FUNDING PROPOSAL

INTERNATIONAL EVENT FOR STUDENT

PROGRAM NAME Commented [SWA1]: [Please write the program name in this
section]

ORGANIZING INSTITUTION Commented [SWA2]: [Please write the organizing institution in

this section]

City Name, program duration Commented [SWA3]: [Please write the name of the city where
the event is held followed by the starting date-ending date of the
program DD/MM/YY]

Your Name Your Student ID

BOGOR AGRICULTURAL UNIVERSITY

BOGOR
YEAR
 APPROVAL PAGE
1. Program Name :
2. Destination Country :
3. Student identity
Name/ Student ID :
Cellular phone/ WA number :
E-mail address :
4. Program period : [DD/MM/YY] to [DD/MM/YY]
5. Organizer :
6. Program website :
7. Social media of program :
8. Program category (please thick one from the list below)
□ Exchange program 1 semester/ 2 semester
□ Summer/ Winter Course
□ Seminar/ Symposium/ Conference
□ Service learning program/ international KKN
□ Internship
□ Research
□ Other, please define
9. Number of participating country :
10. Proposed budget (IDR)
Registration fee :
Flight ticket cost :
Visa cost :
Travel insurance :
Total proposed budget :
Bogor, DD-MM-YY

Approved by,
Head of Department Student Commented [SWA4]: Can be signed by your Supervisor

Signature Signature

Head of Department Name Student Name

NIP. NIM

Director for International Program Vice Dean for Academic and Student
Affairs

Signature and stamp

Prof. Dr. Ir. Iskandar Z. Siregar, M.For.Sci Vice Dean Name

NIP.19660320 199002 1 001 NIP.

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 INTRODUCTION
Background
Briefly describe the background why the program is organized (you may
find this kind of information through the program website). The main objective of
the program must be clearly stated in this section. Please describe why does the
program is important/ what would be the benefits for you/ IPB/ and your society if
you participate in the program. Please also emphasized why does IPB have to
support you; point out your excellence(s) and describe your specific role in the
program.
PROGRAM DESCRIPTION

A. Program Name and Theme

Please write the Program Name, the organizing institution (i.e. university,
government institution, professional association, etc.), and particular theme of
the program (if any). You are requested to write the detail contact information
about the organizing committee in this section.
B. Date and Venue

Please write the duration of the program (DD/MM/YY to DD/MM/YY) and

detailed information of the venue (institution name, city, and country name).
C. Participant of the Program

Describe the profile of participants: how many students are participating, from
how many institutions/ universities/ countries/ continent. Please write the name
of all participating countries in this section whenever possible. If there is
selection process prior to your acceptance in the program, please emphasize
about that in this section as well.
D. Rundown/ Program Details
Please write the day-to-day schedule of the program in this section.

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E. Program Output
Program Category Program Output
Exchange program 1 semester/ 2 How many credits will you obtain by
semester following this program
Summer/ Winter Course How many credits will you obtain by
following this program
Seminar/ Symposium/ Conference  Will you do oral/ poster
presentation?
 Will your paper published in an
international Proceeding?
Service learning program/  How many credits will you obtain
international KKN by following this program
 Will your participation in the
program replace the necessity to
participate in the KKNT?
Internship How many credits will you obtain by
following this program
Research Is this research is part of your final
project/ part of requirement for your
graduation?
Other, please define

F. Proposed Budget
Only registration fee, flight ticket cost, visa cost, and travel insurance can be
supported. Please do not write other funding component than the four components
mentioned in this proposal.
Proposed to the Directorate of International Program
Sub Total
Component USD/ JPY[1] IDR
(IDR)
Registration Fee
Flight[2]
 from JKT
 to JKT
Visa
Travel insurance[3]
Total
Note : [1] Please write the amount in its original currency; [2] Please attach the pre-order/ ordered
page of particular airlines you are going to use; [3] Please attach the pre-order/ ordered page of
particular travel insurance you are going to use

Other Funding Support(s)

Please describe in this section if you receive funding supports from other
sources (i.e. scholarship from the organizing committee/ host country, sponsor,
etc.).

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Attachment 1. Student Profile
o Student identity (Name, Student ID, E-mail and Phone/ WA number)
o Previous experience in international event (if any)
o English proficiency certificate
o Have you ever receive any financial support from IPB during your study
period? If YES, please describe

Attachment 2. Supporting documents for financial support

Registration Fee : Letter of Acceptance; if the LoA does no mention about the
registration fee, please attach the screenshot from the website
showing the amount of the registration fee.
Visa cost : Screenshot from the official website showing the rate of visa
cost.
Flight cost : Please attach the pre-order/ ordered page of particular airlines
you are going to use
Travel insurance : Please attach the pre-order/ ordered page of particular travel
cost insurance you are going to use

Attachment 3. Abstract/ Paper (if you are attending seminar/ conference/

symposium)

NOTE :
Please fill in an ONLINE APPLICATION form through
http://bit.ly/proposal_int_mobility
BEFORE submitting your proposal to the Directorate of
International Program. Your application will not considered
further if you don’t fill the online form