FORM REGISTRATION
PICASSO ACADEMY - SCHOOL OF DRAWING, ILLUSTRATION AND DESIGN
Jl. Ir. H. Juanda No. 39 Depok
Phone: 021.77207537
HP: 0812 1444 537
HP: 0812 2220 537
www.picasso-creativeart.com
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Informasi tentang Picasso diperoleh darimana? *
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Agama / Religion *
Nama Orang Tua / Parent's name *
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Nomor Telepon / Phone number *
Pekerjaan / Job *
Kelas (khusus untuk pelajar) / Grade *
Nama Sekolah /  School name *
Program yang diminati / Interest *
Schedule kelas Reguler *
Bank Transfer *
Rekening BCA - MANDIRI - BNI
Atas nama : Muhammad Tang J., S.E.
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