UGM KOP SURAT FAKULTAS

LETTER OF ENROLLMENT
Number:

With regards to the opening of the Indonesian International Student Mobility Program
(IISMA) 2022, we certify our students below:

Name :
Faculty :
Department/Study Program :
Student Number :
Semester : 4 (four) / 6 (six)*

is currently enrolled and registered as an active full-time student for the Academic Year
2021/2022.

Yogyakarta, << Date >>

Dean/Vice Dean for Academic and
Student Affairs

Signature and stamp

<<Name>>
<<NIP>>

*please choose either 4th Semester/6th Semester