Application Form - TECH Indonesia

Enrollment form

Name

Surname 1

Surname 2

E-mail

Telephone

KTP (Kartu Tanda Penduduk)

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Proceed to secure payment

Payment Modes and Methods

Select the payment method

Cash payment

Split payment

Deadlines

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Credit card

Account

Internship program Obesity

Start: to choose

Cash price

Rp.119,170,784

Installment price

Rp.55,717,932 of tuition + 5 fees of Rp.16,745,193

Total amount

Initial payment

Installment fees