Visit & Education Request | UPA SDHHTL Universitas Mulawarman

Step 1 of 5

Organizer Information

Provide the group organizer or institutional contact.

Applicant Type *

Organizer / Contact Name *

Institution / Organization *

Department / Unit

Country *

Email *

WhatsApp / Phone *

Step 2 of 5

Visit Profile

Describe the visit type, preferred location and schedule.

Visit Type *

Preferred Location *

Preferred Date *

Alternate Date

Preferred Start Time

Expected Duration

Step 3 of 5

Group Information

For school and minor groups, provide group-level information only; individual participant personal data are not required.

Participant Count *

Education / Participant Level

Adult Chaperone / Supervisor Count

Vehicle Count

Adult supervision and site-safety requirements will be confirmed during review. This form does not impose or invent a fixed participant-to-supervisor ratio.

Step 4 of 5

Learning Program & Support

Tell us what the group hopes to learn and whether linked accommodation is needed.

Purpose / Learning Goals *

Topics of Interest

Link this visit to a Km 54 accommodation request

Special Requirements / Notes

Indicative educational journey

Orientation → Showroom / Collections → Observation & Discussion → Outdoor Tree Identification → Kelulut / Pollination Learning → Reflection / Quiz. A typical program may take approximately 2–4 hours and is adjusted to group profile, weather, site conditions and staff availability.

Step 5 of 5

Review & Submit

Review the request and complete the declarations.

I confirm that the information provided is accurate to the best of my knowledge. I understand that submitting this request does not confirm a schedule, program, KHDTK access, accommodation, or authorization to conduct field activities. I consent to SDHHTL using the submitted personal information for request review, communication and visit coordination.

Security Verification

Complete the verification before submitting.

Visit / Educational Request