Virtual Education Fair Form

Student Name*

First NameMiddle NameLast Name

Birth Date*

DayMonthYear

Gender*

MaleFemale

Student E-mail*

example@example.com

Mobile Number*

Please enter a valid phone number.

School*

Class*

Where are you planning to further your study ?*

at university / institution in Indonesiaat university / institution in overseasUndecided

Areas of study you are interested in*

46 Leading Universities / Institutions from 13 Countries are participating in our Virtual Education Fair 2020 - Please review the list here and choose your preferred topic & the university you would like to speak with on the next page.

Student Registration to Join Workshop & Counselling Session with Institution / University