Gold Package Registration

Choose a different package AISS 2026 · Gold Package (USD 200) · Short Course Only

Registration Form

All official communications regarding registration, selection, certificates, and technical information will be sent via email. Please ensure your email address and confirmation are correct.

A. Personal, Institutional & Package Information

Applies to all AISS 2026 participants.

Full Name As shown on your KTP / Passport. Email Address

This is the ONLY official communication channel: registration confirmation, selection results, certificates, and technical information are all sent by email.

Confirm Email Address Must match the email address above exactly. WhatsApp / Phone Number Optional. Kept as a backup / emergency contact only, not for official communication. Citizenship / Nationality Institution / University Faculty / Study Program Student ID Number Used to verify active student status. Study Level

Registration Package

Gold Package (USD 200)

Short Course Only. Change package

Attendance Mode

Offline (on-site)

Includes shared room hotel in Field.

Emergency Contact Name For on-site safety only. The official communication channel is always email. Emergency Contact Number

B. Short Course Details

Track / Location Preference Reason / Motivation for Track Choice (optional) Allergies / Dietary Restrictions T-Shirt Size

Accommodation

Shared hotel room (included in package)

Includes shared room hotel in Field.

C. Visa & Study Permit Documents

For participants with non-Indonesian citizenship only.

These documents are collected solely to support your Study Permit & Visa process. They are reviewed only by the AISS 2026 committee and Universitas Mataram's International Office (KUI), stored privately, and not publicly accessible. Retention and deletion policy will be confirmed in the final privacy policy. If you switch citizenship back to Indonesia after uploading here, any file you selected in this section will not be included in your submission.

Passport Number Upload Passport Scan (biodata page) Optional for now - PDF/JPG, max 5 MB. Final requirement pending KUI confirmation. Upload CV DOC/PDF, max 5 MB. Upload Financial Statement DOC/PDF, max 5 MB. Upload Statement Letter DOC/PDF, max 5 MB. Upload Other Supporting Study Permit & Visa Documents Optional for now - PDF/ZIP, max 10 MB. Final document list pending KUI confirmation.

I agree to the registration terms and conditions and the data privacy policy (v1.0).