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Request a Fulbright English Teaching Assistant

Application for Host Institutions

(Please note: Host institution is required to provide housing accommodation for


the Fulbright English Teaching Assistant for the duration of the program.
AMINEF need a statement letter signed by the headmaster stating that the
school agrees to provide an accommodation for the ETA.)
Please return the completed form to The Executive Director, Fulbright Indonesia, American Indonesian Exchange
Foundation, CIMB Niaga Plaza, Lt. 3, Jl. Jend. Sudirman Kav. 25, Jakarta 12920. You can also send it as an e-mail
attachment to nabadudu@aminef.or.id or aflim@aminef.or.id.

Name of Institution Hosting the Award:

City:

Contact Person/Title:

Reason for request:

Telephone Number/HP:

E-mail Address

Web Address:

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