APPLICATION FOR ACADEMIC LEAVE

Regulations on Student Academic Leave

Requirements:

Students applying for academic leave must meet the following requirements:

1. Have completed a minimum of 2 (two) consecutive semesters of study in their faculty/department/study program.

2. Not have been dismissed due to academic failure (not dropped out).

3. Approval for academic leave from the Dean of the Faculty/Head of Study Program, with the following documents attached:

   • Student ID Card

   • Proof of payment for the current semester

   • Library Clearance Letter from the Central and Faculty Libraries

   • Academic Transcripts (KHS) from the first semester up to the most recent semester before the leave

Procedure for Applying for Academic Leave

Students must follow these steps:

1. Submit a written request to the Rector, approved by the Dean/Head of Study Program, in two copies:

   • First copy (original) for the Rector

   • Second copy for the student’s own records

2. The request must include the required documents listed above.

📄 Download the form below: