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Education Fair -Form Fill
Section One
Q1
Student Name*
First Name
Q2
Student Name*
Middle Name
Q3
Student Name*
Last Name
Q4
Birth Date*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Q5
Birth Date*
Month
January
February
March
April
May
June
July
August
September
October
November
December
Q6
Birth Date*
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Q7
Gender*
Male
Female
Q8
Student E-mail*
Q9
Mobile Number*
Q10
School*
Please Select
Taman Rama School Denpasar
Taman Rama Intercultural School Bali
Taman Rama School Jimbaran
Q11
Class*
Please Select
XII MIPA 1
XII MIPA 2
XII IPS
12 A
12 B
Q12
Where are you planning to further your study ?*
at university / institution in Indonesia
at university / institution in overseas
Undecided
Q13
Areas of study you are interested in*
Economics, Commerce, Management, Finance, Accounting
Engineering
Mathematics, Sciences, Computer
Humaities, Social Sciences, Communication, Literature / Language
Hotel, Culinary, Tourism, Leisure, Hospitality
Health Care, Psychology, Care Services
Fashion Design, Visual / Multimedia / Graphic Design, Arts
Law, Politics, Public Administration, Public order and Safety, International Relation
Architecture, Building, Interior Design
Agriculture, Environment
Other
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