INTERNATIONAL STUDENT APPLICATION FORM
Study Program of Interest
Name
Date of Birth
/
/
Gender
Male
Female
Country of Birth
Language(s) spoken at home
Permanent Home Address (e.g. overseas address)
Phone/Mobile
Email
Do you suffer from any medical condition/disability that may affect your studies?
YES
NO
If yes, please specify from the following
Hearing
Learning
Mobility
Visual
Medical
Other
Other, Please specify
How did you hear about us?
Education Agent
Career & Education Expo
Careers Adviser
Billboard
Print / Newspaper
Word of Mouth
Google or other search engine
I confirm that I have read and understood the Privacy Policy
Administrative Process
Requirements
Universitas Sarjanawiyata Tamansiswa
082225266111 (Admin 1) 087839841888 (Admin 2) 085747435556 (Admin 3)
pmb@ustjogja.ac.id
Jl. Batikan UH III/1043 Yogyakarta - 55167
Menu
Services
@2025 pmb Inc.