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


Write your full name as it will appear on your International Training Certificate.
Select your current main occupation.
Write the full name of your current workplace / educational institution.
If you selected "Other" as your profession, simply write "Personal".
Complete address of your workplace / educational institution.
Your active WhatsApp number for confirmation.
Use your active email for digital communication (Certificate delivery, etc.).

Note: "Button below will become active (green) after completing the form above"