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Registration Form of International Class-Veterinary Bachelor of Medicine, FVM - USK
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* Indicates required question
FULL NAME/ Nama Lengkap
*
Your answer
Place of Birth/ Tempat Lahir
*
Your answer
Date of Birth/ Tanggal Lahir
*
MM
/
DD
/
YYYY
Previous school(s) attended/ Asal sekolah
*
Your answer
Previous school class areas/ Bidang kelas sekolah
*
Biology
Physics
Social
Other
Are you interested in studying at the Faculty of Veterinary Medicine - USK? / Apakah berminat kuliah di Fakultas Kedokteran Hewan USK?
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Yes
No
Required
If you answer "No", what faculty are you interested in? / Jika menjawab "tidak", fakultas apa yang anda minati?
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Your answer
If you answer "You are Interested", state the reason. / Jika menjawab "berminat" sebutkan alasannya.
*
Your answer
Name the animal you like best./ Sebutkan hewan yang paling disukai
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Your answer
If you go to college later, the costs will be covered by?/ Jika nanti kuliah, biaya akan ditanggung oleh?
*
Your answer
NO HP/WA
*
Your answer
ACTIVE EMAIL/ EMAIL AKTIF
*
Mohon memastikan email aktif
Your answer
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