Applicaiton

Bali Studies Application

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

First Name Last Name
Date of Birth *

Day Month Year
Gender *

Male Female
Country of Birth *
Nationality *
Contact Details
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mailing Address *

Same as above Add a different mailing address
Residential Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone *
Mobile *
Email *

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

No Yes
If yes, please specify from the following

Hearing Learning Mobility Visual Medical Other
Other, Please specify
How did you hear about us? *

Education Agent Career & Education Expo Careers Adviser Billboard Print / Newspaper Word of Mouth Search engine Blog Facebook Twitter Other
Please specify
Emergency contact

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

Prefix First Name Last 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 *

WIP BS Elective
Course Start Date *

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

Upload a File/s

Cancel of
Copies of your Passport. *

Upload a File/s
Take the first page of your passport and take a foto with your hand phone Cancel of
Current ID Pic *
Take your hand phone and shoot a picure, that is it
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