Participant 1
Participant's Full Name
Participant's date of birth
Email Address
Student Identification Number (NIM)
Phone Number / WhatsApp
Education Level
-- Select Education Level --
D3
D4
S1
Name of Institution
-- Pilih Kampus --
Faculty
Study Program
LLDIKTI Regional Zone (LLDIKTI I - XVII)
-- Select LLDIKTI Regional Zone --
I - Sumatera Utara
II - Sumsel, Lampung, Bengkulu, Babel
III - DKI Jakarta
IV - Jawa Barat, Banten
V - D.I. Yogyakarta
VI - Jawa Tengah
VII - Jawa Timur
VIII - Bali, NTB
IX - Sulsel, Sultra, Sulbar
X - Sumbar, Jambi
XI - Kalimantan
XII - Maluku, Maluku Utara
XIII - Aceh
XIV - Papua, Papua Barat
XV - NTT
XVI - Gorontalo, Sulut, Sulteng
XVII - Riau & Kepulauan Riau
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