360 GEM Summer Programme Application Form

6 Aug–15 August 2018 Ming Chi University of Technology, Taiwan

Internationalization & Mobility Unit
ATT: ASSOC. PROF. DR. ZURAIDAH ALI
PERSONAL DATA:

FULL NAME

STUDENT ID NO. LATEST CGPA

PASSPORT NO. NATIONALITY

PHOTO
HP NO. E-MAIL (any form of
introduction)
UNITEN PROGRAMME Applicant’s Signature

YEAR/ SEMESTER Application Date

COLLEGE
RECOMMENDATION Name & Official Stamp:

Deputy Dean/
Head of Department/
Academic Advisor

Name:

Permission from Parents/ Hp No.:

Guardian
Signature:

Describe HOW you can benefit from joining this programme. FILL up the space below!