Please complete the form on this page, providing all the information required, if you would like to put your data to be appeared on the Website.
You will be given a notice from us when your data have put on the Website.
Thank you for your interest in applying on-line. This application form is for alumni & alumnae of Malang Polytechnic only.
Alumni Form
First name
:
(required)
Last name
:
(required)
E-mail
:
(required)
What was your major
?
Year of Graduation
:
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1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
Url
: