Exchange Programme Application Form

Participant Profile

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(Please write your address as it would appear on an envelope, using one line for each line of your address. It is important to provide your complete address, as this will be used for all official correspondence.)

Home Institution

(Please write the address as it would appear on an envelope, using one line for each line of your address. It is important to provide your complete address, as this will be used for all official correspondence)

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Exchange Programme Information

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Course Request List

It is recommended that students select a few extra courses/modules that they would be willing to enroll in (as back-ups) in case a particular course they have selected on their application is not being offered during a particular semester.

* I have discussed my proposed program with the appropriate faculty and advisors, and have approval for the academic program outlined above. I understand that course prerequisites at UPSI must be met and that course registration is based on the availability of offerings and cannot be guaranteed.

Arrival Information

Please upload your flight ticket copy with below information:

a) Flight Number

b) Airline Name

c) Destination

d) Arrival Date and Time

Upload File
Max File Size 15MB

Emergency Contact Information

(Person to contact in case of emergency)

Contact Us

 

International & Mobility Centre

Universiti Pendidikan Sultan Idris

35900 Tanjong Malim 

Perak, Malaysia

imc@upsi.edu.my

Phone:  +6 05 450 5090

Fax     :  +6 05  459 8134

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