Application Form - TECH Indonesia

Enrollment form

Name

Surname 1

Surname 2

E-mail

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

Postgraduate certificate Life-Threatening Emergencies

Start: 26/11/2025

Cash price

Rp.17,372,420

Installment price

Rp.8,553,088 of tuition + 2 fees of Rp.6,456,417

Total amount

Initial payment

Installment fees