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Asia Technological University Network (ATU-Net) Institutional Membership Registration Form
Please complete this form to become an institutional member in ATU-Net.
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Email
*
Your email
INSTITUTION INFORMATION
Name of institution
*
Your answer
Institution's official website (URL)
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Your answer
Name the Head of the Institution
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Your answer
Email of the Head of the Institution
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Your answer
CONTACT PERSON
Name
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Your answer
Email
*
Your answer
Designation
*
Your answer
Address
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Your answer
Office phone number (Please add the calling code before the phone number)
*
Your answer
Mobile phone number (Please add the calling code before the phone number)
*
Your answer
Fax number (Please add the calling code before the fax number)
*
Your answer
DECLARATION
Please confirm the following before submitting the registration form.
*
We certify that the information given above are true. If admitted, we shall abide by the rules and regulations as stipulated in the constitution of Asia Technological University Network (ATU-Net).
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Universiti Teknologi Malaysia (UTM) is the Secretariat of ATU-Net. For further inquiries, please contact ATU-Net Executive Officer, Ms. Amni at atunet@utm.my.
A copy of your responses will be emailed to the address you provided.
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