AS STUDENT SERVICES.

http://www.asstudent.com.au/?mode=main&action=contact

Bernard Huang, B.Bus
T. +61 2 9662 0022, 9662 0033
M. +61 413 739 993
E. bernard@asstudent.com.au 

You can contact us directly or be in touch with us by filling this form below.

Basic Information
Family / Last Name
Given Name(s)
Gender		Male  Female
Date of Birth		Month:  January  February  March  April  May  June  July  August  September  October  November  December     Day:  12345678910111213141516171819202122232425262728293031    Year:  1987198819891990199119921993199419951996199719981999200020012002200320042005
Email Address
Contact Number
Home address
City
State / Province
Country
Postal Code
Education Background
Recent Education Qualification		Level:  High School  Diploma  Bachelor Degree  Master Degree  Research Degree(PhD)
Course(s) Taken
Year of Study		Year:  20012002200320042005200620072008200920102011201220132014201520162017 to   Year:  20012002200320042005200620072008200920102011201220132014201520162017
Future Education Plan
What level of education are you interested in ?   Level:  High School  Diploma  Bachelor Degree  Master Degree  Research Degree(PhD)
What field of studies are you interested in ?
Which state / city / country are you interested in ?
What institution / school / university are you interested in ?
Additional Information
Will you be applying for Permanent Residency after completing your education ?
Yes  No
Which AS Student Services offices / counsellors would you like to contact ?
Counsellors:  Head Office, Sydney (Bernard Huang)Head Office, Sydney (Sylvia Sasmita)BSD City Office, Tangerang (Alice Wahyuni)Malibu Office, Medan (P. Effendy Lie)Terban Office, Yogyakarta (Christopher Gunawan)
How did you hear about AS Student Services ?
Education Expo / Seminar Advertisement Friends or Relatives University Websites Others:
Additional Comment
* The information collected on this form is confidential and strictly for internal use by AS Student Services.