REGISTERFORMULIR PENDAFTARAN PELATIHAN / REGISTRATION FORM TRAININGJudul Pelatihan / Training Title(required)Tanggal Pelatihan / Training Date(required)DATA PRIBADI / PERSONAL DATANama / Name(required)Jabatan / Position(required)Perusahaan / Company(required)Alamat Perusahaan / Company's Address(required)Email(valid email required)Telepon Genggam/ HP(required)Telepon Kantor / Office Phone(required)Nomor Ekstensi / Extension numberFacsimile / FaxWebsitePRE-REGISTRASI DATAPenanggungjawab Pelatihan di Perusahaan / Responsible Training Company(required)Office Phone+ Nomor Ext atau Handphone(required)Jumlah Peserta / Number of participantsPesan Untuk Lembaga / Message To Training Institute
