MEMO Information related to International Cooperation at KMUTTQuarterly Report : to Name of Faculty / School / Department of KMUTT : Name of coordinator : Direction of Cooperation : InboundOutboundParticipation in the Cooperation : StudentFacultystaffIs this program under the MoU/Agreement: YesNoType of Exchange Program : semester exchange (3-4 months)short term (<=2 months)visiting facultystaff traininginternshipsymbosiumresearchPlease mention, if others: Scholarship grants, if any : YesNoName and source of Scholarship/ Grant: Additional grant from KMUTT, if any : Mention the name and amount of grant: No. of students/ staff / faculties participated : Name of the Partner Institution: Name of the Partner Country: Faculty/ School to which the program took place : Brief description of all activities that took place through this Program : (Please attach documents, if relevant) Duration of activities : Program Period (mention start and end dates): Date and Duration of extension of Program (if applicable): Admission charges applicable?: YesNoIf yes, mention the amount: Accommodation provided is : free of costchargeableAccommodation type: campusoutside campusEnclosures (if relevant): Remarks (if any): Note: Please attach supporting documents/ agreements of relevance that needs to be considered and send the filled up questionnaire to the following e-mail ids: shubhashree.pal@kmutt.ac.th chindaphorn.boo@mail.kmutt.ac.th VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: