ONLINE REGISTRATION PROCEDURE

SPECIALIST STUDY PROGRAM REGISTRATION FORM INTERNSHIP TRACK

Full Name

Country

ID Card Number / Passport Number

Phone / WhatsApp Number

Gender

Place of Birth

Date of Birth

Parent/Guardian Phone Number

Originated School/Institution

** Enter the first 3 letters of your institution name to search

ID Card Image

The ID card image must contain the NIK information (e.g., National ID card/KTP).
If you do not have a KTP yet, you may use a Family Card (KK).
Scan at any resolution in JPG format.
Must be in color and should not include unnecessary background.
File size must not exceed 500KB.
The image quality must be sharp and in focus.

Color Photo 4x6 cm

Photo resolution must be 800 x 1200 pixels in JPG format.
Photo must be in color with any background color.
File size must not exceed 500KB.
The photo must be sharp and in focus.
Body and head position must be upright, facing the camera.
Face proportion should be between 25%–50% of the photo.
No part of the head may be cut off, and the face must not be covered by accessories.
The head must be centered horizontally with left and right margins approximately equal.
Wear proper and polite attire.

Curriculum Vitae / Employment
CV template can be downloaded via : Download

Police Clearance Certificate (SKCK)

Medical Bachelor's Degree Certificate (S.Ked)

Medical Profession Certificate (dr.)

Certified Bachelor's Transcript (S.Ked)

Certified Profession Transcript (dr.)

TOEFL Test Result

Copy of STR or STR Application Receipt

Application Letter
Application letter template can be downloaded via : Download

Registration for Year 2024 (Even Stage) is only available for the Recognition of Prior Learning (RPL) track.
Registration for Year 2025 (Odd Stage) is available for all study programs.
Undergraduate Regular Morning class is available for ALL study programs.
Undergraduate Regular Evening class is available only for NON-HEALTH study programs (except Agritech and Agribusiness).
Report-card track registration is available only for the Medicine and Dentistry undergraduate programs.

Study Program

Selected Class