JAS Scholarship Registration Form

Registration Form

Complete the form below to sign up for our JAS Scholarship match service.
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date

MonthDayYear
I am interested in scholarships from

EuropeCanadaUSAOther
Upload a copy of your CV below.
File Upload

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Preferred way to contact

PhoneEmailAny
Registration Rules
1. Registration is available to anyone 18 years of age or older.

2. Only one registration at a time is allowed.
I have read, understood, and accepted the rules for registration.
Registration Fee (€150)
Pay Using

PaypalBank transferCredit/Debit cardRequest a different form of payment
Pay

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EURFee
Pay Via Bank Transfer

Bank : Wise

Account holder: Jennifer Osayuki Idubor
BIC: TRWIBEB1XXX
IBAN: BE98 9678 7905 5893

Payment Reference : JAS 5892
Wise's address: Rue du Trône 100, 3rd floor
Brussels
1050
Belgium
Once you submit your application, we will contact you shortly to complete your registration and commence scholarship application process.

Thank you!
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Registration Form