Registration Form for Magister

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

*Period

*Program Study

*Campus Location

*Class Type

Exam Schedule

Occupation

If you an UMN alumnus, please input your NIM below

NIM

A. PERSONAL DETAIL

*Full Name (According to ID Card)

*Place of Birth (According to ID Card)

*Date of Birth (According to ID Card)

*Gender

*Citizen Identification Card

Religion

*Citizen Identification Number

*Marital Status

*Address

*City

Postal Code

*Phone Number

*Email

B. CORRESPONDENCE DETAIL

*Correspondence Address

*Correspondence City

C. EDUCATION BACKGROUND - UNIVERSITY

*University Province

*University City

*University Name

University Address

*Academic Program

*Enrollment Year (yyyy)

*Graduation Year (yyyy)

example:3.75

*Final GPA

FATHER INFORMATION

Name

Date of Birth

Phone

Handphone

Address

Card ID (KTP)

Education

Occupation

Income

MOTHER INFORMATION

*Name

*Date of Birth

Phone

*Handphone

*Email

*Address

*Card ID (KTP)

*Education

*Occupation

*Income

F. COMPANY DETAIL

Company Name

Job Title

Business Line

Department

Address

City

Postal Code

Phone

Work Experience Date (yyyy)

G. UPLOAD FILE

D. UPLOAD FILE

*Please send file for ID(KTP/Passport), Certificate, S1 Transcript and TOEFL to [email protected]

THESIS TITLE

*Thesis Topic Planning

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Registration Form for Magister

A. PERSONAL DETAIL

B. CORRESPONDENCE DETAIL

C. EDUCATION BACKGROUND - UNIVERSITY

D. EDUCATION BACKGROUND - HIGH SCHOOL

E. PARENT INFORMATION

FATHER INFORMATION

MOTHER INFORMATION

F. COMPANY DETAIL

G. UPLOAD FILE

D. UPLOAD FILE

THESIS TITLE