Consultation form Fill out this form to book your counselling appointment in Jakarta! Salutation Mr. Ms. First name Family / Last name Date of Birth Sex Please select male female diverse Intended place of residence in Germany Purpose of staying in Germany Please select Employment Vocational training Marriage Family reunification Nationality Country of origin Type of ID document Please select Identity card Passport Number of the ID document Issuer of the ID document (e.g. Kabupaten Bogor/Imigrasi Depok) Place of residence in Indonesia Your job German language knowledge Please select None A1 A2 B1 B2 C1 C2 Where did you learn German? Please select At the Goethe-Institut At another language school At a university Private course Self-taught Miscellaneous Course participant number If you are a Goethe-Institut course participant. E-mail address Please re-enter your email adress Requested day and time Please select Wednesdays 10:30–11:30 Wednesdays 11:30–12:30 Wednesdays 16:00–17:00 Thursdays 10:30–11:30 Thursdays 11:30–12:30 Thursdays 16:00–17:00 Requested date Format Online Offline Your question Declaration of consent 1 Declaration of consent - AMIF Declaration of consent 2 Declaration of consent - Goethe-Institut I have read the AMIF and Goethe-Institut consent form and agree to it. * required When you send us the information contained in the contact form by clicking on the button below, you declare your consent for us to use your personal data for purposes of answering your enquiry and/or contacting you. You can revoke your consent by sending an e-mail message to praintegrasi@goethe.de. If you revoke your consent, your data will be erased immediately. Otherwise, your data will be erased after we have processed your enquiry or if the purpose of storing it no longer exists. Privacy Policy CancelSend