JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Students Registration Form - AS Student Service
Please complete the registration below to get free advice counselling.
We assure you that your personal information is handled properly and will remain confidential.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Our branches
*
Please choose the nearest AS Student Service's office from your location
Medan
Jakarta/PIK
BSD City
Yogyakarta
Full name
*
Your answer
Date of birth (DD/MM/YY)
*
Your answer
Email
*
Your answer
WhatsApp number
*
Your answer
School/University/Institutions
*
Asal sekolah/universitas/institusi
Your answer
Social Media Account (Instagram @___/ Line @____)
*
Your answer
Intended Degree
*
Program yang diinginkan
Certificate III/IV
Foundation/Diploma
Bachelor Degree (S1)
Master (Coursework/S2)
Master (Research/S2)
PhD (Research)
Other:
Preferred Major
*
Jurusan yang diinginkan, e.g. Computer Science Engineering, Business, Finance, others
Your answer
Preferred Intake
*
Tahun mulai kuliah
2022
2023
2024
Other:
Are you looking for scholarship?
*
Yes
No
How did you hear about AS Student Service?
*
Instagram
TikTok
Twitter
Website
School event
Friends
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of asstudent.id.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report