Selected Training:
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#### MEMBER / PARTICIPANT FORM
Lombok IT Academy
(International Online Training)

Full Name: Write your full name as it will appear on your International Training Certificate.
Profession:
Select your current main occupation.
Institution / Organization / Personal: Write the full name of your current workplace / educational institution.
If you selected "Other" as your profession, simply 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 become active (green) after completing the form above"