MGTF, USM VISITOR FORM
Thank you for your interest in engaging with Muzium & Galeri Tuanku Fauziah (MGTF), Universiti Sains Malaysia (USM). If you have questions or having difficulty completing this form, please contact Miss Nur Hafizah at 04-653 4788 / 012-443 9925 (mgtfusm@gmail.com)
Plan A Visit
The Muzium & Galeri Tuanku Fauziah (MGTF), Universiti Sains Malaysia (USM) will implement all safety measures to ensure the good health of our visitors following the Standard Operation Procedures (SOP) set by the Malaysian Government. Visitors must be “Fully Vaccinated”* to enter MGTF, USM. The certificate of completion vaccination on MySejahtera app must be shown to the staff at the entrance. Visitors suspected to have recognised symptoms of Covid-19 will not be allowed to enter the MGTF, USM. Only visitors with “Low Risk” and “Casual Contact Low Risk” status on MySejahtera app are allowed to enter. Visitors under 12 years of age and below are not allowed to visit the Museum without the presence of their guardians. Guardians must follow the guidelines for adult visitors as stated above.*An individual is considered ”Fully vaccinated” after completing 14 days of waiting period after second dose.
Personal Information
Email
*
example@example.com
Name
*
First Name
Last Name
Institution/School Name
*
Phone Number
*
-
Area Code
Phone Number
Gender
*
Please Select
Male
Female
Age
*
Please Select
Pre-school age child
Primary school age child
Secondary school age to 17 years
18 – 29 years
30 – 44 years
45 – 59 years
60 years and over
Races
*
Malay
Chinese
Indian
Other
Religion
*
Islam
Hindu
Buddhist
Christian
Other
Level of Education
*
UPSR
PT3/SPM/STPM/STAM
Matriculation/Foundation
Diploma
Undergraduate Degree
Master
Doctorate
Other
Category
*
Pre-school (Nursery/Kindergarten)
Primary School
Secondary School
USM Student
USM Staff
Local IPTA/IPTS
Government Sector
Private Sector
Individual
Family
Travel Agencies
Other
If you are coming in a GROUP, how many PEOPLE are in your GROUP visiting MGTF, USM, including yourself?
*
Your Visit to MGTF, USM
Date
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Day
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Month
Year
Date
Hour Minutes
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