### International Training
(Digital App Developement)
Select Training:

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## Training Description

MEMBER / PARTICIPANT FORM
Lombok IT Academy
(International Offline/Online Training)

Selected Training:
-

Training Cost:
-

Nama Lengkap: Tuliskan nama lengkap Anda sebagai nama di Sertifikat Pelatihan Internasional nantinya.
Profesi:
Profession is automatically filled according to the selected training type.
Institution / Organization / Personal: Write the full name of your current workplace / educational institution.
If your profession is "Others", just write "Personal".
Institution / Organization / Personal Address: Complete address of your workplace / educational institution.
Phone Number (WhatsApp): Your active WhatsApp number for confirmation.
Email Address: Use your active email for digital communication (Certificate delivery, etc).

Note: "Button below will be active (green) after the form above is completed"

Trainer Name:

Abdul Kadir Bagis, M.Pd

"CEO Developer Lombok IT"

Trainer Name:

Abdul Kadir Bagis, M.Pd

"CEO Developer Lombok IT"

Trainer Name:

Abdul Kadir Bagis, M.Pd

"CEO Developer Lombok IT"

Trainer Name:

Abdul Kadir Bagis, M.Pd

"CEO Developer Lombok IT"