1 BORANG PERMOHONAN BAGI PROGRAM MOBILITI KELUAR NEGARA /APPLICATION FORM FOR
EXCHAGE PROGRAMME (OUTBOUND)
*Pilihan Program Universiti/University Semester Offered
AIMS
Universitas Indonesia, Indonesia Semester I (August – January) Semester II (February – June) Mahidol University, Thailand Trisemester 1 (Sept– Dis)
Trisemester 2 (January – April) University of Tsukuba, Japan Spring Semester (April – Sept.)
Fall Semester (Oct – March) Universiti Brunei Darussalam,
Brunei Semester 1 (Aug – Disember)
Semester 2 (January – May) Sophia University, Japan Spring Semester (April – Sept.)
Fall Semester (Oct – March)
UKM – Korean Window
Ajou University, Korea Spring Semester (March – June) Fall Semester (August – Dis.) Solbridge International School of
Business, Korea
Spring Semester (March – June) Fall Semester (August – Dis.)
MoU
School of Business, Economics and Law, University of Gothenburg, Sweden.
Spring Semester (Jan – June) Autumn Semester (Sept. – Jan.) Avans University of Applied
Sciences, The Netherlands Spring Semester (Jan – June) Autumn Semester (Sept. – Jan.) Osaka University of Economics and
Law, Japan Spring Semester (April – Sept.) Fall Semester (Oct - March) Institut Teknologi Bandung,
Indonesia First Semester (August-Dec)
Second Semester (Jan-May)
*Sila nomborkan mengikut keutamaan pilihan anda (3 sahaja)/please rank the item according to your most preferred university (only 3)
* Sila tanda (√) pada kotak yang berkenaan/Please tick(√)in box’s given
* For any inquiries please directly e-mail: [email protected]
Faculty of Economics & Management Fakulti Ekonomi & Pengurusan
UKM/FEP/M01/03 18 February 2020
2 Maklumat Peribadi/Personal Information
Maklumat Pengajian dan Aktiviti/Activity and programme information
Tandatangan/Signature : __________________________
Tarikh/Date : __________________________
* Sila tanda (√) pada kotak yang berkenaan/ Please tick (√) in box’s given
*Mohon hantar borang ini bersama dengan keputusan peperiksaan yang terkini dan resume/please send this application form attached with your latest academic transcript and resume.
Nama/Name No. Kad
Pengenalan/ID No.
Pendaftaran/
Matric number
No.
Telefon/Phone number
Alamat Semasa/
Address
Alamat Mel- E/email
Jantina/Gender No. Pasport/
Passport No
Program/
Programme BBA BEc BAc BEI Pengkhususan / Modul/Majoring Sesi
Kemasukan/
Session Intake
PNGK Terkini/
Current CGPA Kemahiran
Bahasa
Inggeris/English Proficiency
MUET : Band ____
Kursus BI (Academic Communication) /English Course Gred/Grade:___
Penglibatan dalam aktiviti di peringkat Fakulti, Kolej atau Universiti/
Activity at faculty/college/
University level 1.
2.
3.
4.
5.
