JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Laporan Pemagangan
Isi dengan sesuai
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nama Pemagang
*
Your answer
Bulan dan Tahun Keberangkatan
*
Your answer
NIK
*
Your answer
No HP
*
Your answer
Email
*
Your answer
Jenis Kelamin
*
Laki-Laki
Perempuan
Alamat Sesuai KTP
*
Your answer
Tempat Lahir
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
Durasi Pemagangan
*
36 Bulan
12 Bulan
Program Pemagangan/ Jabatan
*
Magang
Engineering
Kategori Berdasarkan KBJI Digit 3
Your answer
Alamat Perusahaan
*
Your answer
Perfecture/Provinsi/Nama Wilayah di Negara Tujuan
*
Aichi
Akita
Aomori
Chiba
Ehime
Fukui
Fukuoka
Fukushima
Gifu
Gunma
Hiroshima
Hokkaido
Hyogo
Ibaraki
Ishikawa
Iwate
Kagawa
Kagoshima
Kanagawa
Kochi
Kumamoto
Kyoto
Mie
Miyagi
Miyazaki
Nagano
Nagasaki
Nara
Niigata
Oita
Okayama
Okinawa
Osaka
Saga
Saitama
Shiga
Shimane
Shizuoka
Tochigi
Tokushima
Tokyo
Tottori
Toyama
Wakayama
Yamagata
Yamaguchi
Yamanashi
Negara Tujuan Pemagangan
*
Jepang
Tipe Penyelenggara Pemagangan Luar Negeri
Your answer
Tanggal Berangkat ke Negara Tujuan
*
MM
/
DD
/
YYYY
Tanggal Selesai Pemagangan
MM
/
DD
/
YYYY
Status Selesai Pemagangan
*
Berangkat
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
