Application Form | 21st Century Skills Multicultural Journey

A. Applicant/Participant Personal Details

Full Name (same as passport) *

Gender *

Country *

Mobile Phone Number *

International format

Email *

B. Education Background

Home Institution/University

Please state your university

Home Faculty *

Programme Name *

Chemical Engineering, English, Business, Chemistry, Psychology etc.

C. Study Abroad Programmes

English Speaking Proficiency *

Very Good

Good

Poor

Very poor

English Reading Proficiency *

Very Good

Good

Poor

Very poor

English Writing Proficiency *

Very Good

Good

Poor

Very poor

G. Attachment and Declaration

Personal Statement - Why do you want to join this program. (Important for scholarship selection) *

Maximum upload size: 5.12MB

Please prepare a few paragraph of your personal statement, a short description of yourself and your motivation of joining this program. Please also include your expectation of the program.

Please Upload your CV *

Maximum upload size: 5.12MB

Please prepare a few paragraph of your personal statement, a short description of yourself and your motivation of joining this program. Please also include your expectation of the program.

Checkboxes *

I hereby declare that the information provided in this form is true. I acknowledge that Universiti Teknologi Malaysia reserves the right to vary or reserve any decision regarding admission or enrolment made on the basis of the given information.