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Formulir Pendaftaran Young Trainer Academy Batch 6 - Jogjakarta
14 - 15 Februari 2015 | Wisma Sejahtera 1, Jl. Siaga No. 1 Kaliurang Barat, Sleman, Yogyakarta
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Nama Pendaftar
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Masukkan nama pendaftar di sini
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Tempat, Tanggal Lahir
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Contoh : Semarang, 5 Januari 1990
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Nomor HP
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Masukkan nomor HP Anda di sini
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Alamat Email
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Masukkan Email Anda di sini
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Darimana kamu mendapat informasi tentang YTA?
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Jika bukan dari alumni, tuliskan sumbernya. Misal : Social Media, Brosur, Website, dll
Alumni YTA
Other:
Siapa nama Alumni YTA yang memberitahu Anda?
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Jika bukan dari alumni, tulis 'TIDAK ADA'
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Paket Pendaftaran
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Pilih Paket Pendaftaran Anda
Paket Pendaftaran Individu (@Rp690,000)
Paket Pendaftaran Kolektif Minimal Ber-3 (@Rp590,000)
Jika Memilih Paket Kolektif, Masukkan Data Rombongan Anda
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Masukkan (Nama1 - HP1 - Email1) | (Nama2 - HP2 - Email2) | (Nama3 - HP3 - Email3)
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