ErasmusDay@UTM 2021 Pre-registration Form

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ErasmusDay@UTM will be hosted by Universiti Teknologi Malaysia (UTM), in collaboration with Asia Technological University Network (ATU-Net) and its partners namely Institut Teknologi Bandung (ITB), Indonesia and Cebu Technological University (CTU), the Philippines. Details of the programme are as follows:

Date: 15 October 2021
Day: Friday
Time: 14:30 to 17:00 (GMT+8)

Email *

Full Name with Designation/Salutation (if any) *

UTM Staff ID (for UTM only) *

Position

Vice Chancellor/ President/ Rector

Deputy Vice Chancellor/ Vice President/ Vice Rector

Pro-Vice Chancellor/ Dean/ Director

Deputy Dean/ Deputy Director/ Head

Academic Staff

Administrative Officer/ Support Staff

Student

Other:

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Faculty/ School/ Department/ Unit (if applicable) *

Country *

How do you know about this programme? *

Invitation from the organising committee

Asia Technological University Network (ATU-Net)

Social Media

Colleagues

Other:

Declaration *

I hereby declare that the information provided in this form is correct and complete. I also accept that records relating to my data in this form will be kept by the organizer

Required

Thank you for your registration and stay safe!

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