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Registration
Registration Form
Registration (Jenis Pendaftaran)
...
Individual / Perorangan
Group / Kelompok Instansi/Sekolah
Institution/School (Kelompok Institusi/Sekolah)
...
BMD - English Training - Communicative English - English Training - Basic
UNS - Plus Training - Keyboard & Vokal - Plus Training - Level 2
BMD - English Training - Communicative English - English Training - A
UNS - Plus Training - Keyboard & Vokal - Plus Training - Advance
UGM - English Training - SuperKids - English Training - Beginner
SD Percobaan - English Training - SuperKids - English Training - 3
PT Angin Ribut TES - English Training - Communicative English - English Training - Kelas 12
Peace Corps - Alam Bahasa - Outcity - Intensive - Alam Bahasa - Advanced
SMA Al-Azhar - English Training - English Club - English Training - 10
TK Amal Insani - English Training - Kindergarten - English Training - 1
TK Amal Insani - English Training - Kindergarten - English Training - TK A
TK Ceria Demangan - English Training - Kindergarten - English Training - TK A
TK Ceria Demangan - English Training - Kindergarten - English Training - TK B
MTS N 3 KLATEN - English Training - Active - English Training - Kelas 7A
MTS N 3 KLATEN - English Training - Active - English Training - Kelas 7B
SMP MUHAMMADIYAH 1 DEPOK - English Training - Active - English Training - Kelas 7A
SMP MUHAMMADIYAH 1 DEPOK - English Training - Active - English Training - Kelas 7B
SMP DIPONEGORO - English Training - Active - English Training - Kelas 9
SMP DIPONEGORO - English Training - Active - English Training - Kelas 7
SMP DIPONEGORO - English Training - Active - English Training - Kelas 8
TK BIANGLALA - English Training - Kindergarten - English Training - TK A 1
TK BIANGLALA - English Training - Kindergarten - English Training - TK A 2
TK BIANGLALA - English Training - Kindergarten - English Training - TK B 1
TK BIANGLALA - English Training - Kindergarten - English Training - TK B 2
TK NEGERI 1 SLEMAN - English Training - Kindergarten - English Training - TK A 1
TK NEGERI 1 SLEMAN - English Training - Kindergarten - English Training - TK A 2
TK NEGERI 1 SLEMAN - English Training - Kindergarten - English Training - TK B 1
TK NEGERI 1 SLEMAN - English Training - Kindergarten - English Training - TK B 2
TK NEGERI 1 SLEMAN - English Training - Kindergarten - English Training - TK B 3
TK NEGERI 1 SLEMAN - English Training - Kindergarten - English Training - TK B 4
TK NEGERI 1 SLEMAN - English Training - Kindergarten - English Training - TK B 5
TK BUDI MULIA 1 - English Training - Kindergarten - English Training - TK A
TK BUDI MULIA 1 - English Training - Kindergarten - English Training - TK B
SMP KARITAS - English Training - Active - English Training - Kelas 7
SMP KARITAS - English Training - Active - English Training - Kelas 8
SD TUMBUH 4 - English Training - Communicative English kelas Rekanan - English Training - KELAS 1-5
TK AMAL INSANI - English Training - Kindergarten - English Training - TK A 1
TK AMAL INSANI - English Training - Kindergarten - English Training - TK A 2
TK AMAL INSANI - English Training - Kindergarten - English Training - TK A 3
TK AMAL INSANI - English Training - Kindergarten - English Training - TK A 4
TK AMAL INSANI - English Training - Kindergarten - English Training - TK B 1
TK AMAL INSANI - English Training - Kindergarten - English Training - TK B 2
TK AMAL INSANI - English Training - Kindergarten - English Training - TK B 3
TK AMAL INSANI - English Training - Kindergarten - English Training - TK B 4
TK SUNSHINE - English Training - Kindergarten - English Training - TK B
SD SLEMAN 1 - English Training - Communicative English kelas Rekanan - English Training - Kelas 1 A
SD SLEMAN 1 - English Training - Communicative English kelas Rekanan - English Training - Kelas 1 B
SD SLEMAN 1 - English Training - Communicative English kelas Rekanan - English Training - Kelas 2 A
SD SLEMAN 1 - English Training - Communicative English kelas Rekanan - English Training - Kelas 2 B
SD SLEMAN 1 - English Training - Communicative English kelas Rekanan - English Training - Kelas 3
SD SLEMAN 1 - English Training - Communicative English kelas Rekanan - English Training - Kelas 4 A
SD SLEMAN 1 - English Training - Communicative English kelas Rekanan - English Training - Kelas 4 B
SD SLEMAN 1 - English Training - Communicative English kelas Rekanan - English Training - Kelas 5
SD MODEL - English Training - Communicative English kelas Rekanan - English Training - Kelas 1 A
SD MODEL - English Training - Communicative English kelas Rekanan - English Training - Kelas 1 B
SD MODEL - English Training - Communicative English kelas Rekanan - English Training - Kelas 1 C
SD MODEL - English Training - Communicative English kelas Rekanan - English Training - Kelas 2 A
SD MODEL - English Training - Communicative English kelas Rekanan - English Training - Kelas 2 B
SD MODEL - English Training - Communicative English kelas Rekanan - English Training - Kelas 3
SD MODEL - English Training - Communicative English kelas Rekanan - English Training - Kelas 4 & 5
MI Technonatura - English Training - Communicative English kelas Rekanan - English Training - Kelas 1-6
TK CERIA TIMOHO - English Training - Kindergarten - English Training - TK A
TK CERIA TIMOHO - English Training - Kindergarten - English Training - TK B
SD TAMAN MUDA IBU PAWIYATAN - English Training - Communicative English kelas Rekanan - English Training - KELAS 3 & 4
SD TAMAN MUDA IBU PAWIYATAN - English Training - Communicative English kelas Rekanan - English Training - KELAS 5 & 6
TK KARITAS - English Training - Kindergarten - English Training - TK A
TK KARITAS - English Training - Kindergarten - English Training - TK B
TK PANGUDI LUHUR - English Training - Kindergarten - English Training - KA 1
TK PANGUDI LUHUR - English Training - Kindergarten - English Training - KA 2
TK PANGUDI LUHUR - English Training - Kindergarten - English Training - KB
SD DENGGUNG - English Training - Communicative English kelas Rekanan - English Training - KELAS 1A
SD DENGGUNG - English Training - Communicative English kelas Rekanan - English Training - KELAS 1B
SD DENGGUNG - English Training - Communicative English kelas Rekanan - English Training - KELAS 2A
SD DENGGUNG - English Training - Communicative English kelas Rekanan - English Training - KELAS 2B
SD DENGGUNG - English Training - Communicative English kelas Rekanan - English Training - KELAS 3
SD DENGGUNG - English Training - Communicative English kelas Rekanan - English Training - KELAS 4A
SD DENGGUNG - English Training - Communicative English kelas Rekanan - English Training - KELAS 4B
SD DENGGUNG - English Training - Communicative English kelas Rekanan - English Training - KELAS 5A
SD DENGGUNG - English Training - Communicative English kelas Rekanan - English Training - KELAS 5B
Company (Nama Instansi)
Course (Kursus)
...
ALLPlus - English Course for Adult
Alam Bahasa - Indonesian Language Course
Purikids - English Course for Kids
Data Pribadi
Full Name (Nama Lengkap)
Sex (Kelamin)
...
Male (Laki-laki)
Female (Perempuan)
Place of Birth (Tempat Lahir)
Date of Birth (Tanggal Lahir)
Address (Alamat)
Phone (Nomor Handphone)
Email (Alamat Email)
Occupation (Pekerjaan)
Student (Mahasiswa/Pelajar)
Businessman (Pebisnis)
Teacher (Guru)
Proffesional (Karyawan)
Others (Lain-lain)
Education (Pendidikan Terakhir)
Graduate/Postgraduate (Sarjana)
Diploma
Undergraduate (SMA/SMK Sederajat)
Program Belajar
Learning System (Sistem Belajar)
...
Online (Daring)
Offline (Luring)
Hybrid (Bauran)
Starting Date (Tanggal Mulai)
Ending Date (Tanggal Selesai)
Programs (Program)
...
Communicative English
Conversation
TOEFL, IELTS, TOEIC
ESP
Outcity
ICT
English Club
FEA (Fun English Advanture)
SEA - STUDENTS ENGLISH ADVANTURES
Information Source (Asal Info)
Website
Search Engine
Social Media
Newspaper/Magazine
School/Company/Institution
Ads
Electronic Media
ALL Plus Student
ALL Plus
I've Studied in ALL Plus Before
Expo & Presentation
Note (Catatan)
Payment Method (Metode Pembayaran)
...
Cash (Tunai)
Transfer By Individual (Transfer Bank Individual)
Transfer By Institution (Transfer Bank Institusi)
Paypal
QRIS / Electronic Payment
Cost (Biaya yang Harus Dibayarkan)
Registration Fee (Pendaftaran)
Books (Buku)
Course Fee (Kursus)
Others (Lain-lain)
Registration Date (Tanggal Pendaftaran)
Personal Details
Name
Sex
...
Male
Female
Nationality
...
Afghanistan
Argentina
Australia
Austria
Bangladesh
Belgium
Bolivia
Brazil
Bulgaria
Cambodia
Canada
Chile
China
Colombia
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Egypt
England
Ethiopia
Fiji
Finland
France
Germany
Greece
Haiti
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kuwait
Laos
Lebanon
Libya
Malaysia
Malta
Mexico
Mongolia
Morocco
Nepal
Netherlands
New Zealand
Nigeria
Norway
Pakistan
Paraguay
Peru
Philippines
Poland
Portugal
Romania
Russia
Saudi Arabia
Scotland
Singapore
Slovakia
South Korea
Spain
Sri Lanka
Sudan
Switzerland
Syria
Taiwan
Thailand
Turkey
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yugoslavia
Zaire
Passport/Kitas Number
Date of Birth
Address
Mobile/Phone Number
Email
Occupation
Artist
Diplomat
Doctor
Engineer
Guide
Journalist
Professional
Scientiest
Student
Teacher
Volunteer
Lain-lain
Education
Postgraduate
Graduate
Diploma
Undergraduate
Preferred Application/Platform for Online Course
Zoom
G-Meet
Skype
Other/Lain-lain
How did you know Alam Bahasa?
Website
Search Engine
Social Media
Newspaper/Magazine
School/Company/Institution
Ads
Electronic Media
Alam Bahasa Student
Alam Bahasa
I've Studied in Alam Bahasa Before
Expo & Presentation
If you knew Alam Bahasa from friends or ex student, please mention their name
Course Program
Learning System
...
Online
Offline
Hybrid
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Which program would you like to take?
...
Outcity - Non-Intensive
Skype
Live In
In Company Training (ICT)
Regular Program in Yogyakarta
Outcity - Intensive
Bahasa Indonesia and Outdoor Program
Bahasa Indonesia for Kids
Javanese Language Training
Starting Date
Total Learning Hours
Learning Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Learning Times
8.00-10.00
10.00-12.00
13.00-15.00
15.00-17.00
TBC
Current Level of your bahasa Indonesia
Special Request for the Language Training (topic)
Expectation upon the Completion of Training
Terms of Payment
Method of Payment
Bank Transfer (personal payment)
Bank Transfer (by institution)
Paypal to learn@alambahasa.com
Wise
Cash (Rupiah only) or Credit Card -- on the 1st day training (applies only for programs in Jogja Regular Course in Jogja)
Other
For payment by institution, please mention the institution name
Cost
Registration Fee
Books
Course Fee
Others
Additional Information
If you are not a pure beginner, please write in the space below a short writing in Indonesian on the topic "How I earned Bahasa Indonesia"!
Would you allow Alam Bahasa to take pictures or a short video of your class activity to be shown in Alam Bahasa website and social medias?
...
Yes
Yes, as long as it doesn’t mention my name/institution
No
Personal Details
Full Name (Nama Lengkap)
Nick Name (Nama Panggilan)
Sex (Kelamin)
...
Male (Laki-laki)
Female (Perempuan)
Place of Birth (Tempat Lahir)
Date of Birth (Tanggal Lahir)
Religion (Agama)
School Address (Alamat Sekolah)
Grade/Class (Kelas)
Address (Alamat Tempat Tinggal)
Phone
Whatsapp
Email
Parent's Name (Nama Orang Tua)
Parent's Occupation (Pekerjaan Orang Tua)
Information Source
Information Source (Asal Informasi)
Website
Search Engine (Mesin Pencari)
Social Media (Media Sosial)
Newspaper/Magazine (Media Cetak)
School/Company/Institution (Lembaga)
Ads (Iklan)
Electronic Media (Media Elektronik)
Purikids Student (Murid)
Purikids (Langsung)
I've Studied in Purikids Before (Pernah Belajar Sebelumnya)
Expo & Presentation (Pameran & Presentasi)
Language Training
Learning System (Sistem Belajar)
...
Online (Daring)
Offline (Luring)
Hybrid (Bauran)
Starting Date (Tanggal Mulai)
Programs
...
Junior
SuperKids
StarKids
Kindergarten
Active
Talk Active
AHA (Amazing Holiday Adventure)
Payment
Payment Method (Metode Pembayaran)
...
Cash (Tunai)
Transfer By Individual (Transfer Bank Individual)
Transfer By Institution (Transfer Bank Institusi)
Paypal
QRIS / Electronic Payment
