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Selamat Datang,
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* Indicates required question
NIK / No. KTP
*
Your answer
Nama Lengkap
*
Your answer
Tempat Lahir
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
Jenis Kelamin
*
Laki-laki
Perempuan
Agama
*
Choose
Islam
Kristen
Katolik
Hindu
Budha
No. WA
*
Your answer
Alamat Email
*
Your answer
Nama Ibu Kandung
*
Your answer
Penghasilan Orang Tua
Choose
dibawah 1.000.000
1.000.000 s/d 2.000.000
2.000.000 s/d 3.000.000
diatas 3.000.000
Alamat
*
Your answer
Kelurahan
*
Your answer
Kecamatan
*
Your answer
Kota/Kabupaten
*
Your answer
Provinsi
*
Your answer
Kode Pos
*
Your answer
NISN
*
Your answer
Jenis Sekolah
*
SMK
SMA
Nama Sekolah
*
Your answer
Jurusan
Your answer
Provinsi
*
Your answer
Jalur Pendaftaran
*
500K
Pilihan Prodi Pertama
*
Bisnis Digital (BD)
Teknologi Rekayasa Multimedia (TRM)
Rekayasa Keamanan Siber (RKS)
Pilihan Prodi Kedua
*
Bisnis Digital (BD)
Teknologi Rekayasa Multimedia
Rekayasa Keamanan Siber (RKS)
Tahu informasi ini dari mana?
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Sosialisasi
Instagram Selebram/Influencer (Selain IG Politeknik)
Sales
Guru
Teman
Iklan
Instagram
Youtube
Facebook
Twitter
Tiktok
Email
Spanduk
Radio (Iklan/Talkshow)
Sticker Angkutan Kendaraan Umum
Expo
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Nama Pemberi Rekomendasi
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