Open House - Bachelor Program Registration Form
Full Name *
Your answer
Date of Birth *
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Gender *
Mobile Phone *
Your answer
Email *
Your answer
Home Address *
Your answer
Previous School (SMA) *
Your answer
School's Location *
Your answer
Starting Year of School (SMA) *
Your answer
Graduating Year (SMA) *
Your answer
Visiting Schedule *
**Please schedule your visit two days from today (H-2) | NOTE: Only Monday to Friday
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DD
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Are you coming alone or with parents/friends? *
Total of person *
Your answer
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