Kolita - 24

Registration Form

Full name

Email Address

Telephone/Mobile Number

Affiliation

Status

Address

Proof of payment

Allowed: PDF, Image (.jpg, .jpeg, .png)

Notes :

Registration fees are non-refundable.
Payment of the registration fee must be made via transfer to the Mandiri bank account under the name “ATMAJAYA”, account number 1020020777881. In the payment reference/remark field, please include “participant name for KOLITA 20”.
A copy of the transfer receipt should be sent via WhatsApp to 081286507993, via email to pkbb.atmajaya@atmajaya.ac.id, or attached during online registration.