Ref.: S-017/F/SRS UM Exchange Programme Course Selection Form 1st Semester 2nd Semester Full Academic Year (Please write clearly in BLOCK Letters) Family Name First Name Home University Email Sex Male Nationality Country Tel Female 1st semester Faculty Course Code Course Title Priority 2nd semester Faculty Course Code Course Title Priority Class (office’s use) Class (office’s use) Personal Data Collection Statement z z z z The University of Macau being a public institution of higher education as set in Law No. 1/ 2006, will process the personal data collected on this form for activity organization, service providing and contact purposes. Due to the needs of the activity or service, the personal data on this form may be transferred to other organizations in or outside Macao. The applicants have the right to access, rectify or update their personal data stored at UM. (if collected online) The personal data circulated on the network may be at risk of being used by unauthorized third parties. Approval from Home Institution Students _____________________________________ Signature & Date Title _____________________________________ Signature Date FAH – Faculty of Arts and Humanities FBA – Faculty of Business Administration (www.umac.mo/fba/) FED – Faculty of Education (ww.umac.mo/fed/) FHS – Faculty of Health Sciences (http://fhs.umac.mo/) FLL – Faculty of Law (www.umac.mo/fll/) FSS – Faculty of Social Science (http://fss.umac.mo/) FST – Faculty of Science and Technology (http://www.fst.umac.mo/index.php) ICMS – Institute of Chinese Medical Sciences (http://www.umac.mo/icms/) Rev. 00 Effective on 1 2FW 201