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    Ais Ib Scholarship Application Form 2017 FA

    Uploaded by

    Benyamin Atthoillah
    This document is an application form for AIS Indonesia's 2017 scholarship program. It requests information from applicants such as name, date of birth, nationality, current school, parents' details, and consent. Supporting documents like passport, photos, school reports and a 500-word essay must be submitted along with the form. The deadline is November 4th, 2016. Applicants will sit online tests in math and English in November, and interviews will be held in January. Scholarship winners will be announced in December.

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    © All Rights Reserved
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    Ais Ib Scholarship Application Form 2017 FA

    Uploaded by

    Benyamin Atthoillah
    29 views2 pages
    This document is an application form for AIS Indonesia's 2017 scholarship program. It requests information from applicants such as name, date of birth, nationality, current school, parents' details, and consent. Supporting documents like passport, photos, school reports and a 500-word essay must be submitted along with the form. The deadline is November 4th, 2016. Applicants will sit online tests in math and English in November, and interviews will be held in January. Scholarship winners will be announced in December.

    Original Description:

    Form of AIS

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    This document is an application form for AIS Indonesia's 2017 scholarship program. It requests information from applicants such as name, date of birth, nationality, current school, parents' details, and consent. Supporting documents like passport, photos, school reports and a 500-word essay must be submitted along with the form. The deadline is November 4th, 2016. Applicants will sit online tests in math and English in November, and interviews will be held in January. Scholarship winners will be announced in December.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views2 pages

    Ais Ib Scholarship Application Form 2017 FA

    Uploaded by

    Benyamin Atthoillah
    This document is an application form for AIS Indonesia's 2017 scholarship program. It requests information from applicants such as name, date of birth, nationality, current school, parents' details, and consent. Supporting documents like passport, photos, school reports and a 500-word essay must be submitted along with the form. The deadline is November 4th, 2016. Applicants will sit online tests in math and English in November, and interviews will be held in January. Scholarship winners will be announced in December.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Scholarship Program 2017

    Application Form

    Please complete all parts of the form and submit to Admissios Office with supporting documents on or before November 4th, 2016.

    APPLICANT

    Full name : ______________________________________________________________________________________

    Gender : ______________________________________________________________________________________

    Date of Birth : / / (date/month/year) Place of Birth : _____________________________________

    Nationality : ______________________________________________________________________________________

    Address : ______________________________________________________________________________________

    ______________________________________________________________________________________

    CURRENT SCHOOL

    School Name : ______________________________________________________________________________________

    Current Year : ______________________________________________________________________________________

    Address : ______________________________________________________________________________________

    __________________________________ E-mail : __________________________________________

    GIFTED & TALENTED

    Have you been part of a Gifted & Talented Programme or have any specific talents or abilities? Please list them here.

    ____________________________________________________________________________________________________

    ____________________________________________________________________________________________________

    ____________________________________________________________________________________________________

    PARENTS
    Father Mother

    Full name : ________________________________ Full name : ________________________________



    Nationality : ________________________________ Nationality : ________________________________

    1st Language : ________________________________ Occupation : ________________________________

    Phone : ________________________________
    Occupation : ________________________________
    E-mail : ________________________________
    Phone : ________________________________

    Work Address : ________________________________

    E-mail : ________________________________
    Scholarship Program 2017
    Application Form

    PARENT CONSENT

    I/We approve my child applying for a scholarship at AIS Indonesia for the 2017 School Year.

    Parent’s signatures

    ______________________________ ______________________________ Date : ___ / ___ / ___


    Father Mother

    ADDITIONAL INFORMATION
    Please Note:

    Applications will only be processed upon receipt of all of the following documentation:
    1. Completed Application Form
    2. Copy of student Passport or proof of Nationality
    3. Two passport size photos of student
    4. School reports for the last 2 years
    5. 500 word essay in English

    Processing of Application: all the above documents should be submitted to Admissions Office.

    By email to: scholarship@ais-indonesia.com

    or

    By post to:
    Admissions Office
    AIS Indonesia, Kemang Campus
    Jl Kemang Timur No. 81
    Kemang, Jakarta Selatan 12730

    You will be contacted within one week of receipt of application.


    Applicants will be invited to sit an online test in Mathematics and English in November 2016.
    From this test applicants who are selected to proceed further will be invited to an interview in late January.
    Scholarship winners to be announced in December 2016.

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