Program Registration

Register for CDNP Batch 10 Pontianak

Complete your participant information, select the right pricing category, and continue to payment in one streamlined registration flow.

Step 01

Participant Information

Please enter your personal contact details as accurately as possible.

Full name with title *

Email *

WhatsApp number *

Province

City / Regency

Institution / Workplace

Step 02

Professional Information

This information helps the admin verify eligibility for specific pricing categories.

Profession

Latest education

NIK / Identity number

STR number

Step 03

Dresscode Information

Please select your shirt and handscoon size for event preparation.

Shirt size

Handscoon size

Step 04

Payment Method

Choose your payment method. Installment is only available if the event is more than 30 days away.

Full Payment Pay the full program fee in one payment. Installment / Cicilan Pay 50% DP first, then complete the remaining balance no later than 30 days before the event. Pelunasan maksimal 20 Jul 2026

Step 05

Pricing Category

Choose the pricing category that matches your professional background or registration eligibility.

Publish Rate

Harga normal CDNP Batch 10 Pontianak.

Shown at payment step

Dokter

Harga khusus dokter.

Profession: Dokter

Shown at payment step

Fisioterapis

Harga khusus fisioterapis.

Profession: Fisioterapis

Shown at payment step

IFI Pontianak

Harga khusus member IFI Pontianak.

Shown at payment step

Alumni number

Only required if you choose an alumni pricing category.

Group name

Only required if you choose a group pricing category.

Step 06

Confirmation

Please confirm that your data is accurate before continuing.

I confirm that all information provided in this registration form is accurate. I have read and agree to the program terms, including payment and cancellation policies.