PIBBI 79 Registration Form
2 Week Program: 9 - 20 June 2025
4 Week Program: 9 June - 4 August 2025
6 Week Program: 9 June - 19 August 2025

Language Training Center of Satya Wacana Christian University, Salatiga, Central Java
Contact us at +62 (298)  321212 ext. (1249) or ltc@uksw.edu 

Please fill out the following form for your registration process to Program Intensif Bahasa dan Budaya Indonesia (PIBBI = Intensive Program of Indonesian Language & Culture)
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Email *
PERSONAL INFO
Please fill out each field for your registration purposes.
Complete Name *
Name you wish to appear in your certificate / diploma & transcript
Name you wish to be called during the program
Gender *
Nationality *
DOB *
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Place of birth *
Passport Number *
Passport Validation
Please make sure your current passport has a minimum validation for 6 months.
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Profession
Please choose what you do for a living
If "other", please state below
Permanent Address
Written on your passport / ID
Phone Number
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