Welcome! This form is designed to help plan and schedule a visit to Bursa Malaysia.

Complete the form with all your information and select a date from the list of available dates shown in the calendar at the Bursa Malaysia Educational Institution Visit website.
Once the form is completed, please email form to educationalvisits@bursamalaysia.com. Should you be unable to keep your visit, please send us an email to cancel the visit.

Contact Information:
Institution/University name:
Name of Lecturer in charge:
Contact number:
Email address:
Contact on day of visit:
Name of contact person on day of visit:
Contact number:
Email address:
* Application should be made by the lecturer in charge, or submit a letter from the institution.

Visit Request Information:

Desired date (dd-mmm-yyyy):
Alternate date (dd-mmm-yyyy):
* Visit request should be made at least one (1) month before intended date of visit. All visits are arranged only on Tuesdays from 2:30PM to 4:30PM unless otherwise stated.
Although every attempt will be made to accommodate visits and update the calendar on a frequent basis, please note that the calendar is provided as a reference and the confirmed date of visit will be sent via email.
The visit will begin with a short briefing followed by a tour of the Knowledge Centre and end with a photo-taking opportunity at the Bull and Bear sculpture located outside the building (subject to change).

Participant Details:
Participant's Consent for the
Programme use of personal data provided
No. Name NRIC / Passport No (eg. Diploma, Degree, Course Major E-mail Address
Masters) in this form for the purposes
in Note 4 below

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Notes:
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Feel free to insert additional rows to the list.
2
Due to the high volume of visit requests we receive, Bursa Malaysia reserves the right to include more than 1 institution (joint-visit) if there are less than 50 participants per institution.
3
In order to facilitate smooth planning, kindly inform us one (1) week before the intended date of visit should the number of participants reduce or increase by 5 persons from the original number of participants.
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 Participant's Consent for the
Programme use of personal data provided
No. Name NRIC / Passport No (eg. Diploma, Degree, Course Major E-mail Address
Masters) in this form for the purposes
in Note 4 below
4
Participants hereby consent to the processing of their personal data for automatic registration to BursaMKTPLC.com and to receive information and updates on future events, conferences or products from Bursa Malaysia.

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