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In-Person Attendance List

Working in Japan Information Session

Participant Data

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

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Additional Attendance Information

Please complete the activity-specific data below

Select your original campus department when studying at Poltekkes Bandung

Your graduation / yudisium year

Your commitment / interest in job placement in Japan

Attendance Date

Monday, 19 October 2026

Digital Signature *

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

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

POLBI