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REGISTRATION FORM
FOUNDER SQUAD PROGRAM

PERSONAL INFORMATION
Gender
EDUCATION BACKGROUND

Grade :

APPLICATION INFORMATION
Batch :
Registered Program :
EMERGENCY CONTACT

Bank Transfer  : 

Bank Central Asia

Acc: 010 88988 04

A.N Yayasan Pendidikan Berkat Sukses Sejahtera

You will get e-mail confirmation in 48 hrs after you have successfully uploaded your payment proof.

Please make sure that your submitted e-mail address is valid. 

Attached your transfer receipt to 082 11 5000 938  (Whatsapp) / info@hallmarindonesia.com

SUPPORTING DOCUMENT
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Thank you for joining Founder Squad !

Be ready to be The Real Entrepreneur

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