Details of the Person Making the Request
Please complete this form two (2) weeks or 10 working days prior to the date of your proposed visit
Date of Proposed Visit
*
-
Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Name
*
First Name
Last Name
Organisation
*
Position
*
Email
*
example@example.com
Website
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organisation Overview (Please include a brief description and, if applicable, institutional ranking)
*
Objective (s) of the visit
*
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Faculty/ Institute You Would Like to Meet
Faculty @ UKM (Maximum of two faculties)
Faculty of Dentistry [www.ukm.my/fperg/]
Faculty of Economics and Management [www.ukm.my/fep/]
Faculty of Education [www.ukm.my/fpendidikan/]
Faculty of Engineering and Built Environment [www.ukm.my/jurutera/]
Faculty of Health Sciences [www.ukm.my/fsk]
Faculty of Information Science and Technology [www.ftsm.ukm.my]
Faculty of Islamic Studies [www.ukm.my/fpi/]
Faculty of Law [www.ukm.my/fuu/]
Faculty of Medicine [www.ukm.my/medicine/]
Faculty of Pharmacy [www.ukm.my/farmasi/]
Faculty of Science and Technology [www.ukm.my/fst/]
Faculty of Social Sciences and Humanities [www.ukm.my/fssk]
UKM-Graduate School of Business [www.ukm.my/gsbukm/]
School of Liberal Studies [www.ukm.my/citra/]
Center for Shaping Advanced and Professional Education [www.ukm.my/ukmshape/]
GENIUS@Pintar National Gifted Centre [www.ukm.my/permatapintar/]
Institute @ UKM [Maximum of two institutes]
Fuel Cell Institute [www.ukm.my/selfuel/]
Institute of Climate Change [www.ukm.my/ipi/]
Institute for Environment and Development [www.ukm.my/lestari/]
Institute of Ethnic Studies [www.ukm.my/kita/]
Institute of Islamic Civilization [www.ukm.my/hadhari/]
Institute of Malaysian and International Studies [www.ukm.my/ikmas/]
Institute of the Malay World and Civilization [www.atma.ukm.my/]
Institute of Microengineering and Nanoelectronics [www.ukm.my/imen/]
Institute of Systems Biology [www.inbiosis.ukm.my/]
Institute of Visual Informatics [https://ivi.ukm.my/]
UKM Medical Molecular Biology Institute [www.ukm.my/umbi/]
Solar Energy Research Institute [www.ukm.my/seri/]
Malaysian Inclusive Development and Advancement Institute [www.ukm.my/mindaukm]
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Meeting Agenda & Attendees
Proposed Meeting Agenda
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Previous Engagement with UKM [if any, please provide details - name, email etc]
List of Attendees
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Rows
Name (Prof./ Dr/ Mr/ Ms)
Position [Rector/ Dean/ Director/ Lecturer]
Department
Email
Head of Delegation
Delegate 1
Delegate 2
Delegate 3
Delegate 4
Delegate 5
Delegate 6
Delegate 7
Delegate 8
Delegate 9
Delegate 10
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