The Student Declaration Form is a fundamental document required by educational institutions in Indonesia to establish a formal relationship with their students. It serves as a comprehensive record of student commitments and acknowledgments, ensuring compliance with Indonesian education laws and regulations, particularly Law No. 20 of 2003 on National Education System. The form is typically required during student enrollment or registration processes and includes crucial declarations about academic integrity, financial obligations, and personal data consent. It may require additional elements for international students or minors, and must be completed before a student can commence their studies. The document helps institutions maintain proper records and ensures students understand their rights and obligations under Indonesian law.
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1. Student Information: Personal details including full name, student ID, program of study, and contact information
2. Institution Details: Name and address of the educational institution
3. Academic Integrity Declaration: Student's commitment to maintain academic integrity, avoid plagiarism, and follow academic rules
4. Code of Conduct Acknowledgment: Declaration to abide by the institution's code of conduct and disciplinary regulations
5. Financial Obligations: Acknowledgment of financial responsibilities and fee payment obligations
6. Data Protection Consent: Agreement for the collection, processing, and storage of personal data by the institution
7. Document Authenticity: Declaration that all submitted documents and information are genuine and accurate
8. Signature Block: Space for student signature, date, and witness signature if required
1. Parental/Guardian Consent: Required when the student is under 18 years of age
2. Scholarship Declaration: Additional declarations required for scholarship recipients
3. Medical Information Consent: Optional section for sharing medical information relevant to studies
4. Media Release Authorization: Optional consent for use of student's image/voice in institutional media
5. International Student Declaration: Additional declarations required for international students regarding visa requirements
6. Special Needs Declaration: Optional section for students requiring special accommodations
1. Schedule A - Institution Rules and Regulations: Complete set of current institutional rules and regulations referenced in the main declaration
2. Schedule B - Fee Schedule: Detailed breakdown of applicable fees and payment terms
3. Schedule C - Required Documents Checklist: List of documents that must be submitted with the declaration form
4. Appendix 1 - Academic Integrity Policy: Detailed academic integrity policy and consequences of violations
5. Appendix 2 - Student Code of Conduct: Complete student code of conduct document
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