Website Request Form Please fill in the form that will help us to assess your request. If you are unsure of any of the answers, just say so and we will contact you to clarify. Requested website will be created within 7 working days. Applicant Name * Job Title * Unit, Department or Faculty * Email * Mobile Number * Office Number * Website Details Your Website Title * Example: Office of Corporate Affairs 1. Proposed Website Address * Example: http://www.utm.my/yoursite 2. When do you need the website? * 3. What is the main purpose of the site? * 4. Who is your site aimed at? Student Staff Faculty Alumni Community 5. Will there be any information on the site that would not be available publicly? * 6. Name of the administrator for the site? 7. Admin email address * 8. Is there any other information that you think we might need to know? 9. Website visibility * Internet Intranet Checkboxes * I agree to the UTM web policy and guideline If you are human, leave this field blank.