UTM Visit Request Form (Staff) If you are human, leave this field blank. Type of visit Please choose Official visit Staff Mobility/ Attachment Attending conference/ seminar Other Type of visit Start of proposed visit date * The proposed date must at least 21 working days prior the visit date End of proposed visit date * Time 9101112123 : 0030 AMPM Campus * UTM Kuala Lumpur UTM Johor Bahru UTM Pagoh 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/ Choose faculty(s)/ department(s) which is related on the specific focus area to discuss. Browse faculties website for more info faculties in UTM * 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 UTM International (International Office) OtherOther Person(s) you would like to meet Name/ Faculty/ Unit/ * Designation/ Level * Add Remove Total number of delegates * MoU University Yes No Delegate(s)/ Staff(s) Mobility Information Kindly include details of all members of the delegation. Please include your name if you are also on the delegates list. Title(Prof./Dr./Ms./ Mr.) * Full Name * Position/ Designation * Age * Years of Experience * Proposed Attachment Scope * Proposed of attachment outcome * Specific Requirement (if any) Email * Add Remove Please upload your/ delegates' photos (passport sized) Drop a file here or click to upload Choose File Maximum upload size: 65.54MB Please upload your/ delegates' short CV included the job scopes at current institution Drop a file here or click to upload Choose File Maximum upload size: 65.54MB Please upload University/ Institute logo Drop a file here or click to upload Choose File Maximum upload size: 65.54MB 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.