BORANG PERMOHONAN LAWATAN KE INSTITUT SUKAN NEGARA  
(APPLICATION FORM - VISIT TO THE NATIONAL SPORTS INSTITUTE)
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Pemohon disarankan untuk merujuk kepada SOP dan Garis Panduan Lawatan (tertera di lawan web ISN) sebelum mengisi borang permohonan lawatan.

Applicants are advised to refer to the SOPs and Guidelines (listed on the ISN web page) before filling in the form.

1. PERMOHONAN LAWATAN DARIPADA : KEMENTERIAN / AGENSI / SEKOLAH  (PERMOHONAN HENDAKLAH DIBUAT SEKURANG-KURANGNYA 30 HARI SEBELUM TARIKH LAWATAN).

APPLICATION FOR VISIT : FROM MINISTRY / AGENCY / SCHOOL (APPLICATION MUST BE MADE AT LEAST 30 DAYS BEFORE THE DATE OF VISIT).

 

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2. TARIKH, MASA DAN BILANGAN PESERTA (BILANGAN PESERTA LAWATAN DIHADKAN KEPADA MAKSIMUM 30 ORANG SAHAJA) 

DATE, TIME & NUMBER OF PARTICIPANTS (PARTICIPANTS ARE LIMITED TO A MAXIMUM OF 30 PAX ONLY)

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CADANGAN TARIKH LAWATAN

PROPOSED VISIT DATE

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MM
/
DD
/
YYYY
CADANGAN MASA LAWATAN (MULA)

PROPOSED VISIT TIME (START)
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Time
:
CADANGAN MASA LAWATAN (TAMAT)

PROPOSED VISIT TIME (FINISH)
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Time
:
BILANGAN PELAWAT (ORANG)

NUMBER OF PARTICIPANTS (PAX)
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3. TUJUAN LAWATAN

PURPOSE OF VISIT
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4. ADAKAH  PESERTA / PELAWAT MEMPUNYAI LATAR BELAKANG SAINS SUKAN / PERUBATAN SUKAN? 

DO PARTICIPANTS / VISITORS HAVE A BACKGROUND IN SPORTS SCIENCE / SPORTS MEDICINE
 *
BAGI SOALAN 4, 
JIKA "YA", SILA NYATAKAN JAWAPAN ANDA.

FOR QUESTION 4,
IF "YES", PLEASE SPECIFY YOUR ANSWER
5. PEGAWAI / KETUA LAWATAN YANG BOLEH DIHUBUNGI (NAMA, NO. TELEFON & E-MEL)

PERSON IN CHARGE OF VISIT (NAME, PHONE NUMBER & EMAIL)

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NAMA PENUH (FULL NAME)
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NO. TELEFON (TELEPHONE NUMBER) *
ALAMAT E-MEL (EMAIL ADDRESS) *
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