PENDAFTARAN TRAINING & SERTIFIKASI
PROFESSIONAL PROJECT INSTITUTE

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Form Registrasi Pelatihan
Ahli K3 Umum - Kemnaker RI

Professional Project Institute
PT. Sarana Inspirasi Maju Bersaudara
Pertokoan Bukit Tiban Permai Blok E No.1 - 3
Batam - Kepulauan Riau 29426
Phone : (0778) 8011 988 | Whatsapp: (+62) 811 7000 723 , (+62) 811 6916 997

Nama LengkapFull Name
Program PelatihanTraining Program
BatchBatch
Tempat LahirPlace of Birth
Tanggal LahirDate of Birth
date_range
No. Telp / HPPhone Number
Alamat LengkapFull Address
Pendidikan TerakhirLast Education
Nama Perusahaan / InstansiCompany / Instutuion Name
Posisi / JabatanPosition
Size T-Shirt / Jaket
KTPjpg, png, jpeg, pdf (max 500Kb)
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Pas Foto (Background Merah)jpg, png, jpeg (max 500Kb)
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CVjpg, png, jpeg, pdf (max 5Mb)
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Scan Ijazahjpg, png, jpeg, pdf (max 500Kb)
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Surat Keterangan Kerja (Jika ada)jpg, png, jpeg, pdf (max 500Kb)
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Dari mana anda mengetahui PPI Batam ?pick one!
Nama Teman Andayour friend name
Akun Media Sosial Andapick one!
Nama Akunyour account name


1090018203786

PT. SARANA INSPIRASI MAJU BERSAUDARA

Sudah Bayar ?pick one!
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