REGISTRASI CALON PEKERJA MIGRAN

Section 1 of 1

Form title











Form description

Desa Kabunan Kecamatan Dukuhwaru Kabupaten Tegal















Email*

Valid email

NAMA

Question

NAMA











Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

New

Multiple choice grid

Checkbox grid

Date

Time

Description















Loading image…

Caption

Short answer text

Response validation has been added.

Remove

Number

Text

Length

Regular expression

Greater than

Greater than or equal to

Less than

Less than or equal to

Equal to

Not equal to

Between

Not between

Is number

Whole number

Number

and

Number

Custom error text

Answer key

(0 points)

Require a response in each rowRequiredRequired

Loading…

ALAMAT

Question

ALAMAT











Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

New

Multiple choice grid

Checkbox grid

Date

Time

Description















Loading image…

Caption

Long answer text

Length

Regular expression

Maximum character count

Minimum character count

Number

Custom error text

Answer key

(0 points)

Require a response in each rowRequiredRequired

Loading…

NO NIK

Question

NO NIK











Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

New

Multiple choice grid

Checkbox grid

Date

Time

Description















Loading image…

Caption

Short answer text

Response validation has been added.

Remove

Number

Text

Length

Regular expression

Greater than

Greater than or equal to

Less than

Less than or equal to

Equal to

Not equal to

Between

Not between

Is number

Whole number

Number

and

Number

Custom error text

Answer key

(0 points)

Require a response in each rowRequiredRequired

Loading…

NO HP

Question

NO HP











Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

New

Multiple choice grid

Checkbox grid

Date

Time

Description















Loading image…

Caption

Short answer text

Response validation has been added.

Remove

Number

Text

Length

Regular expression

Greater than

Greater than or equal to

Less than

Less than or equal to

Equal to

Not equal to

Between

Not between

Is number

Whole number

Number

and

Number

Custom error text

Answer key

(0 points)

Require a response in each rowRequiredRequired

Loading…

TUJUAN BEKERJA

Question

TUJUAN BEKERJA











Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

New

Multiple choice grid

Checkbox grid

Date

Time

Description















Loading image…

Caption

Short answer text

Response validation has been added.

Remove

Number

Text

Length

Regular expression

Greater than

Greater than or equal to

Less than

Less than or equal to

Equal to

Not equal to

Between

Not between

Is number

Whole number

Number

and

Number

Custom error text

Answer key

(0 points)

Require a response in each rowRequiredRequired

Loading…

MULAI BEKERJA

Question

MULAI BEKERJA











Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

New

Multiple choice grid

Checkbox grid

Date

Time

Description















Loading image…

Caption

Answer key

(0 points)

Require a response in each rowRequiredRequired

Loading…

NAMA AGEN/PENYALUR

Question

NAMA AGEN/PENYALUR











Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

New

Multiple choice grid

Checkbox grid

Date

Time

Description















Loading image…

Caption

Short answer text

Response validation has been added.

Remove

Number

Text

Length

Regular expression

Greater than

Greater than or equal to

Less than

Less than or equal to

Equal to

Not equal to

Between

Not between

Is number

Whole number

Number

and

Number

Custom error text

Answer key

(0 points)

Require a response in each rowRequiredRequired

Loading…

ALAMAT AGEN /PENYALUR

Question

ALAMAT AGEN /PENYALUR











Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

New

Multiple choice grid

Checkbox grid

Date

Time

Description















Loading image…

Caption

Long answer text

Length

Regular expression

Maximum character count

Minimum character count

Number

Custom error text

Answer key

(0 points)

Require a response in each rowRequiredRequired

Loading…

UPLOAD FOTO ANDA

Question

UPLOAD FOTO ANDA











Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

New

Multiple choice grid

Checkbox grid

Date

Time

Description















Loading image…

Caption

Add file

View folder

Allow only specific file types

Maximum number of files

Maximum file size

1 MB

10 MB

100 MB

1 GB

10 GB

View folder

Answer key

(0 points)

Require a response in each rowRequiredRequired

Loading…

Link to Sheets

The number of responses collected by this form may exceed the limit supported by Sheets. If you're having trouble viewing your responses in Sheets, try downloading a .CSV instead.

Summary

Question

Individual

Insights

Total points distribution

Loading responses…

This form is approaching the response limit. Once surpassed, the summary of responses will no longer be displayed. Learn more

This form has exceeded 50,000 responses and the summary of responses can no longer be displayed. You can still download responses as a .csv file. Learn more

NAMA

Copy chart

No responses yet for this question.

ALAMAT

No responses yet for this question.

NO NIK

Copy chart

No responses yet for this question.

NO HP

Copy chart

No responses yet for this question.

TUJUAN BEKERJA

Copy chart

No responses yet for this question.

MULAI BEKERJA

No responses yet for this question.

NAMA AGEN/PENYALUR

Copy chart

No responses yet for this question.

ALAMAT AGEN /PENYALUR

No responses yet for this question.

UPLOAD FOTO ANDA

No responses yet for this question.

No responses yet. Please check back later.

This form is approaching the response limit. Once surpassed, the question view will no longer be displayed. Learn more

Loading response…

This form is approaching the response limit. Once surpassed, the individual view will no longer be displayed. Learn more

Grades from previous versions of this form are hidden. Learn more

Settings

Make this a quiz

Assign point values, set answers, and automatically provide feedback

Release grades

Immediately after each submission

Later, after manual review

Turns on Responses → Collect email addresses

Respondent settings

Missed questions

Respondents can see which questions were answered incorrectly

Correct answers

Respondents can see correct answers after grades are released

Point values

Respondents can see total points and points received for each question

Global quiz defaults

Default question point value

Point values for every new question

points

Responses

Manage how responses are collected and protected

Collect email addresses

Required by Locked mode

Note: because this form has File Upload questions, respondents will be required to sign in

Do not collect

Verified

Responder input

Send responders a copy of their response

Disabled by Locked mode

Requires Collect email addresses

Off

When requested

Always

Allow response editing

Disabled by Locked mode

Responses can be changed after being submitted

Requires sign in

Limit to 1 response

Required by Locked mode

Respondents will be required to sign in to Google.

File upload

Total size limit for all uploaded files

This limit is smaller than the max size of a single response.

Responses will not be accepted after the limit is reached. Learn more

1 GB

10 GB

100 GB

1 TB

Presentation

Manage how the form and responses are presented

Form presentation

Show progress bar

Shuffle question order

After submission

Confirmation message

Your response has been recorded

Edit

Confirmation message

Your response has been recorded

Save

Cancel

Show link to submit another response

Disabled by Locked mode

Disabled by Limit to 1 response

View results summary

Disabled by Locked mode

Share results summary with respondents. Important details

Restrictions:

Disable autosave for all respondents

Respondents will lose their progress if their browser closes or refreshes

Defaults

Form defaults

Settings applied to this form and new forms

Collect email addresses by default

Required by Locked mode

Do not collect

Verified

Responder input

Question defaults

Settings applied to all new questions

Make questions required by default