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