Biro Kerjasama dan Urusan Internasional Universitas Muhammadiyah Surakarta Jl. A. Yani No.157, Pabelan, Kartasura, Sukoharjo, Jawa Tengah 5716 9 Telp. +62271 717417 psw. 1 702 , 1701, 1707 . Fax. 0271 - 715448 Website: http:// bkui. ums.ac.id | E - mail: int.office @ums.ac.id Undergraduate/Master/Doctoral Programme of with the provided scholarship . I also declare my willingness to obey all the reg ulation s established by Universitas Muhammadiyah Surakarta and Indonesia Government and I will not do any paid work and will not be involved in any political activity during my study period. Date: Signature CONFIRMATION & DECLARATION LETTER The undersigned below: Name : Gender : Date of Birth : Nationality : Passport Number : Mobile Number : (Preferably WhatsApp Number) : Email : Degree : Study Programme : Scholarship : Agree to accept the offer from Universitas Muhammadiyah Surakarta to study at