BATUSANGKAR INTERNATIONAL CONFERENCE II
GRADUATE PROGRAMME OF IAIN BATUSANGKAR
Catatan/Notice
Formulir baru bisa diisi setelah Pendaftar "login" melalui email (Gmail) masing-masing.
Please login into your gmail before complete BIC Form.
Form Register For Participants
Type *
Nama/ Name *
Jenis Kelamin/ Sex *
Tempat Lahir/ Place of Birth *
Tanggal Lahir/ Date of Birth *
MM
/
DD
/
YYYY
Kewarganegaraan/ Nationality *
Alamat/ Address *
No. HP/ Phone Number *
Alat Transportasi ke Lokasi Kegiatan/ Transportation to the Event Location *
Tanggal Keberangkatan / Departure Time *
MM
/
DD
/
YYYY
Time
:
Tanggal Kepulangan / Return Time *
MM
/
DD
/
YYYY
Time
:
Bukti Pembayaran/ Payment *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Additional Terms