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

Deadlines

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Credit card

Account

Internship program Diabetes

Start: to choose

Cash price

Rp.119,470,896

Installment price

Rp.55,858,248 of tuition + 5 fees of Rp.16,787,362

Total amount

Initial payment

Installment fees