Asia Exchange Application Form - Udayana University, Bali

Department of National Education
Udayana University
Denpasar, Bali, Indonesia

Bali International Program on Asian Studies

Application for admission to study in Bali International Program on Asian Studies (BIPAS) at Udayana University, Bali Indonesia.

Fill out the form carefully and send it with the required attachments to Asia Exchange by clicking "Submit" at the bottom of the form.

* Study semester you are applying for

Autumn

Spring

Summer

* Study abroad year (e.g. 2012)

* Start date of the semester (DD/MM/YYYY)

The length of the study semester is 4 months.

PERSONAL INFORMATION

* First Name(s)

* Last Name

* Gender

Female

Male

* Date of Birth (DD/MM/YYYY)

* Marital status

* E-mail Address

* Confirm you E-mail address

* Phone number (include the country code)

* Street Address (where you want the official acceptance letter)

* City of residence

* Postal code

State (if applicable)

* Country of residence

* Nationality

* Passport number

Please note that your passport has to be valid for at least 6 months from the day you enter Indonesia.

PREVIOUS EDUCATIONAL BACKGROUND

* School, degree/major subject

WORK EXPERIENCE

* Employer, Role/Job Description:

ENGAGEMENT IN POLITICS (if any):

GUARANTOR IN HOME COUNTRY

* First Name(s)

* Last Name

* Gender

Female

Male

* Relationship to applicant

* Occupation

* Street Address

* City of residence

* Postal code

* Country of residence

* Phone number (include the country code)

Email address

CURRENT HOME INSTITUTION (e.g. university) INFORMATION (if applicable)

* Institution name

* Department/faculty that you are studying in

* Contact person for studying abroad (e.g. study abroad advisor)

* University contact person's email

* Are you a member of some student union? If yes, what is your position?

* Your study year

INFORMATION FOR ASIA EXCHANGE

Where did you hear about Asia Exchange study programs? (Choose all that apply)

Email from student organization

Printed advertisement

University's/student organization's web page

Search engine (e.g. Google)

Search engine (e.g. Facebook)

From a friend

I got a flyer

I met you at an event (e.g. exhibition)

Article

Asia Exchange contest

Discussion forum

None of the above (please describe below)

* How supportive is your possible home institution towards your applying to this study
program (course credits, stipends, opinions of Asian studies etc.)?

* Tell us why are you interested specifically in this study program

What would you like to have included on Asia Exchange's website?

More info about the host universities

More info about the countries, cities, cultures

More info about accommodation options

More exchange study reports

More info about the host universities

More info about practical matters to be taken care of

More pictures

Discussion forum

Something else (please describe below)

Free word / Feedback to Asia Exchange

Student Blog
Are you planning to or interested in writing blog entries during your study program?

Yes

AE Ambassador (Vaihtosuosittelija)
Would you be interested of AE referee task before and/or after the study program? You can find more information of the task on our web site.

Yes

Did someone recommend Asia Exchange to You? Please identify his/her name

Do you have friends to whom you would like Asia Exchange to send information of studying abroad in Asia? Please write their email addresses below, and we will contact them.

Required attachments

Instructions for the attachments:

- Please upload the below mentioned documents as attachments from your computer to your application.

- The attachments are normally scanned to applicant's computer, but you can also take a digital picture of the required documents.

- Before uploading the attachments, please label them as "firstname_lastname_transcripts", "firstname_lastname_photo" etc. (if possible).

- Try to keep the file sizes of your attachments reasonable (a maximum of a few magabytes per attachment) and try to save them in pdf format.

- If you are unable to send the attachments at the same time as the application, you can send the required attachments to us later as email attachments (applications@asiaexchange.fi).

1) Transcript of records from your university (or a copy of a document that verifies your eligibility for university-level studies)

2) Copy of the first page (identification page) of your passport

3) Certificate of health

4) Signature page

5) Any additional attachment

* Enter the word in the image (this way we identify you as a person and avoid spamming)
captcha

Please check that all the information you have filled out in this application form is correct.

By submitting this application form you agree to the terms and conditions stated in AE's website and certify that the information you have provided on this form and the supplied documentation is correct.

* Indicates Response Required