Application Form : Summer Program Islamic Business "INDONESIA"
Universitas Islam Indonesia Yogyakarta is proudly present a Summer Program Islamic Business "INDONESIA" - a one week intensive program focusing on how islamic business in Indonesia was conducted, understanding the potentials of in Indonesia business, and explore the multicultural society in Yogyakarta.
1.Application form must be completed in English. All relevant sections of the form must be completed
2.Application form submitted without all required documents and/or signatures using picture inserted, will NOT be considered
3.Application form must be received by Universitas Islam Indonesia (UII) International Office no longer than the closing date announced
4.Please send other requirements such as:
- photo 3x4,
- scanned passport,
- letter of intent, and
- recommendation letter from your university, to the email below:
1. Gender
(please select one)
2. Given Name
(as shown on Birth Certificate/Passport)
3. Family Name
(as shown on Birth Certificate/Passport)
4. Birth Information
(place of birth, day/month/year, as shown on Birth Certificate/Passport)
5. Citizenship
(as shown on your travel document)
6. Passport Number
Expiry Date (day/month/year) :
7. Address
(currently residing; house number, street, city, postcode/ zip, country)
8. Telephone
(country code – area code – number)
9. Email Addresses
Emergency Contact
(A person to contact in case of an emergency)
1. Name
2. Relationship
3. Address
(house number, street, city, postcode/ zip, country)
4. Telephone
5. Email
B. Academic Information
1. Level of Study
2. Major(s)
3. Year of Admission
4. Universities or Education Institution
5. Universities or Education Institution Address
Medical, Dietary and Further Information
1. Any disabilities and/or medical condition that Universitas Islam Indonesia should be aware of?
If ‘Yes’, please explain
2. Do you have any allergies?
If ‘Yes’, please explain
3. Do you have any special dietary requirements (e.g. vegetarian)?
If ‘Yes’, please explain
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