University of Krisnadwipayana Jakarta
UNKRIS Jakarta
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Tel/Fax : (021) 8762004, 8762002
Mobile/SMS : 0817 0816 486,
0811 1990 9028, 0811 1990 9026
: 0811 1990 9028
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Afternoon Evening Lecture Program UNKRIS Jakarta Nomor 5Afternoon Evening Lecture Program UNKRIS Jakarta Nomor 4Afternoon Evening Lecture Program UNKRIS Jakarta Nomor 8Afternoon Evening Lecture Program UNKRIS Jakarta Nomor 2Afternoon Evening Lecture Program UNKRIS Jakarta Nomor 1
Catalog/Brochure Request Form
FREE via Mail (Post)
If you need a catalog / brochure for your partner (with the same address),
it can be done by writing a few names,
for example : Arif Raharjo, Budi Ahmadi, Cecep Setiawan, and so on.  
We will send you a catalog / brochure in accordance with the number of names written.
If you want the catalog / brochure is also sent to several friends / family
with a different address, then please also fill in Name & Address other (names, addresses, and so on).
Recipient's name
required
Address (Address, Houses No., RT/RW, etc.)
required
City/Province
required
Zip Code
required
Email
can be emptied
Each time you fill the "name" below, then the address, city, and its POS codes are required.
Name 2
can be emptied
Address 2
can be emptied
City/Province 2
can be emptied
Zip Code 2
can be emptied
Name 3
can be emptied
Address 3
can be emptied
City/Province 3
can be emptied
Zip Code 3
can be emptied
Name 4
can be emptied
Address 4
can be emptied
______________
City/Province 4
can be emptied
Zip Code 4
can be emptied
  

Request catalog / brochure can also be done by
send your name and address via SMS to mobile :
0817 0816 486

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◮ Campus UNKRIS : Jl. Raya Jatiwaringin, Pondok Gede, Jakarta Timur 13077
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