FORMULIR PENDAFTARAN

PENDIDIKAN KHUSUS PROFESI ADVOKAT

2018

Angkatan : ( ____ ) II ( ____ ) III

Kelas : ( ____ ) Weekdays Pagi A / B ( ____ ) Weekdays Siang A / B

( ____ ) Weekdays Sore A / B ( ____ ) Weekdays Malam A / B

( ____ ) Weekend Class A / B ( ____ ) Intensive Class

Nama Lengkap : _______________________________________________________________

Tempat Tgl Lahir : _______________________________________________________________
Alamat Lengkap : _______________________________________________________________
_______________________________________________________________
Telp Rumah : _______________________________________________________________
HP : GSM _________________________ CDMA ________________________
E-Mail : _______________________________________________________________
Nama Kantor : _______________________________________________________________
Jabatan : _______________________________________________________________
Alamat Kantor : _______________________________________________________________
Telp Kantor : _______________________________________________________________
Asal Universitas : _______________________________________________________________
No. Ijazah : _______________________________________________________________
Jakarta, 20_____

Peserta PKPA

Foto Berwarna
4x6

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Nb : Berkas yang harus dikumpulkan pada hari pertama PKPA : Slip Transfer Asli, Formulir Pendaftaran 2 lembar,
Foto Copy Ijazah S1 Hukum Legalisir Asli 2 lembar, Foto Copy KTP 2 lembar, Foto Berwarna 3x4 & 4x6 @ 2 lembar.
Semua berkas tersebut dilampirkan lengkap dalam MAP MERAH.

Office :
th th
Menara Karya, 20 & 28 Floor
Jl. H.R Rasuna Said Blok X-5, Kav 1-2
Jakarta 12950, Indonesia
Tel : (62-21) 5794 4372 / (021) 5789 5943
info@fhp-edulaw.com
www.fhp-edulaw.com