Visit Request Form

Please complete the visit request form if you are going to visit us!

Name*
Sex*
Organization*
Position*
Address*
E-mail:*
Tel.*
Fax.
Web
Do you have any previous association with UPI*
Please specify
Faculty/ Department/ Person You would like to meet *
What is/are the main objective(s) of your visit*
Purposed date of visit (from)*
 : 
(To)*
 : 

Number of Delegates :

Lecturer
Staff
Student
Other
Total delegates*

Leader of Delegate :

Name and Title*
Sex (d)*
Organization(d)*
Country*
Position(d)*
Passport No*
E-mail (d):*
Tel.(d)*
Fax.(d)

Member of delegates:
Please click here to download the template, then upload it below

Upload a File (member of delegates):

Accomodation

Name of Hotel
Address of Hotel
Letter of Invitation*
Pick-up services*

Pickup from

Location and details
Date of Pickup:
Time of Pickup
 : 

Leaving for

To (location and details)
Date of Leaving
Time of Leaving
 : 
Additional Comments/Requirements