Beruflich Dokumente
Kultur Dokumente
Application Form
Please complete all parts of the form and submit to Admissios Office with supporting documents on or before
November 29, 2019.
APPLICANT
Gender : ______________________________________________________________________________________
Nationality : ______________________________________________________________________________________
Address : ______________________________________________________________________________________
______________________________________________________________________________________
CURRENT SCHOOL
Address : ______________________________________________________________________________________
Have you been part of a Gifted & Talented Programme or have any specific talents or abilities? Please list them here.
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
PARENTS
Father Mother
Phone : ________________________________
Occupation : ________________________________
E-mail : ________________________________
Phone : ________________________________
E-mail : ________________________________
Scholarship Program 2020
Application Form
PARENT CONSENT
I/We approve my child applying for a scholarship at AIS Indonesia for the 2019 School Year.
Parent’s signatures
ADDITIONAL INFORMATION
Please Note:
Applications will only be processed upon receipt of all of the following documentation:
1. Completed Application Form
2. Copy of student Passport or proof of Nationality
3. Two passport size photos of student
4. School reports for the last 2 years
5. 500 word essay in English
Processing of Application: all the above documents should be submitted to Admissions Office.
or
By post to:
Admissions Office
AIS Indonesia, Kemang Campus
Jl Kemang Timur No. 81
Kemang, Jakarta Selatan 12730