Nomination Form for International Credit Transfer (ICT) at Universitas Islam Indonesia
Dear Partner University,

Warm greetings from Universitas Islam Indonesia.

We kindly request your participation in nominating students for the International Credit Transfer program at Universitas Islam Indonesia for the Academic Year 2024/2025 by completing this form.

Before filling out this form, we would like to highlight the following points:
1. This form should be completed exclusively by the university coordinators or assigned contact person
2. Each form is intended for the nomination of one student
3. Please fill out a separate form if you have more student to nominate

Your cooperation is greatly appreciated.

Best regards,
Universitas Islam Indonesia
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Email *
Home University *
Home University's Country *
Coordinator's/Contact Person Full Name *
Coordinator's/Contact Person Number *
Which category you're about to nominate for?
 *
Name of the Nominated Student (according to passport)
 *
Student's Email Address
 *
Student's Nationality
 *
Name of the Program
 *
What year is the Student currently in the home university *
How long is the period of the exchange?
 *
Thank you for submitting the nomination. Our staff will contact your student for further application procedures.
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