JRS Human Rights and Refugee Advocacy Application Form JAKARTA

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Welcome to JRS Human Rights and Refugee Advocacy Online Application Form!

Please read each question carefully before you fill it.

Only fill this form if you live in JAKARTA.

If you live in BOGOR, please fill this form: ______ (insert link)

Email *

Full Name *

ID Number *

For fellow refugees, please fill with your UNHCR Case Number. For fellow Indonesian, please fill with your NIK

Date of Birth *

YYYY

Nationality *

Sex *

Female

Male

Other:

Level of Education Background *

Elementary

Junior

Senior High

Bachelor's Degree

Master's Degree

Other:

Organization Affiliation *

Please mention any organisation that you have been involved / contribute to. This is not limited to organization listed in Indonesia government system only but also include refugee led learning centers, sport groups or even personal capacity

Phone Number *

WhatsApp or Viber Number

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