Registration Form

Fill out this form to attend the event in Bandung!

Title of the event

Salutation

Mr.

Ms.

Divers

First name

Family / Last name

Date of Birth

Sex

Intended place of residence in Germany

Purpose of staying in Germany

Nationality

Country of origin

Type of ID document

Number of the ID document

Issuer of the ID document

(e.g. Kota Bandung/Kabupaten Bandung/Imigrasi Bandung)

Place of residence in Indonesia

Your job

German language knowledge

Where did you learn German?

E-mail address

Please re-enter your email adress

Your motivation

Declaration of consent 1

Declaration of consent - AMIF

Declaration of consent 2

Declaration of consent - Goethe-Institut

I have read the AMIF and Goethe-Institut consent form and agree to it.

* required

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