Application Form - TECH Indonesia

Enrollment form

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Surname 1

Surname 2

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Telephone

KTP (Kartu Tanda Penduduk)

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Payment Modes and Methods

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Cash payment

Split payment

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Credit card

Account

Internship program Cancer of Unknown Origin

Start: to choose

Cash price

Rp.107,063,232

Installment price

Rp.50,049,424 of tuition + 5 fees of Rp.15,048,918

Total amount

Initial payment

Installment fees