PERMOHONAN APLIKASI EXPERTPOOL-KUMKM
A. DATA PEMOHON
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USERNAME
Nama pengguna tidak boleh dibiarkan kosong
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Please enter at least 3 characters.
This username is already registered, please choose another one.
Nama pengguna ini tidak valid. Harap masukkan nama pengguna yang valid.
Password can not be left blank.
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Please enter at least 6 characters.
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NAMA DEPAN
Nama Depan tidak boleh dibiarkan kosong.
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Nama depan ini tidak valid. Harap masukkan nama depan yang valid.
Last Name can not be left blank.
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This last name is invalid. Please enter a valid last name.
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Avatar
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Photo Profil *.jpg *.png Maks 500KB
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TEMPAT LAHIR
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TANGGAL LAHIR
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Invalid Date.
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JENIS KELAMIN
LAKI-LAKIPEREMPUAN
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AGAMA
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EMAIL
Email Address can not be left blank.
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Please enter valid email address.
Nama pengguna ini sudah terdaftar, silakan pilih yang lain.
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HANDPHONE
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NIK KTP
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*
UPLOAD KTP
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KTP *.jpg *.png Maks. 500KB
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NAMA JALAN
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RT/RW/PERUMAHAN
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PROVINSI
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KODEPOS
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ALAMAT TERKINI JIKA LEBIH DARI SATU
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PENDIDIKAN FORMAL
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NAMA INSTITUSI
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JURUSAN/PROGRAM STUDI
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NO. IJAZAH
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TANGGAL TERBIT IJAZAH
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(PENDIDIKAN FORMAL)JIKA LEBIH DARI SATU
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IJAZAH PENDIDIKAN FORMAL
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Ijazah *.jpg *.png (multiple file: *.zip *.rar) Maks. 500KB
PENDIDIKAN NON FORMAL
Textbox
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Textbox
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Textbox
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Textarea
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File Upload
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Invalid file selected.
Invalid file selected.
Ijazah *.jpg *.png (multiple file: *.zip *.rar) Maks. 500KB
SERTIFIKAT
Textbox
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Textbox
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Textbox
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Textbox
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Textarea
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File Upload
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Invalid file selected.
Invalid file selected.
Sertifikat *.jpg *.png (multiple file: *.zip *.rar) Maks. 500KB
LEMBAGA
Textbox
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Textarea
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KEAHLIAN
Textarea
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File Upload
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Invalid file selected.
Invalid file selected.
Sertifikat *.jpg *.png (multiple file: *.zip *.rar) Maks. 500KB
PENGALAMAN
Textbox
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Textbox
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Textbox
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Textbox
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Textbox
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Textbox
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Textbox
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Textarea
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File Upload
Please select file.
Invalid file selected.
Invalid file selected.
Dokumen *.jpg *.png (multiple file: *.zip *.rar) Maks. 500KB
UPLOAD CV
File Upload
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Invalid file selected.
Invalid file selected.
CV *.jpg *.png (multiple file: *.zip *.rar) Maks. 500KB
Submit