Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
PENDAFTARAN PRAKTEK KERJA LAPANGAN (PKL)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Nama
*
Your answer
NIM
*
Your answer
SEMESTER
*
Your answer
NOMOR TELEPON AKTIF
*
Your answer
INSTANSI/TEMPAT PKL
*
Your answer
TUJUAN SURAT (Lengkap)
*
Your answer
ALAMAT INSTANSI/TEMPAT PKL
*
Your answer
KABUPATEN INSTANSI/TEMPAT PKL
*
Choose
BENGKALIS
INDRAGIRI HILIR
INDRAGIRI HULU
KAMPAR
KEPULAUAN MERANTI
KUANSING
PELALAWAN
ROKAN HILIR
ROKAN HULU
SIAK
DUMAI
KOTA PEKANBARU
Lainnya
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Universitas Islam Negeri Sultan Syarif Kasim Riau.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report