FORMULIR PENDAFTARAN

PENDIDIKAN KHUSUS PROFESI ADVOKAT

(PKPA ONLINE)
2021

Angkatan : ( ____ ) II ( ____ ) III ( ____ ) IV

Kelas : ( ____ ) ONLINE
Nama Lengkap : _______________________________________________________________
Tempat Tgl Lahir : _______________________________________________________________
Alamat Lengkap : _______________________________________________________________
_______________________________________________________________
Telp Rumah : _______________________________________________________________
HP : HP _________________________ WA _____________________________
E-Mail : _______________________________________________________________
Nama Kantor : _______________________________________________________________
Jabatan : _______________________________________________________________
Alamat Kantor : _______________________________________________________________
Telp Kantor : _______________________________________________________________
Asal Universitas : _______________________________________________________________
No. Ijazah : _______________________________________________________________
Jakarta, 20_____

Peserta PKPA

Foto Berwarna
4x6
(_____________________________________)

Nb : Berkas Kelengkapan PKPA Hardcopy yang harus dikumpulkan via Paket Pengiriman ke Sekretariat FHP Law
School : Slip Transfer Asli, Formulir Pendaftaran PKPA (2 lembar), Foto Copy Ijazah S1 Hukum Legalisir Asli (2
lembar), Foto Copy KTP (2 lembar), Foto Berwarna 4x6 (2 lembar).

Office :
th
Prosperity Tower, 11 Floor
District 8 – SCBD Sudirman
Jakarta Selatan, Indonesia
Tel : (62-21) 50106657
info@fhplawschool.com
www.fhp-edulaw.com