[[[["field38","equal_to","Sudah"]],[["show_fields","field39"]],"and"],[[["field38","equal_to","Belum"]],[["hide_fields","field39"]],"and"],[[["field32","equal_to","Batch"]],[["show_fields","field42"]],"and"]]
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Form Registrasi Pelatihan
Pengawas K3 Migas - BNSP

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
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 (max 500Kb)
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Pas Foto (Background Merah)jpg, png, jpeg (max 500Kb)
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CVjpg, png, jpeg, pdf (max 500Kb)
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Scan Ijazahjpg, png, jpeg (max 500Kb)
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Surat Keterangan Kerja (Jika ada)jpg, png, jpeg (max 500Kb)
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1090018203786

PT. SARANA INSPIRASI MAJU BERSAUDARA

Sudah Bayar ?pick one!
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