Registration form for Language Courses, Indonesia

Politeknik Cristo Re

(Batches Starting Soon)

First name

Last name

Select Your Institution

Select Course

Address

Enter Complete Physcial Address

Phone

Date of Upload

Governent ID card like NRC/ Driving Licence/ Passport / Date of Birth certificate etc.

maximum file size 300kb
Acceptable file type: JPG, PNG, PDF, MSword

Student Photo

maximum file size 300kb
Acceptable file type: JPG, PNG, PDF, MSword

Last Qualification Document

maximum file size 300kb
Acceptable file type: JPG, PNG, PDF, MSword

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I affirm that all the Informtion Provided by me here is accurate. I understand that if any inaccuracies are discovered, my admission maybe cancelled or my login can be revoked, and all fees paid will be forfeited