JIS Bhinneka Tunggal Ika Scholarship Application Form, 2019/20
This form should be filled out by the applicant's parent or guardian.
Full Name *
Nama Lengkap
Your answer
Nationality *
Kewarganegaraan
Your answer
Applicant's Email Address *
Alamat Email Pendaftar
Your answer
Applicant's Mobile Number *
Nomor Telepon Genggam Pendaftar
Your answer
Home Address
Alamat Tempat Tinggal
Your answer
Date of Birth *
Tanggal Lahir
MM
/
DD
/
YYYY
Name of Current School *
Sekolah Saat Ini
Your answer
Current Grade Level *
Kelas Saat Ini
Please list all of your extra-curricular activities (e.g. sports, creative arts, service) *
Tuliskan seluruh kegiatan ekstrakurikuler yang diikuti (contoh: olahraga, seni, kegiatan pelayanan masyarakat)
Your answer
Please list any awards or achievements in academics, sports, creative arts or service, received by this applicant in the last 3 years. *
Tuliskan seluruh penghargaan dan pencapaian dalam bidang akademis, olahraga, seni, atau kegiatan pelayanan masyarakat yang didapat dalam kurun waktu 3 tahun terakhir.
Your answer
Applying for grade:
Mendaftar di JIS untuk kelas:
The student lives with: *
Saat ini siswa tinggal dengan:
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