Applicaiton

Bali Studies Application

Study in Bali
I apply for the*
Multiply entry possible
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Gender*

MaleFemale
Country of Birth*
Nationality*
Contact Details
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address*

Same as aboveAdd a different mailing address
Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone*
Mobile*
Email*

Confirmation Email
Do you suffer from any medical condition or disability?*

NoYes
If yes, please specify from the following

HearingLearningMobilityVisualMedicalOther
Other, Please specify
How did you hear about us?*

Education AgentCareer & Education ExpoCareers AdviserBillboardPrint / NewspaperWord of MouthSearch engineBlogFacebookTwitterOther
Please specify
Emergency contact

Who should be contacted in case, keep the law in mind
Name*

PrefixFirst NameLast Name
Relationship*
Phone
Mobile
Email
Education & Qualifications

Please list your qualifications below and attach certified copies of your academic transcripts/report when you submit this application form. If you are currently completing a qualification, please indicate when you expect to complete this study.
Undergraduate Degree*
Institution*
Universty of ...
Year Completed*
e.g. expected
Country*
Additional Qualifications

Add more
Post-Graduation
Institution
Year Completed
Country
Course Selection
Course Selection*

WIPBSElective
Course Start Date*

Sommer 2019Winter 2019Sommer 2020Winter 2020Summer 2021Winter 2021
Supporting Documents
Copies of your academic transcripts, qualification(s) or additional.*

Upload a File/s

Cancelof
Copies of your Passport.*

Upload a File/s
Take the first page of your passport and take a foto with your hand phone Cancelof
Current ID Pic*

Upload a File/s
Take your hand phone and shoot a picure, that is it Cancelof
Declaration
By applicant*

With the checking box, the applicant confirm that he/she read and understand all. The applicant will transfer the register fee of € 39 within 14 days after the registration form is send by e-mail and receive the confirmation from the Bali Master Team for the registration. If the signatory not transfer the fee in time, the application will be deleted.
By student applicant.*

I hereby declare that I have provided accurate information in this form myself (the student applicant). I aggree with the terms from Bali Studies, which I read on the webpage.
Enter the message as it's shown*

Bali Studies Application

Contact Details

Emergency contact

Education & Qualifications

Course Selection

Supporting Documents

Declaration