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Formulir Pendaftaran / Registration Form
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Nama Lengkap /Full name
write ur full name
Your answer
Jenis kelamin/ gender
laki-laki
Perempuan
Nama Bapak/ name of the father
write name ur father
Your answer
Nama Ibu/ name of the mother
write name ur mother
Your answer
Alamat Lengkap/ complete address
write ur complete address
Your answer
Nomor HP/ Telpon
write ur phone number
Your answer
Tempat,Tanggal Lahir/ Place,date of birth
write ur Place and date of birth
MM
/
DD
/
YYYY
Umur/ age
write your age
Your answer
Agama/ religion
write ur religion
Your answer
Tinggi badan/ height
write ur height
Your answer
Berat badan/ weight
write ur weight
Your answer
Nomor KTP
write ur number of KTP
Your answer
Tempat & tanggal dikeluarkan KTP
write ur Place and date of issuance of ID card
Your answer
Berlaku sampai
valid until
Your answer
Status
Lajang/ single
Menikah/ married
Duda/ janda / single parent
Pekerjaan orang tua/ parents' job
write ur parent job
Your answer
Dari manakah anda mendapat informasi ini?
where did you get the information ?
Your answer
siapa yang menyarankan anda ke HICP?
who advise you to HICP?
Your answer
Mengapa anda tertarik dengan HICP?
Why are you interested in the HICP?
Your answer
Ijasah terakhir dan tahun lulus/ Certificate and graduation year
write ur Certificate and graduation year
Your answer
Kemampuan bahasa/ language skills
English
Prancis
Belanda
Jerman
Jepang
Mandarin
lainnya/ other
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