Pengajuan NITK Tahun 2023Please enable JavaScript in your browser to complete this form. - Step 1 of 4Nama Lengkap Tanpa Gelas *Jenis Kelamin *PilihLaki- lakiPerempuanTempat Lahir *Tanggal Lahir *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Nama Ibu Kandung *Status KawinPilihBelum MenikahMenikahCeraiNo. Tlpn RumahNo. Tlpn / Whatsapp *Email Aktif *AgamaPilihIslamKristenBhudaHinduKonghucuNextNo. Induk Kependudukan (NIK Sesuai KTP) *Alamat *RT *RW *Kelurahan *Kabupaten / Kota *Kewarganegaraan *Kebutuhan KhususBraillaBahasa InsyaratNextNo. Induk Pegawai / YPPK Pegawai *Sumber Gaji *Lembaga Angkat *Perguruan Tinggi *STIE Pembangunan TanjungpinangJenis Unit Kerja *Unit Kerja *No. SK Kepegawaian *Tanggal SK *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920TMT SK *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Status Pegawai *Status Aktif *PreviousNextUpload File Kartu Tanda Penduduk (KTP) * Click or drag a file to this area to upload. Upload Pas Photo * Click or drag a file to this area to upload. Upload Ijazah Terakhir * Click or drag a file to this area to upload. PreviousSubmit
