Mohon tunggu…
Online Registration
Please fill in the following form as much as possible.
You must be at least 15 years old in order to be able to register.
Note: * = Required
*
Program you are interested in:
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S-3 / TOURISM / S3 (Dr.)
S-3 / TOURISM / S3-Ker
S-2 / TOURISM / S2 (M.Par)
S-1 / DIGITAL BUSSINESS / REG
S-1 / DIGITAL BUSSINESS / Kerj
S-1 / DIGITAL BUSSINESS / KML
S-1 / TOURISM / REG
S-1 / TOURISM / LJ
S-1 / TOURISM / RPL
S-1 / TOURISM / KML
S-1 / ENTREPRENEURSHIP / REG
S-1 / ENTREPRENEURSHIP / Kerj
S-1 / ENTREPRENEURSHIP / KML
STr / TOUR AND TRAVEL BUSINESS / REG
STr / TOUR AND TRAVEL BUSINESS / RPL
STr / TOUR AND TRAVEL BUSINESS / KML
STr / HOSPITALITY MANAGEMENT / REG
STr / HOSPITALITY MANAGEMENT / INTER-A (3N-ITS)
STr / HOSPITALITY MANAGEMENT / INTER - KSU
STr / HOSPITALITY MANAGEMENT / LJ
STr / HOSPITALITY MANAGEMENT / RPL
STr / HOSPITALITY MANAGEMENT / INTER-GTU
STr / HOSPITALITY MANAGEMENT / INTER-D (3N-ICS)
STr / HOSPITALITY MANAGEMENT / KML
STr / HOSPITALITY MANAGEMENT / INTER-E (3N-IMS)
*
Registration Classification:
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PROGRAM REGULER
PROGRAM KJMU
Personal Information
Name should be same as your passport, NOT ABBREVIATED and WITHOUT EDUCATIONAL DEGREE.
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Full Name:
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Birth Place:
*
Birth Date:
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Sex:
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MALE
FEMALE
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Religion:
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BUDDHA
HINDU
MOSLEM
CATHOLIC
OTHER
CHRISTIAN
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Citizenship:
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AFGHANISTAN
ALAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, DEMOCRATIC REPUBLIC OF
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC OF
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTELEMEY
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SERBIA AND MONTENEGRO
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TIMOR LESTE
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VATICAN
VENEZUELA
VIETNAM
VIRGIN ISLANDS
VIRGIN ISLANDS
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
Passport Address:
Phone (with regional code):
*
HP (Whatsapp):
Passport No.
:
NISN:
Blood Type:
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A
B
AB
O
Residence in Jakarta:
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RENTAL HOME
FAMILY HOME
DORMITORY
OTHER
*
Child to:
*
from
siblings
*
Marital Status:
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SINGLE
WIDOWER
WIDOW
MARRIED
Fill in your e-mail below, then click
Send Verification Code
so that the verification code is sent to your e-mail.
Next, open your e-mail and enter the verification code that has been sent in the
Verification Code
field below.
Be sure to check your
SPAM
folder if the e-mail has not been received.
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E-mail:
Send Verification Code
Verification Code:
Home number, RT/RW, post code and region should be typed in the appropriate fields (do not include it in the Address field).
*
Address:
RT/RW:
/
No:
Propinsi:
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ACEH
BALI
BANGKA BELITUNG
BANTEN
BENGKULU
D.I. YOGYAKARTA
DKI JAKARTA
GORONTALO
JAMBI
JAWA BARAT
JAWA TENGAH
JAWA TIMUR
KALIMANTAN BARAT
KALIMANTAN SELATAN
KALIMANTAN TENGAH
KALIMANTAN TIMUR
KALIMANTAN UTARA
KEPULAUAN RIAU
LAMPUNG
MALUKU
MALUKU UTARA
NUSA TENGGARA BARAT
NUSA TENGGARA TIMUR
PAPUA
PAPUA BARAT
RIAU
SULAWESI BARAT
SULAWESI SELATAN
SULAWESI TENGAH
SULAWESI TENGGARA
SULAWESI UTARA
SUMATERA BARAT
SUMATERA SELATAN
SUMATERA UTARA
Kab./Kota:
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Kecamatan:
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Kel./Desa:
Post Code:
School Information
*
School Name:
*
Year Graduate:
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2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
*
Majoring:
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SMA - IPA
SMA - IPS
SMA - BAHASA
SMK - PERHOTELAN
SMK - USAHA JASA PARIWISATA
LAIN - LAIN
KURIKULUM MERDEKA
GPA:
S-2 College Information
*
College Name:
*
Program:
*
Year Graduate:
--- OPTIONS ---
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
GPA:
TOEFL Score:
TPA Score:
S-1 College Information
*
College Name:
*
Program:
*
Year Graduate:
--- OPTIONS ---
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
GPA:
TOEFL Score:
TPA Score:
Special for Credit Transfer (Regular and Executive)
Graduate from IP Trisakti?:
ID Number:
Year Graduate:
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2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
Name of Institute:
Previous Program:
Family Information
Father's and mother's name should be typed WITHOUT TITLE and NOT ABBREVIATED.
*
Father's Name:
Father Circumstance:
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ALIVE
DIED
Father's Birth Place:
Father's Birth Date:
Father's ID Card No.:
Father's Education:
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TIDAK SEKOLAH
PAUD
TK / SEDERAJAT
PUTUS SD
ELEMENTARY SCHOOL
JUNIOR HIGH SCHOOL
HIGH SCHOOL
PAKET A
PAKET B
PAKET C
D-1
D-2
D-3
D-4
BACHELOR
PROFESSIONAL
Sp-1
MASTER
APPLIED MASTER
Sp-2
DOCTORAL
APPLIED DOCTORAL
NON FORMAL
INFORMAL
OTHERS
Father's Job:
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UNEMPLOYED
FISHERMAN
FARMER
BREEDER
GOVERNMENT / MILITARY
EMPLOYEE
SMALL MERCHANT
WHOLESALER
ENTREPRENEUR
WORKER
RETIRED
OTHER
Father's Income:
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LESS THAN $50
$50 - $99
$100 - $199
$200 - $499
$500 - $2,000
MORE THAN $2,000
*
Mother's Name:
Mother Circumstance:
--- OPTIONS ---
ALIVE
DIED
Mother's Birth Place:
Mother's Birth Date:
Mother's ID Card No.:
Mother's Education:
--- OPTIONS ---
TIDAK SEKOLAH
PAUD
TK / SEDERAJAT
PUTUS SD
ELEMENTARY SCHOOL
JUNIOR HIGH SCHOOL
HIGH SCHOOL
PAKET A
PAKET B
PAKET C
D-1
D-2
D-3
D-4
BACHELOR
PROFESSIONAL
Sp-1
MASTER
APPLIED MASTER
Sp-2
DOCTORAL
APPLIED DOCTORAL
NON FORMAL
INFORMAL
OTHERS
Mother's Job:
--- OPTIONS ---
UNEMPLOYED
FISHERMAN
FARMER
BREEDER
GOVERNMENT / MILITARY
EMPLOYEE
SMALL MERCHANT
WHOLESALER
ENTREPRENEUR
WORKER
RETIRED
OTHER
Mother's Income:
--- OPTIONS ---
LESS THAN $50
$50 - $99
$100 - $199
$200 - $499
$500 - $2,000
MORE THAN $2,000
Phone (with regional code):
Parent HP:
Parent E-mail:
Tanggungan Orang Tua:
persons
Home number, RT/RW, post code and region should be typed in the appropriate fields (do not include it in the Address field).
*
Parent Address:
RT/RW:
/
No:
Propinsi:
--- OPTIONS ---
ACEH
BALI
BANGKA BELITUNG
BANTEN
BENGKULU
D.I. YOGYAKARTA
DKI JAKARTA
GORONTALO
JAMBI
JAWA BARAT
JAWA TENGAH
JAWA TIMUR
KALIMANTAN BARAT
KALIMANTAN SELATAN
KALIMANTAN TENGAH
KALIMANTAN TIMUR
KALIMANTAN UTARA
KEPULAUAN RIAU
LAMPUNG
MALUKU
MALUKU UTARA
NUSA TENGGARA BARAT
NUSA TENGGARA TIMUR
PAPUA
PAPUA BARAT
RIAU
SULAWESI BARAT
SULAWESI SELATAN
SULAWESI TENGAH
SULAWESI TENGGARA
SULAWESI UTARA
SUMATERA BARAT
SUMATERA SELATAN
SUMATERA UTARA
Kab./Kota:
--- OPTIONS ---
Kecamatan:
--- OPTIONS ---
Kel./Desa:
Post Code:
Others
Info about IPT:
--- OPTIONS ---
NEWSPAPER
RADIO
FRIENDS
FAMILY
SCHOOL VISIT
BROCHURE
EXHIBITION
WEBSITE
OTHER
TEACHER
SOCIAL MEDIA
IP Trisakti Priority:
--- OPTIONS ---
Jacket Size:
--- OPTIONS ---
S
M
L
XL
2XL
3XL
4XL
5XL
Panduan ukuran jaket
Referral Name:
Referral Phone:
Referral HP:
Recommendation Origin:
--- OPTIONS ---
ASSOCIATION
SCHOOL
INDUSTRY
INSTITUTION
OTHER
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