International Graduate Program Application Form
Full Name (as appears on passport):
*
Email Adress
*
Nationality
*
Native Country
*
WhatsApp Number
Fill the
62
with your country code
*
Last Education
*
-- Choose --
Bachelor Degree
College Name
*
Study Program
*
Choose Your Master Program
*
-- Choose Program --
Master of Public Health
Master of Islamic Education
Specialization
I certify that the statements I have made in response to the foregoing questions are true, completed and correct to the best of my knowledge.
APPLY
