Institutional Confirmation Form: 4th Batch of SEA-TVET Student Exchange (Exchange in August 2019 onwards)

(Strict Deadline: 20 May 2019)

Thank you very much for your interest in joining the SEAMEO Polytechnic Network and the 4th batch of SEA- TVET Student Exchange which will be implemented during Aug-Oct 2019.

To confirm the participation in the 4th batch of SEA-TVET Student Internship Exchange, please type the information in this form and return it to the email: [email protected]; [email protected] by 20 May 2019.

1) Name of Your Institution

Name of College/Institution/University: POLITEKNIK , , Abbreviation PNS Address KOMPLEKS PENDIDIKAN NILAI, BANDAR INSTEK, 71760 NEGERI SEMBILAN City BANDAR ENSTEK Country NEGERI SEMBILAN Website www.polinilai.edu.my

General Email Address: [email protected]

Top Management: Title: TUAN HAJI

Full Name: NAZRI BIN IDRIS

Position: DIRECTOR .

2) Contact Details of Two (2) Main Coordinators

Note: For the effective coordination, please ensure that the SEA-TVET Coordinator are the different person of the SEA-Teacher Programme.

Coordinator #1 (1st Priority):

Title: PUAN

Full Name: KHUZAIMAH BAHARUDDIN

Position: INTERNATIONAL LIASON OFFICER

Email#1: [email protected]

Email#2 (Optional): [email protected]

Office Telephone Number: +606 7980 400

Mobile Number: (Country Code) +60 (Mobile) 17 888 4847

Please check X on the Chat Application you normally use:

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( ) Whatsapp Number:+60 17 888 4847

( ) LINE ID: .…………………………

Coordinator #2 (2nd Priority):

Title: TUAN

Full Name: MOHD NAZRULAZLAN BIN ABD RASID

Position: HEAD OF PROGRAMME (DIPLOMA IN MECHATRONIC ENGINEERING)

Email#1: [email protected]

Email#2 (Optional): [email protected]

Office Telephone Number: +6067980450

Mobile Number: (Country Code) +60 (Mobile)199808587

Please check X on the Chat Application you normally use:

( x ) Whatsapp Number: +60199808587

( ) LINE ID: ………………………………….…………………………

3) Number of Sending (Outbound Students):

3.1 To participate in the TVET student exchange programme, we would like to request the number of outbound students, study area and level of education who will participate in this 4th Batch.

Note:  The number of students should be minimum of 2 students with the same gender in equal number, but not more than 6 students of each study area.  If you have already discussed/found your partner in specific study area, please provide us the name of your partner in the last columm.  According to the LOA, the study areas of students can cover the following areas: o Mechatronics, Electronics, Electrical, Mechanical, Industrial Technology, and Manufacturing o Informatics/ Computer Science o Hospitality and Tourism o Agriculture, Aquaculture, Animal Science, Fisheries, Forestries o Agro Technology/Agro Business, Food Technology o Business, Commerce and Accounting (Accounting is limited to find partner) o Creative Industry, Multimedia o Civil Engineering o Health Science/Nursing/ Public Health  The exchange schedule are: o Option 1 for 30 days: 17 Aug – 15 Sept 2019 o Option 2 for 30 days: 21 Sept – 20 Oct 2019 o Option 3 for 30 – 90 days: Sept onwards as agreed by the partners.

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Study areas of Level Approximately Duration Internship Potential Partner students you will number of of Period send students to Internship (Pls provide name of your send (Pls select partner who have agreed (Minimum 2 and 17 Aug-15 Sept to accept your students. If maximum 6 for 19 no, you can skip this each study area) Or columm) 21 Sept-20 Oct 19 Or Sept onwards)

Mechanical Diploma 2 30 Days 17 August – Politeknik Negeri Engineering 15 September Medan (POLMED) (Mechanical & Medan, Sumatera Mechatronic) Indonesia

Islamic Banking Diploma 2 30 Days 17 August – Universitas Islam 15 September Indonesia (UII) Yogyakarta, Jawa Indonesia

(Please add more rows if it is necessary)

3.2 If you have already recruited the students, please provide us the list of students who will participate in the 4th Batch. Please provide the list as many as you can. (Optional)

Name of Gender Age Study Area Level Duration Internship Attached with Student (F or M) of Period Student Internship Profile

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4) Number of Receiving (Inbound):

Please provide the approximately number of students from other countries which you can receive and study areas. Please consider that you also have industry partners in that area.

Note:  The number of receiving students can be more than the sending number.  If you do not have outbound student to send, you can receive the inbound students only. But you need to provide accommodation and find industry placement for the inbound students.  Please make sure that you can arrange industry placement for inbound student.

Study areas that you can Level Approximately Potential Partner receive and find industry number to partners receive (Pls provide name of your partner who have agreed to send their students to your institution. If no, you can skip this columm)

Mechanical Engineering Diploma 2 Politeknik Negeri Medan (POLMED) Medan, Sumatera Indonesia

Islamic Banking and Diploma 2 Universitas Islam Indonesia (UII) Finance Yogyakarta, Jawa Indonesia

(Please add more rows if it is necessary)

5) Information about your Institutions

5.1) Recommended Airport for Student to Arrive:

Airport Name: KUALA LUMPUR INTERNATIONAL AIRPORT

City of Airport: SEPANG, .

How many hours by car/van from airport to your institutions: 20 MINUTES

5.2) Recommended Pocket Money for 1 Month

We suggest the student to bring at least RM 1500.00 (local currency), or 340 USD to (City) Nilai, Negeri Sembilan for meals, public transportation or other personnel expenses for 1 month.

5.3) Photos of Our Institutions: As a Receiving/Hosting Institution, we would like to share the photos of our institution as follows:

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Photo 1: Administrative/Main Buildings

Photo 2: Faculty/Department Building

Photo 3: Library

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Photo 4: Canteen/Food Court Area

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Photo 5: Student Common Areas

Photo 6: Other areas

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5.4) Photos of Accommodation: We would like to share the photos of our dormitory/ hostel/ apartments where the inbound students will stay (The cost of accommodation, electricity, and water will be supported by our institution.)

If there is any condition/regulation, please provide information here:

Photo 1: Outside the Accommodation

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Photo 2: Common Areas

Photo 3: Bedrooms

Photo 4: Self-cooking Area Student are not allowed to cook in the campus

Photo 5: Other Facilities/Common Areas

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This is to certify that the above information was already approved by the authorized management of our institution.

Submitted by : PUAN KHUZAIMAH BAHARUDDIN

Position : INTERNATIONAL LIASON OFFICER, POLITEKNIK NILAI NEGERI SEMBILAN MALAYSIA

Date : 18 MAY 2019

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