APPLICATION FORM
UNI-BRIDGE PREPARATION PROGRAM
INTO TOP UNIVERSITIES IN THE WORLD

@foreach($foundation as $row) @endforeach

A. PERSONAL DETAILS
Full name:	{{ $row->nama_lengkap }}
Place / date of birth:	{{ $row->tempat_lahir }}, {{ $row->tanggal_lahir }}
Home address:	{{ $row->alamat }}
Home phone number:	{{ $row->telepon_rumah }}
Mobile number:	{{ $row->nomor_telepon }}
Email address:	{{ $row->email }}

@foreach($foundation as $key) @endforeach

B. ACADEMIC BACKGROUND
Name of previous school:	{{ $key->pendidikan_terakhir }}
Address of previous school:	{{ $key->alamat_sekolah }}
Curriculum used:	{{ $key->kurikulum }}
What is your current qualification:	{{ $key->current_qualification }}

@foreach($foundation as $key) @endforeach

C. PARENTS/ GUARDIAN DETAILS
Father:
Name :	{{ $key->nama_ayah }}
Mobile Number :	{{ $key->nomor_ayah }}
Email :	{{ $key->email_ayah }}
Mother:
Name :	{{ $key->nama_ibu }}
Mobile Number :	{{ $key->nomor_ibu }}
Email :	{{ $key->email_ibu }}
Guardian(if opted):
Name :	{{ $key->nama_wali }}
Mobile Number :	{{ $key->nomor_wali }}
Email :	{{ $key->email_wali }}

@foreach($foundation as $program)

UNI-BRIDGE PREPARATION PROGRAM INTO TOP UNIVERSITIES IN THE WORLD
1	ENTRY TO (Select one from the options below):
	{{ $program->years }}
2	SELECTED STREAM (Select one from the options below):
	{{ $program->stream }}
3	On Completion of the program in Indonesia, choose the institution and the country you’ll be continuing your study to (circle your preferred destination):
	{{ $program->institution }}		Campus: {{ $program->campus }}
	Name of course: {{ $program->course }})

Please find attached the following document:

• School report – Year 9 (Semester 1 & 2) & Graduation Certificate from School for entry into Year 10
• School report – Year 10 (Semester 1 & 2) for entry into Year 11
• Proof of English proficiency equivalent to IELTS 4,5 (overall band) for entry into Year 10
• Proof of English proficiency equivalent to IELTS 5,0 (overall band) for entry into Year 11
• Copy of passport (personal page only) and ID Card
• Copy of family registration card

I hereby acknowledge that all of the above information provided to Uni-bridge, is true to the best of my knowledge. I further allow Uni-bridge to carry further assessment on the above information should it prove to be necessary. I also allow Uni-bridge to process my application to the institution & program overseas that I have selected.

01 Jan 1970

@endforeach