Registration Form
NB : Please choose at least one event on this option below,
University of Sydney Open House - 26th May 2013
MIBT-I Open House 2 Juni 2013
Biodata
Parents Name
Parents Mobile
Full Name
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Address
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City
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North Jakarta
East Jakarta
South Jakarta
West Jakarta
Central Jakarta
Bogor
Bekasi
Depok
Tangerang
Other
Phone
Mobile +62
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Email
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Birth of Date
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Latest Education
School/Uni
*
Highest Education
*
S2 / Master
S1 / Bachelor
Diploma
SMA 3 / Year 12
SMA 2 / Year 11
SMA 1 / Year 10
SMP 3 / Year 9
SMP 2 / Year 8
SMP 1 / Year 7
O Level
A Level
Interest
Program Interested
*
Destination Study
*
Australia
Singapore
UK
USA
Malaysia
New Zealand
Canada
Swiss
Netherland
How do u know this event
*
Blast (Email/SMS/BBM)
Counselor SUN
Facebook / Twitter
Flyer
Koran Kompas
Poster
Reference(Family/Friends)
Website
Other
Ever Contact SUN before?
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