Professional Documents
Culture Documents
Participant Form-IUES ITB 2012
Participant Form-IUES ITB 2012
Participant Form-IUES ITB 2012
REGISTRATION FORM FOR THE SELECTION OF IUES 2012 PARTICIPANT (ITB) A. Personal Information Full Name/ Nickname Student ID / NIM Major and Faculty Email Address(s) Mobile Phone/Telephone Place & Date of Birth Sex Current Cumulative GPA TOEFL, ELPT, IELTS, TOEIC Score (if any) Hobbies and Interest (+62)
Male/Female
I hereby acknowledge that all the information above is true. Bandung, _____________ 2012
_________________________ *the form should be submitted on or before August 11th 2012. Please submit the softcopy to exchangeseminar2012@gmail.com