Friday, 17 June 2022  

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- FOREIGN RESEARCH PERMIT -
ONLINE APPLICATION

» Database of foreign researchers
Front page »

Complete ALL REQUIRED ITEMS in this form and push the SEND button below. Any kind of HTML codes are discarded. Please make sure that you have written your email address correctly, since your user ID and initial password is sent to that email.


Personal data *) required items !
  Full name :   *
  Sex : male     female       *
  Pasport no. :   *
Expired date :       *
  Nationality :   *
  Present institution :   *
  Institution's web :
  Present position :   *
  Contact address : Write completely including the city, zip and state.
  *
  Country :   *
  City code - phone / fax : - /   *
  Email : Please make sure you enter your daily email correctly ! Confirmation messages and further communication is sent to this email !
  *
  Personal web :
  Place, date of birth : ,       *
  Education : Write higher educations you have earned including the name of university, place and the year of graduation.
  *
  Research experience :   *
  Profesional experience :   *
  Recent publication : Write your publications in the last 5 (five) years.
  *
Research project
  Project title :   *
  Abstract :   *
  Research area :   *
  Location : Write all locations including the regency and province !
  *
  Period :       *   till         *
  Funding source :   *
  Additional info : Write any information related to the project (collaborator members, date of arrival, etc).
Indonesian counterpart
  Name :   *
  Present institution :   *
  Institution's web :
  Present position :   *
  Contact address : Write completely including the city, zip, state and country.
  *
  City code - phone / fax : - /   *
  Email :   *
Guarantors
  Two recommendation letters are required, which one is from a senior scientist in the relevant field, and the other one is the official recommendation from your present institution.
  Official guarantor from the applicant's institution :
  Name :   *
  Present institution :   *
  Institution's web :
  Present position :   *
  Contact address : Write completely including the city, zip, state and country.
  *
  City code - phone / fax : - /   *
  Email :   *
  Senior scientist guarantor :
  Name :   *
  Present institution :   *
  Institution's web :
  Present position :   *
  Contact address : Write completely including the city, zip, state and country.
  *
  City code - phone / fax : - /   *
  Email :   *
Family members
  If you plan to be accompanied by your family, complete these items !
  Number of person(s) :

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