Mobility Class Universitas Muhammadiyah Surakarta (UMS) - Universiti Malaysia Pahang(UMP)

*Please complete the following fields. FILL IN YOUR ENGLISH NAME. DO NOT KEY IN OTHER SYMBOLS.

*Key in your passport number in English or numerical digits.

Eligibility:

This mobility student term is eligible for all engineering faculty students.

   

FORM OUTBOUND UMS-UMP


COMPLETE THE FOLLOWING FORM CAREFULLY


  A. PERSONAL DETAILS
Full Name *
Nim *
Gender *
Place of Birth *
Date of Birth *
Home Address *
Province *
City *
Mobile no *
Email *
School *
  C. STATUS at UMS
Year in University *
Faculty *
Major *
Semester *
  D. University Destination
Program *
Name of University *
Country of Destination
Departure
Passport Number
Date of Issue
Date of Expiry

DOWNLOAD LETTER OF PARENT STATEMENTS *:

You can upload the letter or submit it to International Office in person: *
Process saving file...
Provide a photograph with 4cm x 6cm dimension (max 500kb): *
Process saving file...
Please provide scan of original transcript: *
Process saving file...
Please provide scan of the original passport: *
Process saving file...
 
Please save your data before closing this form. Make sure the data that you provided are accurate. Remember UMS will not tolerate any fraudulence.
* = Required Field.