Sciences and Humanities (FSSH) - UTM Johor Bahru

Faculty of Built Environment and Surveying (FABU) - UTM Johor Bahru

Faculty of Science (FS) - UTM Johor Bahru

Malaysia-Japan International Institute of Technology (MJIIT) - UTM Kuala Lumpur

Razak Faculty of Technology and Infomatics - UTM Kuala Lumpur

Azman Hashim International Business School (AHIBS) - UTM Johor Bahru/ UTM Kuala Lumpur

Centre of Excellence/Institute - UTM Johor Bahru / UTM Kuala Lumpur

OtherOther

Person(s) you would like to meet

Name/ Faculty/ Unit/ Role *

Designation *

Add Remove

Total number of delegates *

MoU University

Delegate Information

Kindly include details of all members of delegation to facilitate seating arrangements.

Title ( Prof./Dr./Mr./Mrs.) *

First Name *

Last Name *

Position *

Add Remove

Please upload delegates' photos (passport sized)

Drop a file here or click to upload Choose File

Maximum upload size: 32.77MB

Please upload delegates' short CV

Drop a file here or click to upload Choose File

Maximum upload size: 32.77MB

Please upload University/ Institute logo *

Drop a file here or click to upload Choose File

Maximum upload size: 32.77MB

For your delegation to receive maximum benefit from their visit, they should either have working knowledge of English or be accompanied by an interpreter. Universiti Teknologi Malaysia is not able to provide interpretation services. We can provide local logistics however any (toll/fee) will be borne by the delegates.

Visitor Request/Notification Form

FACULTY YOU WOULD LIKE TO MEET

Person(s) you would like to meet

Delegate Information

Links