ADN Student - French School Jakarta

Student Personal Data
Family name
First name
Gender	M F
Birth date
Place of birth
Country of birth
The student lives in Indonesia with :
who the child lives with
	Identity photo Please upload a newer photo Add Mandatory
Valid ID photo of passport type: shows the full face and front view / in color and .jpg format only

NATIONALITY & PASSPORT-VISA
Please provide passport information in the order of nationality stated in Civil statut of the child
Indonesian nationality	Yes No
If the student has French nationality, please indicate it in the field "Nationality 1".
Nationality 1
Passport number (nationality 1)
Passport expiry date (nationality 1)
Nationality 2
Passport number (nationality 2)
Passport expiry date (nationality 2)
No. Family booklet/Kartu Keluarga
No. ID Card (KIA/Affidaviit)
Visa number (ITAS/DIPLOMATIC)
Visa (ITAS/DIPLOMATIC) expiry date

IMAGE PROPERTY RIGHTS
I authorize FSJ to use photos/videos/audio recordings of my child taken during school or extra-curricular activities, as part of our communication activities (internal/external). In the case of non-acceptance, please send a written request to: communication@frenchschooljakarta.com
Internal : Moodle, FSJ Hebdo (Newsletter) External : Reseaux sociaux ( Facebook, X-Twitter, Instagram, Youtube, AEFE Website)
Image property Authorization	Interne/Internal Interne & Externe/ Internal & External
As part of a web radio project
Authorization to record and broadcast the voice of a minor child	Yes No