1. Name (fill in the blank)
2. Personal ID number (fill in the blank)
3. Gender (single choice)
4. Marital status (single choice)
5. Mobile phone number (fill in the blank)
6. Personal email address (fill in the blank)
7. Permanent address (fill in the blank)
8. Current residential address (accurate to the house number) (fill in the blank)
9. First Degree (fill in the blank)
10. Graduation school (first degree) (fill in the blank)
11. Major (first degree) (fill in the blank)
12. Highest educational background (e.g. Bachelor, Master, etc.) (fill in the blank)
13. Graduation school (highest degree) (fill in the blank)
14. Major (highest education) (fill in the blank)
15. Form of study with the highest degree (full-time or part-time) (fill in the blank)
16. Emergency contact person(fill in the blank)
17. Emergency contact number (fill in the blank)
18. Title (junior, intermediate, vice senior, senior or none) (fill in the blank)
19. Signature (electronic signature required)