University Name:*

Type of University:*

University Logo Link:*

University Address:*
We will send the hard copy of the agreement to your university, please fill out this section with the complete address of your university.

University Leader Name:*

Mailing Address:*

Website:*

Country:*

PIC Name:*

PIC Position:*

PIC Email:*

PIC Phone number:*
For easier communication between your university with UI GreenMetric, it is preferable that you put a phone number that can be contacted through WhatsApp

Installment Payment:*
No (Paid in full)
Yes, 2 Installments
Yes, 3 Installments

Contract Signing by:*
Rector/President/Vice-Chancellor of the University
Other
If you select others, please inform us the name and position of the person who will sign the contract on behalf of your university
Number of Legal Standing:*

example: SK Pengangkatan Rektor 00/00/00:

Service Package:*
The prices include VAT excluding transportation (flight, etc) and accommodation for reviewers while visiting offline (one meeting)
Platinum
Gold
Silver

Estimated Date of Assessment Meeting 1:*

Estimated Date of Assessment Meeting 2:

Estimated Date of Assessment Meeting 3:

Offline Meeting:
All Virtual

Type of Hosting Event:*
National Workshop
National Conference
National Training
Regional Workshop
International Workshop
International Conference
Online Course
Other
If you select others, please inform us the name and position of the person who will sign the contract on behalf of your university

Proposed Title of Event:*

Estimated Date of Hosting Event:*

(INDONESIAN UNIVERSITY ONLY)
Is Your University Wapu (Wajib pungut pajak)? (please confirm to University's Financial Departement):

Tax E-invoice Number (Efaktur pajak)

Interested to take SDGs Report Service as well:
Please skip this section if you are not a registered university located in Indonesia
Yes
No

SDGs Report:
The prices include 11% VAT excluding transportation (flight, etc) and accommodation for reviewers while visiting (one meeting).
This section is only intended for registered university located in Indonesia
Estimated Date of SDGS Meeting 1:
Estimated Date of SDGS Meeting 2:
Estimated Date of SDGS Meeting 3:

Security Code: + =

UI GreenMetric World University Rankings Service Registration Form