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Submission: On June 10 via api from US — Scanned from DE
Submission: On June 10 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form>
<p class="has-text-centered"></p>
<div class="form-group"><label for="nama">Nama</label><input type="text" class="form-control" name="nama" placeholder="Masukan Nama" value=""></div>
<div class="form-group mt-3"><label for="jenisKelamin">Jenis Kelamin</label><select id="jenisKelamin" name="jenisKelamin" class="form-select">
<option value="">-- Jenis Kelamin --</option>
<option value="laki">Laki-laki</option>
<option value="perempuan">Perempuan</option>
</select></div>
<div class="form-group mt-3"><label for="status">Status</label><select id="ticket-type" name="ticket-type" class="form-select">
<option value="">-- Pilih Status --</option>
<option value="umum">Umum</option>
<option value="amikom">Mahasiswa AMIKOM</option>
<option value="koma">Anggota KOMA</option>
</select></div>
<div class="form-group mt-3"><label for="noIdentitas">No Identitas</label><input type="text" class="form-control" name="noIdentitas" placeholder="Masukan NIM atau No Anggota KOMA" value=""></div>
<div class="form-group mt-3"><label for="email">Email</label><input type="text" class="form-control" name="email" placeholder="Masukan Email" value=""></div>
<div class="form-group mt-3"><label for="whatsapp">WhatsApp</label><input type="text" class="form-control" name="whatsapp" placeholder="Masukan WhatsApp" value=""></div>
<div class="form-group mt-3"><label for="alamat">Alamat</label><input type="text" class="form-control" name="alamat" placeholder="Masukan Alamat" value=""></div>
<div class="modal-footer"><button type="button" class="btn btn-secondary" data-bs-dismiss="modal">Close</button><button type="submit" class="btn btn-primary" data-bs-dismiss="modal">Register</button></div>
</form>Text Content
You need to enable JavaScript to run this app. * Home * About * Speakers * Gallery * Sponsors * FAQ Register Now SEMINAR NASIONAL KOMA 2024 Cooming Soon Register NowAbout SEMNAS ABOUT SEMNAS Seminar Nasional KOMA merupakan acara seminar tahunan yang selalu di adakan oleh KOMA dengan tema yang sangat menarik dan pastinya related dengan zaman dan trend yang berlangsung, jangan lewatkan acara sebaik ini jadi segera daftarkan dirimu sekarang WHERE Coming Soon WHEN * Pendaftaran : Coming Soon * Main event : Coming Soon EVENT SPEAKERS Here are some of our speakers GALLERY Check our gallery from the recent events SPONSORS AND SUPPORTS F.A.Q REGISTER register now and get the benefits UMUM RP. 100.000 -------------------------------------------------------------------------------- Register MAHASISWA AMIKOM RP. 80.000 -------------------------------------------------------------------------------- Register ANGGOTA KOMA RP. 50.000 -------------------------------------------------------------------------------- Register DAFTAR Nama Jenis Kelamin-- Jenis Kelamin --Laki-lakiPerempuan Status-- Pilih Status --UmumMahasiswa AMIKOMAnggota KOMA No Identitas Email WhatsApp Alamat CloseRegister KOMA Adalah Komunitas yang bergerak dalam bidang multimedia di Universitas Amikom Yogyakarta USEFUL LINKS * Home * About Us * Speakers * Gallery * Sponsors * FAQ HUBUNGI KAMI Gedung BSC Lt. 3 Ruang VI.3.6 Kampus Terpadu Universitas AMIKOM Yogyakarta Jl. Ringroad Utara Condong Catur Yogyakarta. Whatsapp Chako: 08******** Email: info@example.com © Copyright Seminar Nasional KOMA. All Rights Reserved