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Online Registration

Please provide as much of the following information as possible.
You must be at least 15 years old in order to be able to register.
Note: * = Required
* Program you are interested in: 
Personal Information
* Full Name: 
* Birth Place:  * Birth Date:  * Sex:  * Religion: 
Phone (with regional code):  * HP:  * E-mail: 
Citizenship:  ID Card No. Blood Type: 
Residence in Jakarta:  * Child to:   * from:   siblings* Marital Status: 
Home number, RT/RW, post code and city should be typed in the appropriate fields (do not include it in the Address field).
* Address:  RT/RW:  / No: 
* Propinsi:  * Kab./Kota:  * Kecamatan: 
Kel./Desa:  Post Code: 
School Information
* School Name:  * Year Graduate: 
* Majoring:  GPA: 
Special for D-4 Credit Transfer (Regular and Executive)
Graduate from STP Trisakti?:  ID Number:  Year Graduate: 
Name of Institute:  Program: 
Family Information
Father's and mother's name should be typed WITHOUT TITLE and NOT ABBREVIATED.
* Father's Name:  Father Circumstance: 
Father's Birth Place:  Father's Birth Date: 
* Mother's Name:  Mother Circumstance: 
Mother's Birth Place:  Mother's Birth Date: 
Phone (with regional code):  * HP:  Parent Education: 
Parent Job:  Parent Income:  Tanggungan Orang Tua:   persons
Home number, RT/RW, post code and city should be typed in the appropriate fields (do not include it in the Address field).
* Parent Address:  RT/RW:  / No: 
* Propinsi:  * Kab./Kota:  * Kecamatan: 
Kel./Desa:  Post Code: 
Others
Info about STPT:  Jacket Size:  Shoe Size: 
STP Trisakti Priority: 
* Type the captcha: