Terms and Conditions | FAQs

Please select the scholarship that you wish to apply for.

Please note that you will be allowed to apply only for one scholarship every year.
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SCHOLARSHIP SELECTION

I am applying for * Please Select

Nanti kan muncul ini kamu pilih applying for-nya pilih yang for Indonesia trus pilih continue

2nd part
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Please fill in your personal particulars.

APPLICATION REGISTRATION

Full Official
Name (including
Surname / di isi nama lengkap.
Family Name)*

Upload Passport
tag foto
Size Photo*

Day Month
tgllahir
Date of Birth*
Year

Citizenship* indonesia

Gender* kamu pilih female

Race* pilih javanese

 (Race) If Others, please state

Religion* pilih roman chatolism

(Religion) If Others, please state

Pilih
Country of Birth*
indonesia

Place of Birth
(Province)
Jawa tengah

Place of Birth
(City) kota lahirmu dimana

Country of PR indonesia
Status (if any)

Birth Certificate
Number* no akte kelahiran

Identification
Card Number nomor induk siswa

Passport
Number nomor passport

Day Month
Date of Issue of
Passport Year
tanggal pembuatan passport

Date of Expiry of Day Month Year

tanggal
Passport
passport berakhir

Contact Particulars

Residential Address

Address Line 1* alamat rumah sekarang

Address Line 2

Address Line 3

City* kota

Province* provinsi

Postal Code* kode pos

Country* negara

Contact
Country Code Area Code Number
Numbers

Home Number* +62 293 nomor rumah kam

Handphone +62 lgsng no

Number

Fax Number

Email Address

Email Address
alamat email
1*

Email Address 2

Password

Login
Password * password email 1

Confirm
password *