Scribd Logo
Upload

Welcome to Scribd!

  • Ofce of Admi Ssi Ons: Scholarshi P Regi Strati ON Form

    Uploaded by

    Thomas Rocky Roganda Nainggolan
    3 views1 page
    White: Academic | Blue: Accounting | Green: Marketing | Red: Applicant This document appears to be a scholarship registration form containing student profile information such as name, gender, date of birth, identification details, address, family details, education history, and program/major of choice. The student is applying for a school report scholarship or sport scholarship at President University in Indonesia, as indicated by the header and signature block at the bottom.

    Original Description:

    dfkwbahbws

    Original Title

    Application Scholarship 463f6

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    White: Academic | Blue: Accounting | Green: Marketing | Red: Applicant This document appears to be a scholarship registration form containing student profile information such as name, gender, date of birth, identification details, address, family details, education history, and program/major of choice. The student is applying for a school report scholarship or sport scholarship at President University in Indonesia, as indicated by the header and signature block at the bottom.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views1 page

    Ofce of Admi Ssi Ons: Scholarshi P Regi Strati ON Form

    Uploaded by

    Thomas Rocky Roganda Nainggolan
    White: Academic | Blue: Accounting | Green: Marketing | Red: Applicant This document appears to be a scholarship registration form containing student profile information such as name, gender, date of birth, identification details, address, family details, education history, and program/major of choice. The student is applying for a school report scholarship or sport scholarship at President University in Indonesia, as indicated by the header and signature block at the bottom.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Whi

    te:Academi
    c|Bl
    ue:Account
    ing|Gr
    een:Mar
    ket
    ing|Red:Appl
    i
    cant

    Ofceof
    Admi
    ssi
    ons

    SCHOLARSHI
    P REGI
    STRATI
    ON FORM
    Appl
    yfor: SchoolReportSchol
    arshi
    p
    STUDENTPROFI
    LE SportSchol
    arshi
    p
    Fi
    rstName LastName

    Gender Mal
    e Femal
    e
    Pl
    aceofBi
    rt
    h Dat
    eofBi
    rt
    h
    DD/
    MM/
    YY
    / / Phot
    o
    4x6cm
    I
    D Number[
    Passpor
    t/KTP/
    StudentI
    D] Rel
    i
    gion

    HomeAddr
    ess[
    requi
    red]

    Count
    ry/St
    ate Post
    alCode[
    requi
    red]

    T
    elephone/Fax. Mobi
    l
    e

    Emai
    l

    MAILING ADDRESS
    Addr
    ess

    Count
    ry/St
    ate Post
    alCode

    PARENTOR GUARDI
    AN PROFI
    LE
    NameofPar
    ent
    s/Guar
    dian

    Par
    ent
    s/Guar
    dian’
    sBusi
    ness Mobi
    l
    e E-
    mai
    l

    EDUCATION
    Hi
    ghSchool Consent
    rat
    ion[
    IPA/
    IPS/
    Int
    ’l
    /Ot
    her
    s]

    Addr
    ess

    Dat
    eCompl
    eted
    DD/
    MM/
    YY
    / /
    PROGRAM & MAJOR OFCHOI
    CE
    1. 2. 3.

    DECLARATI
    ON
    Ideclar
    ethatthei nfor
    mationinthisappl
    i
    cationist
    rueandcompl et etot hebestofmyknowl
    edge.Iacknowledgethatanyincor
    recti
    nfor
    mationordocumentati
    onmay
    l
    eadt oacancel lati
    onofmyof f
    erorenroll
    mentbyPr esidentUniversi
    ty.Ihavereadandunder
    stoodthepol i
    ciesandprocedureoutl
    i
    neint hebrochureandagreeto
    abidebyno r efund poli
    ciesasspecied.Iunder stood thatPr
    esidentUni versi
    tyr
    eser
    vetheri
    ghtto disconti
    nueoralteranycourse,subject
    ,fees,admini
    str
    ati
    on
    requi
    rement,stafngorot herarr
    angementwi t
    houtpriornoti
    ce.

    Si
    gnat
    ure OfceofAdmi
    ssi
    onOfcer

    Pr
    esi
    dentUni
    ver
    sit
    y
    JababekaEducat
    i
    onPar
    k,Jl
    .Ki
    Haj
    arDewant
    ara,Kot
    aJababeka,Ci
    kar
    angBar
    u,Bekas
    i17550,I
    NDONESI
    A|T
    elp.02189109762/
    63

    You might also like