Registration Form Workshop

CENS UI

Registration Form

Full Name

Students Number (NIM / NPM)

Phone Number (Whatsapp)

Line ID

Email Address

University

Batch

Major

Scan of Student’s ID (PDF/JPG) *

No file chosen

Format: Name_Student ID (Example: Natasya_Student ID).

Upload proof of follow *

Drag and Drop (or) Choose Files

Follow Instagram @cens_ui @kursusrevit_idn (JPG/PNG)

Upload proof of share our poster via IG Story *

No file chosen

(JPG/PNG)

NOTE:

Each participant must follow the @cens_ui @kursusrevit_idn account on Instagram and share our poster on your Instagram story. The materials can be found at this link: https://bit.ly/WorkshopPosterCENSUI