Bachelor Degree with Central Queensland University Admission Form
Silahkan mengisi formulir Pendaftaran Online di bawah ini dengan lengkap dan benar
Fill out the form below thoroughly
DATA PRIBADI / PERSONAL DATA
Silahkan isi data pribadi Anda di bawah ini
Fill out your personal data below
Nama Lengkap / Full Name *
Nama Panggilan / Nickname *
Nama Ibu Kandung / Mother's Maiden Name *
Tempat Lahir / Place of Birth *
Tanggal Lahir / Date of Birth *
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DD
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YYYY
Agama / Religion *
Jenis Kelamin / Gender *
Alamat Tempat Tinggal / Home Address *
No KTP / National ID Number *
Nomor HP / Mobile Phone Number *
Alamat Email / Email Address *
Ukuran Jaket / Jacket Size *
LATAR BELAKANG PENDIDIKAN / ACADEMIC BACKGROUND
Silahkan isi data pendidikan terakhir Anda
Fill out your latest academic background below
SMA Asal / High School *
Jurusan / Field *
Tahun Lulus / Year of Graduation *
Dari mana Anda mengetahui Program UB/CQU / From where do you learn about the UB/CQU Program *
JADWAL UJI TULIS & WAWANCARA / WRITTEN TEST & INTERVIEW SCHEDULE
Mohon diisi usulan jadwal wawancara sesuai ketersediaan waktu Anda. Jadwal wawancara dan Test Tertulis dapat dilakukan setiap hari kerja (Senin-Jumat, pukul 11.00 s/d 20.00)
Fill out proposed written test & interview schedule based on your availability. The schedule may be arranged on any working day (Monday - Friday, between 11:00 and 20:00)

Tempat Uji Tulis & Wawancara / Place of the Written Test & Interview:
Admisi Program MM UB
Universitas Bakrie, JL. HR. Rasuna Said. Kav. C-22 Kuningan Jakarta
Jadwal Wawancara/Interview Schedule *
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Time
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PERIKSA KEMBALI DATA ANDA/DATA REINSPECTION
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Please recheck the data you have submitted above. If everything is correct, please click the button "Submit" below.
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