{"id":1920,"date":"2022-11-03T06:41:29","date_gmt":"2022-11-03T06:41:29","guid":{"rendered":"https:\/\/pasca.gunadarma.ac.id\/doktor\/ti\/?page_id=1920"},"modified":"2023-05-15T02:23:22","modified_gmt":"2023-05-15T02:23:22","slug":"formulir-pendaftaran","status":"publish","type":"page","link":"https:\/\/pasca.gunadarma.ac.id\/doktor\/ti\/?page_id=1920","title":{"rendered":"FORMULIR PENDAFTARAN"},"content":{"rendered":"<p><strong>Lampiran :<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/pasca.gunadarma.ac.id\/doktor\/ti\/wp-content\/uploads\/FileS3TI\/Surat%20Rekomendasi%20Program%20Doktor.pdf\" target=\"_blank\" rel=\"noopener\">Surat Rekomendasi<\/a><\/li>\n<\/ul>\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-1938\"><form id=\"wpforms-form-1938\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1938\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/doktor\/ti\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1920\" data-token=\"1329647d8ecd511247c45e43c4d42780\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1938-field_79-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"79\"><div id=\"wpforms-1938-field_79\"><hr><\/div><\/div><div id=\"wpforms-1938-field_13-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"13\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1938-field_13\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1938-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_30\">Nomor Pendaftaran <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1938-field_30\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][30]\" required><\/div><div id=\"wpforms-1938-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_31\">Angkatan <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1938-field_31\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][31]\" required><\/div><div id=\"wpforms-1938-field_43-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"43\"><\/div><div id=\"wpforms-1938-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_25\">Nama Lengkap <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1938-field_25\" class=\"wpforms-field-small wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"1938\" data-field-id=\"25\" data-text-limit=\"40\" name=\"wpforms[fields][25]\" maxlength=\"40\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1938-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_32\">NO.KTP\/NIK <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1938-field_32\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][32]\" required><\/div><div id=\"wpforms-1938-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_33\">Nama Ibu Kandung <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1938-field_33\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][33]\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-1938-field_57-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_57\">Biaya Pendidikan<\/label><ul id=\"wpforms-1938-field_57\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_57_1\" name=\"wpforms[fields][57]\" value=\"Biaya Sendiri\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_57_1\">Biaya Sendiri<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_57_2\" name=\"wpforms[fields][57]\" value=\"Biaya Swasta\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_57_2\">Biaya Swasta<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_57_3\" name=\"wpforms[fields][57]\" value=\"Beasiswa Negara\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_57_3\">Beasiswa Negara<\/label><\/li><\/ul><\/div><div id=\"wpforms-1938-field_14-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"14\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1938-field_14\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-67-33\"><div class=\"wpforms-layout-column wpforms-layout-column-67\"><div id=\"wpforms-1938-field_42-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_42\">Sumber Beasiswa<\/label><input type=\"text\" id=\"wpforms-1938-field_42\" class=\"wpforms-field-medium\" name=\"wpforms[fields][42]\" ><div class=\"wpforms-field-description\">(diisi jika biaya pendidikan anda isi \u201cBiaya Swasta\u201d atau \u201cBeasiswa Negara\u201d)<\/div><\/div><div id=\"wpforms-1938-field_47-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_47\">Tempat Lahir <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1938-field_47\" class=\"wpforms-field-medium wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"1938\" data-field-id=\"47\" data-text-limit=\"50\" name=\"wpforms[fields][47]\" maxlength=\"50\" required><\/div><div id=\"wpforms-1938-field_48-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_48\">Tanggal Lahir <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1938-field_48\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][48][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-1938-field_64-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"64\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_64\">Phone<\/label><input type=\"tel\" id=\"wpforms-1938-field_64\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][64]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><\/div><\/div><\/div><div id=\"wpforms-1938-field_55-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_55\">Jenis Kelamin<\/label><ul id=\"wpforms-1938-field_55\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_55_1\" name=\"wpforms[fields][55]\" value=\"Pria\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_55_1\">Pria<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_55_2\" name=\"wpforms[fields][55]\" value=\"Wanita\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_55_2\">Wanita<\/label><\/li><\/ul><\/div><div id=\"wpforms-1938-field_54-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"54\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_54\">Agama<\/label><ul id=\"wpforms-1938-field_54\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_54_1\" name=\"wpforms[fields][54]\" value=\"Islam\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_54_1\">Islam<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_54_2\" name=\"wpforms[fields][54]\" value=\"Katolik\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_54_2\">Katolik<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_54_3\" name=\"wpforms[fields][54]\" value=\"Kristen\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_54_3\">Kristen<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_54_5\" name=\"wpforms[fields][54]\" value=\"Budha\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_54_5\">Budha<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_54_4\" name=\"wpforms[fields][54]\" value=\"Hindu\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_54_4\">Hindu<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_54_6\" name=\"wpforms[fields][54]\" value=\"Lain-lain\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_54_6\">Lain-lain<\/label><\/li><\/ul><\/div><div id=\"wpforms-1938-field_58-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_58\">Status Perkawinan<\/label><ul id=\"wpforms-1938-field_58\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_58_1\" name=\"wpforms[fields][58]\" value=\"Kawin\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_58_1\">Kawin<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_58_2\" name=\"wpforms[fields][58]\" value=\"Tidak Kawin\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_58_2\">Tidak Kawin<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_58_4\" name=\"wpforms[fields][58]\" value=\"Pernah Kawin\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_58_4\">Pernah Kawin<\/label><\/li><\/ul><\/div><div id=\"wpforms-1938-field_61-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_61\">Alamat Korespondensi<\/label><input type=\"text\" id=\"wpforms-1938-field_61\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"1938\" data-field-id=\"61\" data-text-limit=\"100\" name=\"wpforms[fields][61]\" maxlength=\"100\" ><\/div><div id=\"wpforms-1938-field_27-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"27\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1938-field_27\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1938-field_63-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"63\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_63\">Kode Pos <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1938-field_63\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99999\" name=\"wpforms[fields][63]\" required><\/div><div id=\"wpforms-1938-field_66-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_66\">Fax<\/label><input type=\"tel\" id=\"wpforms-1938-field_66\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][66]\" ><\/div><div id=\"wpforms-1938-field_68-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"68\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_68\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1938-field_68\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][68]\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1938-field_65-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"65\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_65\">Telepon<\/label><input type=\"tel\" id=\"wpforms-1938-field_65\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][65]\" ><\/div><div id=\"wpforms-1938-field_67-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"67\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_67\">HP<\/label><input type=\"tel\" id=\"wpforms-1938-field_67\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][67]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-1938-field_22-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"22\"><div id=\"wpforms-1938-field_22\"><hr><\/div><\/div><div id=\"wpforms-1938-field_69-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"69\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_69\">Alamat Rumah<\/label><input type=\"text\" id=\"wpforms-1938-field_69\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"1938\" data-field-id=\"69\" data-text-limit=\"100\" name=\"wpforms[fields][69]\" maxlength=\"100\" ><\/div><div id=\"wpforms-1938-field_70-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"70\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1938-field_70\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1938-field_72-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"72\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_72\">RT<\/label><input type=\"text\" id=\"wpforms-1938-field_72\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"1938\" data-field-id=\"72\" data-text-limit=\"3\" name=\"wpforms[fields][72]\" maxlength=\"3\" ><\/div><div id=\"wpforms-1938-field_74-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"74\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_74\">Kode Pos <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1938-field_74\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99999\" name=\"wpforms[fields][74]\" required><\/div><div id=\"wpforms-1938-field_76-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"76\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_76\">Fax<\/label><input type=\"tel\" id=\"wpforms-1938-field_76\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][76]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1938-field_73-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"73\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_73\">RW<\/label><input type=\"text\" id=\"wpforms-1938-field_73\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"1938\" data-field-id=\"73\" data-text-limit=\"3\" name=\"wpforms[fields][73]\" maxlength=\"3\" ><\/div><div id=\"wpforms-1938-field_75-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"75\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_75\">Telepon<\/label><input type=\"tel\" id=\"wpforms-1938-field_75\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][75]\" ><\/div><div id=\"wpforms-1938-field_77-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"77\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_77\">HP<\/label><input type=\"tel\" id=\"wpforms-1938-field_77\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][77]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-1938-field_41-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_41\">Alasan Mengikuti Program Doktor<\/label><input type=\"text\" id=\"wpforms-1938-field_41\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"1938\" data-field-id=\"41\" data-text-limit=\"200\" name=\"wpforms[fields][41]\" maxlength=\"200\" ><\/div><div id=\"wpforms-1938-field_81-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"81\"><div id=\"wpforms-1938-field_81\"><hr><\/div><\/div><div id=\"wpforms-1938-field_82-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"82\"><div id=\"wpforms-1938-field_82\"><H1>PENDIDIKAN SARJANA (S1)<\/H1><\/div><\/div><div id=\"wpforms-1938-field_83-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"83\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_83\">Asal Perguruan Tinggi<\/label><ul id=\"wpforms-1938-field_83\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_83_1\" name=\"wpforms[fields][83]\" value=\"PTN\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_83_1\">PTN<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_83_2\" name=\"wpforms[fields][83]\" value=\"PTS\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_83_2\">PTS<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_83_3\" name=\"wpforms[fields][83]\" value=\"Luar Negeri yang diakreditasi\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_83_3\">Luar Negeri yang diakreditasi<\/label><\/li><\/ul><\/div><div id=\"wpforms-1938-field_84-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"84\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_84\">Nama Perguruan Tinggi<\/label><input type=\"text\" id=\"wpforms-1938-field_84\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"1938\" data-field-id=\"84\" data-text-limit=\"40\" name=\"wpforms[fields][84]\" maxlength=\"40\" ><\/div><div id=\"wpforms-1938-field_85-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"85\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1938-field_85\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1938-field_86-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"86\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_86\">KOTA<\/label><input type=\"text\" id=\"wpforms-1938-field_86\" class=\"wpforms-field-medium\" name=\"wpforms[fields][86]\" ><\/div><div id=\"wpforms-1938-field_88-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"88\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_88\">Tahun Masuk<\/label><input type=\"text\" id=\"wpforms-1938-field_88\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"1938\" data-field-id=\"88\" data-text-limit=\"4\" name=\"wpforms[fields][88]\" maxlength=\"4\" ><\/div><div id=\"wpforms-1938-field_90-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"90\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_90\">Gelar Ilmu<\/label><input type=\"text\" id=\"wpforms-1938-field_90\" class=\"wpforms-field-medium\" name=\"wpforms[fields][90]\" ><\/div><div id=\"wpforms-1938-field_92-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"92\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_92\">IPK<\/label><input type=\"text\" id=\"wpforms-1938-field_92\" class=\"wpforms-field-medium\" name=\"wpforms[fields][92]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1938-field_87-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"87\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_87\">NEGARA<\/label><input type=\"text\" id=\"wpforms-1938-field_87\" class=\"wpforms-field-medium\" name=\"wpforms[fields][87]\" ><\/div><div id=\"wpforms-1938-field_89-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"89\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_89\">Selesai <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1938-field_89\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][89][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">WAJIB diisi untuk keperluan Forlap Dikti<\/div><\/div><div id=\"wpforms-1938-field_91-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"91\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_91\">Bidang Sarjana<\/label><input type=\"text\" id=\"wpforms-1938-field_91\" class=\"wpforms-field-medium\" name=\"wpforms[fields][91]\" ><\/div><div id=\"wpforms-1938-field_93-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"93\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_93\">SKS<\/label><input type=\"text\" id=\"wpforms-1938-field_93\" class=\"wpforms-field-medium\" name=\"wpforms[fields][93]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-1938-field_96-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"96\"><div id=\"wpforms-1938-field_96\"><hr><\/div><\/div><div id=\"wpforms-1938-field_95-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"95\"><div id=\"wpforms-1938-field_95\"><H1>PENDIDIKAN MAGISTER (S2)<\/H1><\/div><\/div><div id=\"wpforms-1938-field_97-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"97\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_97\">Asal Perguruan Tinggi<\/label><ul id=\"wpforms-1938-field_97\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_97_1\" name=\"wpforms[fields][97]\" value=\"PTN\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_97_1\">PTN<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_97_2\" name=\"wpforms[fields][97]\" value=\"PTS\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_97_2\">PTS<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_97_3\" name=\"wpforms[fields][97]\" value=\"Luar Negeri yang diakreditasi\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_97_3\">Luar Negeri yang diakreditasi<\/label><\/li><\/ul><\/div><div id=\"wpforms-1938-field_98-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"98\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_98\">Nama Perguruan Tinggi<\/label><input type=\"text\" id=\"wpforms-1938-field_98\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"1938\" data-field-id=\"98\" data-text-limit=\"40\" name=\"wpforms[fields][98]\" maxlength=\"40\" ><\/div><div id=\"wpforms-1938-field_107-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"107\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1938-field_107\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1938-field_99-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"99\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_99\">KOTA<\/label><input type=\"text\" id=\"wpforms-1938-field_99\" class=\"wpforms-field-medium\" name=\"wpforms[fields][99]\" ><\/div><div id=\"wpforms-1938-field_101-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"101\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_101\">Tahun Masuk<\/label><input type=\"text\" id=\"wpforms-1938-field_101\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"1938\" data-field-id=\"101\" data-text-limit=\"4\" name=\"wpforms[fields][101]\" maxlength=\"4\" ><\/div><div id=\"wpforms-1938-field_103-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"103\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_103\">Gelar Ilmu<\/label><input type=\"text\" id=\"wpforms-1938-field_103\" class=\"wpforms-field-medium\" name=\"wpforms[fields][103]\" ><\/div><div id=\"wpforms-1938-field_105-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"105\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_105\">IPK<\/label><input type=\"text\" id=\"wpforms-1938-field_105\" class=\"wpforms-field-medium\" name=\"wpforms[fields][105]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1938-field_100-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"100\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_100\">NEGARA<\/label><input type=\"text\" id=\"wpforms-1938-field_100\" class=\"wpforms-field-medium\" name=\"wpforms[fields][100]\" ><\/div><div id=\"wpforms-1938-field_102-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"102\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_102\">Selesai <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1938-field_102\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][102][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">WAJIB diisi untuk keperluan EPSBED<\/div><\/div><div id=\"wpforms-1938-field_104-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"104\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_104\">Bidang Sarjana<\/label><input type=\"text\" id=\"wpforms-1938-field_104\" class=\"wpforms-field-medium\" name=\"wpforms[fields][104]\" ><\/div><div id=\"wpforms-1938-field_106-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"106\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_106\">SKS<\/label><input type=\"text\" id=\"wpforms-1938-field_106\" class=\"wpforms-field-medium\" name=\"wpforms[fields][106]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-1938-field_109-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"109\"><div id=\"wpforms-1938-field_109\"><H1>PEKERJAAN<\/H><\/div><\/div><div id=\"wpforms-1938-field_110-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"110\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_110\">Pekerjaan<\/label><ul id=\"wpforms-1938-field_110\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_110_1\" name=\"wpforms[fields][110]\" value=\"Tidak Bekerja\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_110_1\">Tidak Bekerja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_110_2\" name=\"wpforms[fields][110]\" value=\"PN Departemen\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_110_2\">PN Departemen<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_110_3\" name=\"wpforms[fields][110]\" value=\"PN BUMN\/BUMD\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_110_3\">PN BUMN\/BUMD<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_110_4\" name=\"wpforms[fields][110]\" value=\"Peg. Swasta\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_110_4\">Peg. Swasta<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_110_5\" name=\"wpforms[fields][110]\" value=\"Lain-lain\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_110_5\">Lain-lain<\/label><\/li><\/ul><\/div><div id=\"wpforms-1938-field_111-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"111\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_111\">Jenis Pekerjaan<\/label><input type=\"text\" id=\"wpforms-1938-field_111\" class=\"wpforms-field-medium\" name=\"wpforms[fields][111]\" ><div class=\"wpforms-field-description\">diisi jika isian pekerjaan anda isi \u201cLain-lain\u201d<\/div><\/div><div id=\"wpforms-1938-field_113-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"113\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_113\">Nama Instansi<\/label><input type=\"text\" id=\"wpforms-1938-field_113\" class=\"wpforms-field-medium\" name=\"wpforms[fields][113]\" ><\/div><div id=\"wpforms-1938-field_112-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"112\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_112\">Alamat Instansi<\/label><input type=\"text\" id=\"wpforms-1938-field_112\" class=\"wpforms-field-medium\" name=\"wpforms[fields][112]\" ><\/div><div id=\"wpforms-1938-field_116-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"116\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1938-field_116\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1938-field_114-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"114\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_114\">Kode Pos <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1938-field_114\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99999\" name=\"wpforms[fields][114]\" required><\/div><div id=\"wpforms-1938-field_118-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"118\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_118\">Fax<\/label><input type=\"text\" id=\"wpforms-1938-field_118\" class=\"wpforms-field-medium\" name=\"wpforms[fields][118]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1938-field_117-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"117\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_117\">Telepon<\/label><input type=\"tel\" id=\"wpforms-1938-field_117\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][117]\" ><\/div><div id=\"wpforms-1938-field_119-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"119\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_119\">Jabatan<\/label><input type=\"text\" id=\"wpforms-1938-field_119\" class=\"wpforms-field-medium\" name=\"wpforms[fields][119]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-1938-field_121-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"121\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_121\">Bidang Usaha<\/label><ul id=\"wpforms-1938-field_121\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_121_1\" name=\"wpforms[fields][121]\" value=\"Jasa\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_121_1\">Jasa<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_121_2\" name=\"wpforms[fields][121]\" value=\"Perbankan\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_121_2\">Perbankan<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_121_3\" name=\"wpforms[fields][121]\" value=\"Asuransi\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_121_3\">Asuransi<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_121_4\" name=\"wpforms[fields][121]\" value=\"Manufaktur\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_121_4\">Manufaktur<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_121_5\" name=\"wpforms[fields][121]\" value=\"Pendidikan\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_121_5\">Pendidikan<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_121_6\" name=\"wpforms[fields][121]\" value=\"Perdagangan\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_121_6\">Perdagangan<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1938-field_121_7\" name=\"wpforms[fields][121]\" value=\"Lain-lain\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1938-field_121_7\">Lain-lain<\/label><\/li><\/ul><\/div><div id=\"wpforms-1938-field_122-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"122\"><label class=\"wpforms-field-label\" for=\"wpforms-1938-field_122\">Bidang Usaha<\/label><input type=\"text\" id=\"wpforms-1938-field_122\" class=\"wpforms-field-medium\" name=\"wpforms[fields][122]\" ><div class=\"wpforms-field-description\">Jika Pilihan Bidang Usaha \"Lain-lain\"<\/div><\/div><\/div><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha\"><div class=\"g-recaptcha\" data-sitekey=\"6LfhHdYiAAAAAA4JuJcrDXi89jF5vZXWyB0XuGrH\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" style=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\" required><\/div><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"1938\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1938\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/pasca.gunadarma.ac.id\/doktor\/ti\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n<p><strong>Lampiran :<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/pasca.gunadarma.ac.id\/doktor\/ti\/wp-content\/uploads\/FileS3TI\/Surat%20Rekomendasi%20Program%20Doktor.pdf\" target=\"_blank\" rel=\"noopener\">Surat Rekomendasi<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Lampiran : Surat Rekomendasi Lampiran : Surat Rekomendasi<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1920","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pasca.gunadarma.ac.id\/doktor\/ti\/index.php?rest_route=\/wp\/v2\/pages\/1920","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pasca.gunadarma.ac.id\/doktor\/ti\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pasca.gunadarma.ac.id\/doktor\/ti\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pasca.gunadarma.ac.id\/doktor\/ti\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pasca.gunadarma.ac.id\/doktor\/ti\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1920"}],"version-history":[{"count":25,"href":"https:\/\/pasca.gunadarma.ac.id\/doktor\/ti\/index.php?rest_route=\/wp\/v2\/pages\/1920\/revisions"}],"predecessor-version":[{"id":2260,"href":"https:\/\/pasca.gunadarma.ac.id\/doktor\/ti\/index.php?rest_route=\/wp\/v2\/pages\/1920\/revisions\/2260"}],"wp:attachment":[{"href":"https:\/\/pasca.gunadarma.ac.id\/doktor\/ti\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1920"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}