Registration Form


Career and Period

If the choice of academic year is not available please call : (021)54220808

Personal Data

 
Date Format : dd-mm-yyyy [ex: 31-12-1999]
 
Number only for mobile phone number
Email must be valid. Harap pastikan alamt email valid dan aktif. informasi lebih lanjut akan dikirim melalui email ini.
Please input 0 if you dont have identity card
 
 

School Data

If the choice of school major and graduation year is not available please call : (021)54220808 or email to [email protected]

School Address

 
 
 
 
 
*Note : if you did not found the school name in the list please select "Others" and type your school name in school others field

 

Registration Data

If the choice of Registration Type is not available please call : (021)54220808 or email to [email protected]

Mother Data

Date Format : dd-mm-yyyy [ex: 31-12-1999]
 
 
Please input 0 if you dont have identity card

Father Data

Date Format : dd-mm-yyyy [ex: 31-12-1999]
 
 

Guardian Data



School Report

*Maximum size for each file is 2MB with format zip, pdf, jpg, png.
*Use zip format to collect more than one files and compressed into a single file.

Certificates and other proof of achievement

Miscellanous

Where did you get information about UMN?

*If you have registration voucher, please input the code below.
Voucher Code :
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