Partner Register | SIM Kerjasama UNUSA

Daftar Mitra

Petunjuk Pengisian (Instructions)

Mohon diisi kuesioner berikut dengan jawaban yang sesuai. Tanda bintang (*) wajib diisi (Please fill out the following questionnaire with appropriate answer. Asterisk (*) marked is mandatory)

Nama Institusi
(Name of Institution) *

Alamat
(Official Address) *

Negara
(Country) *

Jenis Mitra
(Type of Partner) *

Specify Other Partner Type *

Jenis Institusi
(Type of Institution) *

Pimpinan/Kepala
(President / Vice-Chancellor / Rector) *

Nomor izin pendirian
(Year Founded) *

Website *

https://

Gambaran Singkat Lembaga / Organisasi
(Short Overview of the Institution / Organization) *

QS Word Rank / THE

Nama Penanggung Jawab
(Name of Person in Charge) *

Jabatan
(Position) *

Alamat
(Address) *

Nomor Telepon
(Phone Number) *

Email *

Jenis Fakultas/Departemen yang Terlibat
(Type of Faculty/Department Involved) *

Kekuatan/ Pusat Keunggulan Institusi
(Institutional Strengths / Centres of Excellence) *

Kolaborasi Sebelumnya atau yang Sudah Ada
(Previous or Existing Collaborations)*

Usulan Kerjasama dengan Unusa
(Proposed Collaboration with Unusa) *