HOME
BIODATA
CONTACT US
POST
FREEPAGE
0812-2793-1294
HOME
BIODATA
CONTACT US
POST
FREEPAGE
0812-2793-1294
Formulir Pendaftaran Siswa
Full Name
Student ID (NIM)
Email Address
Faculty / Major
-- Select Faculty --
FTI - Teknologi Informasi
FIK - Keperawatan
FE - Ekonomi
FK - Kesehatan
FH - Hukum
Date of Birth
Gender
Male
Female
Address
Phone Number
Submit Registration
Form submitted successfully!