APPLICATION FORM – FOREIGN STAFF EXCHANGE PROGRAM

This Form is for a Foreign Staff who wants to apply Staff Exchange in Universitas Muhammadiyah Yogyakarta.

Name*
First Last
Faculty/ Department/ Institution*
Position*
Home University*
Home Country*
Date of Birth*
DD slash MM slash YYYY
Gender*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Passport Number*
Date of Issue*
MM slash DD slash YYYY
Expired Date of Issue*
MM slash DD slash YYYY
Issued Country*
Phone*
Emergency Contact*
Email*
Contact Person at UMY
Name
Position
Faculty
Department
Contact Person
Please Upload These Following Documents
Latest Photo*
Max. file size: 1 MB.
Please use this formatting name : NAME_LP_FXST (e.g. BUDI_LT_FXST)
Curriculum Vitae*
Max. file size: 1 MB.
Please use this formatting name : NAME_CV_FXST (e.g. BUDI_CV_FXST)
Application Letter*
Max. file size: 1 MB.
Please use this formatting name : NAME_AL_FXST (e.g. BUDI_AL_FXST)
Academic Transcript
Max. file size: 1 MB.
Please use this formatting name : NAME_AT_FXST (e.g. BUDI_AT_FXST)
Scanned Passport (Bio-Date Page Only )*
Max. file size: 1 MB.
Please use this formatting name : NAME_PAS_FXST (e.g. BUDI_PAS_FXST)
Application Proposal*
Max. file size: 1 MB.
Please use this formatting name: NAME_PROP_FXST (e.g. BUDI_PROP_FXST)
Mobility Agreement*
Max. file size: 1 MB.
Please use this formatting name: NAME_MOA_FXST (e.g. BUDI_MOA_FXST)

Full Time Enrollment