Scholarship Form
Bali Island School for a World Class Education
Email address *
Date of Visit
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/
DD
/
YYYY
Time
Time
:
Student
Student Name (Family Name, First Name) *
Date of Birth *
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/
DD
/
YYYY
Current Grade *
Current School
Parents
Father
Father (Family Name, First Name)
Nationality
Phone Number
Email Address
Mother
Mother (Family name, First name)
Nationality
Phone Number
Email Address
How did you first come to learn about BIS Scholarship *
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