INTERNATIONAL STUDENT MANAGEMENT UNIT CENTRE FOR
INTERNATIONAL AFFAIRS
Plea return this form to International Student Management Unit, Centre for International Affairs,Level 5 South Block, Chancellery Building, UMS Road, 88400 Kota Kinabalu,Sabah,
MALAYSIA
Phone:+6088 320 000 ext.1385 / 1057
Fax:+6088 320 126
E-mail:intl@
SUBMISSION REQUIREMENT CHECKLIST
1.Mobility Offer letter
from Home University 2.English Proficiency
Result
3.Examination Result
(Undergraduate
student must obtain
an absolute CGPA of
3.0and above to be
qualified for the
mobility programme)
4. A photocopy of
passport holder
(Front page, passport
expiry date, updated
pass)
5.Health Examination
Report
(To be conducted in
Kota Kinabalu,Sabah)
6. 2 (two) passport size
photographs
7.VDR Form
8.Application are to be
submitted before 1st
of May
ADDRESS INFORMATION
Current Mailing Address
Postcode : Country : Permanent Address
Postcode : Country : Phone Number
Fax Number
E-Mail Address
Address of Parent /
Next–of–Kin
EMERGENCY CONTACT DETAILS Name
Relationship
Address
Phone Number Mobile Number E-Mail Address
OTHERS ( CO–CURRICULUM ACTIVITIES / SPECIAL SKILLS) Co-curriculum Activities :
Special Skills :
INTER OFFICE COMMUNICATION
[plea include the contact person from the home faculty / institute (student exchange coordinator) who is
responsible for the correspondence]
Name
(Prof. / Dr. /Mr. /Mrs / Ms.)
Office / Department
Position
Correspondence Address
Phone Number Mobile
Number
E-Mail Address