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In-Person Attendance List

LMS SEVIMA and Virtual Office Usage Assistance

Participant Data

Participant Category

🏛️ Poltekkes Bandung Civitas Employee / Student

👥 General Public Without NIP / NIM

🏢 Other Institutions / Campuses Hospitals, Puskesmas, Health Offices, etc.

Search by NIP / NIM (Poltekkes Bandung Employee / Student)

Enter your NIP or NIM to automatically fill in your name, email, institution, and work unit data.

Full Name *

Phone No. / WhatsApp

Work Unit / Major *

Attendance Status *

Attendance Date

Friday, 14 August 2026

Notes (Optional)

Digital Signature *

Please sign in the area below. Use your mouse, touchpad, or touchscreen.

PNG Format • Auto size • Tap or use mouse to sign

General Guide to Polkesban Virtual Office