AGREEMENT FOR INTERNATIONAL ACADEMIC EXCHANGE AND COLLABORATION between
FACULTY OF MEDICINE DIPONEGORO UNIVBRSITY and DT.
KARIADI HOSPITAL
with FACULTY AND GRADUATE SCHOOL OF HEALTH SCIENCES HOKKAIDO UNIVBRSITY
Faculty of Medicine Diponegoro University and Dr. Kariadi Hospital as well as Faculty and Graduate School of Health Sciences, Hokkaido University consent to join in the following agreement on the basis of equality and reciprocity to promote international academic exchanges and collaboration through mutual aid on education and scientific research.
I. GENERAL FORMS OF COOPERATION
(l) Joint researches (2) Lecturers exchange (3) Students exchange (including joint scientific direction of thesis work, internship in final semester) (4) Information exchange concerning education and research (5) Publications exchange in scientific or technical nature (6) Joint publication of scientific results and educational material
(7) Mutual courses and seminars organization 2. FINANCIAL ARRANGEMENTS
All financial arrangements for
cooperation described above shall be negotiated in each specific case and determined by both schools and the hospital that do not have financial obligation to each other. 3.
INTELLECTUAL PROPERTY Before beginning any collaborative research, both education institutions as well as the hospital shall agree, in writing all substances that related to any intellectual property that may become apparent during research.
4. OBSERVANCE Exchange programs and collaboration shall be carried out according to the rules and regulations of the jurisdiction of each country. 5. FUNDAMENTAL HUMAN RIGHTS
Both education institution and the hospital do not discriminate any visiting faculty members, research staff, or students on the basis of race, gender, age, ethnicity, religion, or national origin.
6.
VALIDITY OF THE AGREEMENT The particular agreement is made in English, Japanese, and Indonesian language copies and all being equally authentic. The agreement shall come into effect on the date of the signatures valid for a period of five years. This agreement will be automatically renewed every five years subsequently unless either party notifies its intension of termination and should be announced at least 6 months prior to the cessation date.
Signed at Semarang, Indonesia Date: Dece mber 4rt', 2012
L. ,/
l'l*96
Endang Ambarwati , M.D.
Bambang !Vibowo. M.D.
Hiroyuki Date, Ph.D.
Dean, Faculty of Medicine
President Director
Dean, Faculty and Graduate
Diponegoro University
Dr. Kariadi Hospital
School of Health Sciences
Semarang, Indonesia
Semarang, Indonesia
Hokkaido University Sapporo, Japan
PBRJANJIAN UNTUK MELAKUKAN PERTUKARAN AKADEMIK INTBRNASIONAL DAN KERJASAMA antara
FAKULTAS KEDOKTBRAN UNIVERSITAS DIPONEGORO RSUP
dAN
DR.I(ARIADI dengan
FACALTY AND GRADAATE SCHOOL OF HEALTH SCIENCES HOKKAIDO ANIVERSITY
Fakultas Kedokteran Universitas Diponegoro dan RSUP Dr. Kariadi serta Faculty and Graduate School of Health Sciences, Hokkaido University bersepakat untuk melakukan
perjanjian dengan dasar kesamaan dan hubungan timbal balik untuk melakukan pertukaran akademik secara internasional melalui kerjasama dalam bidang pendidikan dan penelitian ilmiah.
I. BENTUK KERJASAMA SECARA UMUM (1) Penelitian bersama (2) Pertukaran dosen / staf pengajar (3) Pertukaran mahasiswa (termasuk bimbingan ilmiah pembuatan thesis, semester
akhir kepaniteraan klinik) (4) Pertukaran informasi tentang pendidikan dan penelitian (5) Pertukaran publikasi dalam bidang ilmiah dan teknik. (6) Publikasi bersama hasil penelitian ilmiah dan materi pendidikan. (7) Kerjasama penyelenggaraan kursus dan seminar.
KEUANGAN Semua pengaturan keuangan dalam rangka kerjasama yang diuraikan di atas akan
2. PENGATURAN
dibicarakan secara spesifik dan ditentukan oleh kedua institusi pendidikan dan rumah sakit dan tanpa ketergantungan satu sama lain. 3.
HAK MILIK INTELEKTUAL Sebelum memulai penelitian kolaborasi, institusi pendidikan dan rumah sakit harus menyetujui secara tertulis semua materi yang berkaitan dengan hak milik intelektual yang akan diperoleh pada penelitian tersebut.
4. KETAATAN PADA REGULASI Program pertukaran dan kerjasama harus menurut hukum dan regulasi tiap negara. 5. HAK ASASI MANUSIA Kedua institusi pendidikan dan rumah sakit tidak mendiskriminasi staf pengajar, staf riset atau mahasiswa yang berkunjung, berdasarkan ras, jenis kelamin, umur, etnis, agama dan kebangsaan.
6. VALIDTTA S PERJANJIAN
Perjanjian ini dibuat rangkap dalam bahasa Inggris, Jepang, dan Indonesia; semua mengandung arti yang sama dan otentik. Perjanjian mulai berlaku sesuai tanggal penandatanganan sampai 5 tahun kemudian. Perjanjian akan diperbarui secara otomatis tiap 5 tahun, kecuali ada permintaan dari salah satu pihak untuk membatalkan dan memberitahu setidaknya 6 bulan sebelum penghentian perjanjian ini.
Ditandatangani di Semarang, Indonesia Pada tanggal 4 Desember 2012
t'h^W Dr. Endang Ambarwati, Sp.KFR Dr. Bambang Wibowo,Sp.OG(K) Prof. Hiroyuki Date, Ph.D. Dekan Fakultas
Kedokteran
Direktur
Utama
Dean, Faculty and Graduate
Universitas Diponegoro
RSUP Dr. Kariadi
School of Health Sciences
Semarang, lndonesia
Sernarang, lndonesia
Hokkaido University Sapporo, Japan
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Bambang Wibowo
E,ndang Ambarwati
NOTATION FOR STUDENT EXCHANGE between .FACULTY OF MEDICINE DIPONEGORO TJNIVERSITY 'Dr. KARIADI HOSPITAL and
.FACULTYAND GRADUATE SCHOOL OF HEALTI"I SCIENCES HOKKAIDO UNIVERSITY
Faculty of Medicine Diponegoro University, Dr. Kariadi Hospital and Faculty and Graduate School of Health Sciences, Hokkaido University shall conduct the student exchange programs on the basis of AGREEMENT FOR INTERNATIONAL ACADEMIC EXCHANGE ratified on December 4'r'. 2012.
I. SELECTION FOR VISITING STUDENTS The home school shall norninate its own students for exchanging, but final admission shall be determined by the host school or hospital. As a rule, an application forrn should be submitted within an application period set by the host school. 2. NUMBER OF VISITING STUDENTS
Each institution will enroll no more than 5 students from the other each year; however, this nr"rmber can be increased for a specified year with prior and mutual approval of the home and host institutions 3.
VISITING PERIOD Visiting period is less than one year, as a rule.
4. INSPECTION, ADMISSION, AND TUITION FEE Eacli scliool or hospital shall waive inspection, admission, and tuition lees for visiting students.
5.TRAVELAND LIVING EXPENSES DLJRING VISIT Visiting students or their sponsors are responsible for their travel and living
expenses
during visits to the other school or hospital. 6. LANGUAGE
The working language in both schools is English. If it is not English, a tutor appointed by the host school will translate it to English on the spot, offering a convenience for visiting students. 7. INDEMNIFICATION Both schools and the hospital shall discuss about the expenses, damages or losses which are incurred due to the acts or omissions of an indemnil'ying visiting student in each special case, and determine the indemnity by the student or home school.
8.INSURANCE The home school sliall guarantee that any visiting student carries adequate healtli accident insurance in the period of traveling and visiting.
ar.'d
9.
VALIDITY OF THIS NOTATION This notation is valid for the same period from the date of signing as that of AGREEMENT FOR INTERNATIONAL ACADEMIC EXCHANGE betn'een FACTJI-TY OF MEDICINE, DIPONEGORO LjNIVERSITY, Dr. KARIADI HOSPI'|AI- and FACTJTLY AND GRADUATE SCHOOL OF HEALTH SCIENCES, HOKKAIDO LJNIVERSI'IY. Any amendment of this notation shall require written approval of both schools and the hospital.
Signed at Semarang, Indonesia Date: Dece mber 4't', 2012
f'l''DW Endang Ambarwati , M.D.
Bambang Wibow6, M.D.
Hiroyuki Date. Ph.D.
Dean. Faculty of Medicine
President Director
Dean. Faculty and Graduate
Diponegoro Universit;
Dr. Kariadi Hospital
School of Health Sciences
Semarang, lndonesia
Semarang, Indonesia
Hokkaido University Sapporo, Japan
CATATAN UNTUK PERTUKARAN MAHASISWA
. FAKULTAS .
antara KBDOKTBRAN UNIVERSITAS DIPONEGORO . RSUP DR. KARIADI dan
FACULTY AI,{D GRADUATE SCHOOL OF HEALTH SCIEI{CES HOKKAIDO UNIVERSITY
Fakr,ltas Kedckteran Universitas Diponegoro, RSUP Dr. Kariadi, dan Fucutitl' anC Grctdudte School of HectLth Sciences, Hokkaidct Un.iver.sitt,akan rnelaksanakan pertukaran mahasiswa berdasarkan AG REEM ENT FO R I IVTE RN ATI O N AL AC AD E' M IC EXCH.4IVGE yang disahkan pada tanggal 4 Desember 2012.
I. SELEKSI I/ISITING STUDENT Institusi asal memilih mahasiswa untuk program pertukaran, tapi keputusan terakhir ditentukan oleh institusi penerima. Formulir aplikasi harus diserahkan dalam jangka waktu yang sudah ditentukan oleh institLrsi penerima. 2.
JL]MLAH \,'ISITING STUDENTS Sctiap institusi akan mengirim maksimal 5 mahasiswa setiap tahunnya, tetapijumlah terseb';t brsa lcbih darijika ada perjanjian sebelrrmnya antara institusi asal dan institusi penerima.
3.
WAKTU BERKLJNJUNG W'aktu berkLrniung kurang dari satu taliun.
4, INSF'EKSI, L],\NG MASUK DAN UANG SE,KOLAH Setiap institusi pendidikan dan rumah sakit akan meniadakan biaya inspeksi, uang masuk dan uang sekolah dari visiting stuCents. .5.
tsIAYA PERJALANAN DAN BIAYA HIDUP SELAMA KUNJUNGAN N{ahasiswa yarrg berkunjung atau spr-rnsor bertanggung jawab atas perjalanan biaya h;dup vi.siting .ttudents selama kunjur gan ke sekolah atau nrnrah sakit.
clan
6. BAHASA Bahasa yang digunakan adalah bahasa Inggris. Apabila tidak menguasai bahasa Inggris maka inst-itu'si penerima akan menunjuk tutor yang akan menerlernahkan ke d;rlarn bahasa Inggris dengan memperhatikan perasaan nyaman dari vi.sitirtg stutlen.t.s. 7. G.\NTI RUGI
Kedua sekclali dan rumah sakit akarr merrbahas fentang bial'a. kerusakan dan l.:ehilartgan yern3 terjadi akibat perbuatan atau kelalaian dari visiiirtg studenis aan, ,rene:tuliun apakah ganti rugi dibebankair kepada visiting strttlen.ts atau insiitusi pe.rgirirn. 8. ASI JR,\NSI
Institusi pengirim menjamin bahwa setiap vis'itittg students mernprinyai asulansi kesehatan clan kecelak.aan selama waktu perjalanan Can kunjLrrrgan.
9. VALIDITAS CATATAN PE,RTUKARAN MAHASISWA
Catatan pertukaran mahasiswa ini berlaku sesuai jangka waktu PERJANJIAN UNTUK MELA KUKA N PERTUK.ARA N A KADEM I K I NTERNAS I ONA L antaTa FA KULTA S
KEDOKTERAN UNI\/ERSITAS DIPONEGORO, RSUP DR. KARIADI dAN FACLTLY AND GRADUATE SCHOOL OF HEALTH SCIENCES, HOKKAIDO TJNIVERSITY. Setiap amandemen dari catatan pendidikan dan rumah sakit.
ini
memerlukan persetujuan dari kedua institusi
Ditandatangani di Semarang, Indonesia Pada tanggal 4 Desember 2012
t 't^96
Dr. Erciang Anrbarv''ati, Sp.KFR Dr. Bambang W/Uo*o.Sp.OG(K) Prof. Hiroyuki Date, Ph.D Dekan Fakultas Kedokteran
Direktur Utarna
Dean, Faculty and Graduate
l- niversitas Di pcn.:goro
RSUP Dr. Kariadr
School of flealth Sciencss
Senrar:ng, Inrionesia
Semarang, lndonesia
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Bambang Wibowo
;l:7.:i:t+tr+*[ E+ll[F< Endang Ambarwati
