Sabbatical Leave Form

This Form is for a UMY Staff who wants to apply Sabbatical Leave program.

Person In Charge*
First Last
Faculty*
Department*
Phone*
Email*
Partners for Collaboration
Partner's Profile
Name University Faculty Department/ Program Country E-mail
Proposed Program
Kind Of The Programe
Duration Of The Programe
Please Upload These Following Documents
Application Letter*
Max. file size: 1 MB.
Please use this formatting name: 1. NAME_APPLYCATION FORM_FS (e.g. 1. BUDI_APPLYCATION FORM_SL)
Resume*
Max. file size: 1 MB.
Please use this formatting name: 2. NAME_Resume_FS (e.g. 2. BUDI_Resume_SL)
Research Proposal*
Max. file size: 1 MB.
Please use this formatting name: 3. NAME_Proposal_SL (e.g. 3. BUDI_Diploma Certificate_SL)
Mobility Agreement (Agreement that applicant will back to university after the program)*
Max. file size: 1 MB.
Please use this formatting name: 4.NAME_Mobility Agreement_SL (e.g. 4. Academic Transcript_SL)
Identity Card and Passport*
Max. file size: 2 MB.
Please use this formatting name: 6. NAME_ID CARD_FS (e.g. 6. BUDI_Komitmen_SL

Name	University	Faculty	Department/ Program	Country	E-mail

Partners for Collaboration