Administrative Translation

Administrative Translation

Administrative translation involves the translation of documents, forms, and other administrative materials, ensuring accurate and clear communication between different languages for administrative purposes.

Original Text

Penulis: Politeknik Tonggak Equator

Tahun: 2002

Source: Politeknik Tonggak Equator

Penerjemah: Ryansen Luciano

Tahun: 2023

Disclaimer: Penerjemahan dibuat untuk tugas kuliah, bukan untuk dikomersilkan, dll.

POLITEKNIK TONGGAK EQUATOR (POLTEQ) T.A…….. / ……..

Jl. Fatimah No. 1-2, Telp. (0561) 767884 _______/______/____

Pontianak

FORMULIR PENDAFTARAN

A. Data Pribadi Mahasiswa

1. Nama Lengkap : ...............................................................................

2. Tempat / Tanggal Lahir : ...............................................................................

3. Alamat Tinggal Pontianak : ...............................................................................

4. Alamat Tinggal Daerah Asal : ...............................................................................

5. HP / WA : .............................................................................

6. Telp. Rumah : ....................................

7. Agama : ....................................

8. Jenis Kelamin : Laki-laki Perempuan

9. Anak ke : ............. dari ............... bersaudara

B. Riwayat Pendidikan SMA / SMK / Sederajat

Asal Sekolah : ............................................................................................

Kota / Kabupaten : .........................................

Jurusan : .........................................

Tahun Kelulusan : ...................

C. Prestasi Akademik dan Olah Raga

........................................................................................................................................................

........................................................................................................................................................

........................................................................................................................................................

........................................................................................................................................................

D. Program Studi yang Dipilih

English for Business & Professional Communication

Pagi Sore

Budidaya Tanaman Pangan

Teknologi Pangan & Gizi

E. Data Orang Tua / Wali

Nama Lengkap Ayah : ............................................................................................

Ibu : ............................................................................................

Wali : ............................................................................................

Tempat / Tgl Lahir Ayah : ............................................................................................

Ibu : ............................................................................................

Wali : ............................................................................................

Alamat Orang Tua : ............................................................................................

Wali : ............................................................................................

Pekerjaan Ayah / Ibu : .......................................... /...............................................

Wali : ............................................................................................

Penghasilan Ayah / Ibu : .......................................... /...............................................

Wali : ............................................................................................

HP / Telp. Orang Tua : .......................................... /...............................................

Wali : .............................................................................................

Agama Ayah / Ibu : .......................................... /...............................................

NB:

- Biaya Formulir, Biaya Pendaftaran dan Biaya Kuliah per semester tidak dapat dikembalikan jika yang bersangkutan mengundurkan diri.

- Biaya pendaftaran dan biaya kuliah per semester yang sudah dibayar dapat dikembalikan jika tidak lulus Ujian Nasional dengan menunjukkan bukti Surat Informasi Kelulusan.

………………….,……………………

(kota) (tanggal)

__________________________

(Nama Lengkap Calon Mahasiswa)

Keterangan

......................................................................................................................................

......................................................................................................................................

PQ/EX/SV:_____________

Gelombang	Tanggal	Test Masuk
Gelombang Expo	September - Oktober 2022	5 November 2022
	Januari-Februari 2023	9 Februari 2023
		4 Maret 2023
Gelombang I	Maret - Mei 2023	14 April 2023
		3 Juni 2023
Gelombang II	Juni - September 2023	4 Juli 2023
		4 Agustus 2023
		2 September 2023

Biaya formulir: Rp 200.000,-

Syarat-syarat:

- Fotokopi, legalisir:

Ijazah SMA/SMK/sederajat (1 lembar)*

* diserahkan setelah menerima ijazah

- Fotokopi Kartu Keluarga (KK) (2 lembar)

- Pas foto berwarna ukuran 3x4 cm (8 lembar)

(Foto studio dengan latar merah)

- Fotokopi KTP (jika ada - 2 lembar)

- Fotokopi Akta Kelahiran (2 lembar)

Beasiswa Prestasi Akademik

Peringkat Kelas XI	Keringanan Dana Pengembangan
I	100 %
II & III	75 %
IV & V	50 %

Syarat Pengajuan Beasiswa (Terbatas)

- Juara 5 besar saat kelas XI semester 1 dan 2

- Surat keterangan juara kelas dari pihak sekolah

- Fotokopi raport kelas XI sebanyak 1 rangkap (2 semester & dilegalisir)

- Beasiswa hanya diberikan kepada calon mahasiswa yang lulus SMA / SMK / Sederajat pada tahun 2023

- Mendaftar pada Gelombang Expo / Gelombang I

Result of The Translation

REGISTRATION FORM

A. Student Personal Data

1. Full Name : ...............................................................................

2. Place/Date of Birth : ...............................................................................

3. Pontianak Residence Address : ...............................................................................

4. Hometown Address : ...............................................................................

5. Phone / WhatsApp : .............................................................................

6. House Phone Number : ....................................

7. Religiom : ....................................

8. Gender : Man Women

9. Birth order : ............. from............... siblings

B. Educational Background SMA / SMK / Equivalent

School of Origin : ............................................................................................

City / Regency : ............................................................................................

Major : ............................................................................................

Year of Graduation : ............................................................................................

C. Academic and Sports Achievements

........................................................................................................................................................

........................................................................................................................................................

........................................................................................................................................................

........................................................................................................................................................

D. Program Studi yang Dipilih

English for Business & Professional Communication

Morning Afternoon

Cultivation of Food Crops

Food Technology & Nutrition

E. Parent / Guardian Data

1. Full Name of Father : ..........................................................................................

Mother :..........................................................................

Guardian : .........................................................................

2. Place/Date of BirthFather : .....................................................................................

Mother : ....................................................................................

Guardian : .....................................................................................

3. Address of Parents : .....................................................................................

Guardian :........................................................................................................

4. Occupationof Father / Mother:.......................................... /...............................................

Guardian : ............................................................................................

5. Income of Father / Mother : .......................................... /...............................................

Guardian : ............................................................................................

6. Phone / Telephone Number of Parents........................... : /...............................................

Guardian : .............................................................................................

7. Religion of Father / Mother : .......................................... /...............................................

NB:

a. The Application Form Fee, Registration Fee, and Tuition Fees per semester can’t be returned if the individual step down.

b. The Registration Fee and Tuition Fee paid per semester can be returned if the individual fails the National Exam by providing proof of the Letter of Graduation Information.

………………….,……………………

(City) (Date)

__________________________

(Full Name of Prospective Student)

Description

......................................................................................................................................

......................................................................................................................................

___ PQ/EX/SV:_____________

Wave	Date	Entrance Test
Expo Wave	September –October 2022	5^th November 2022
	January-February 2023	9^thFebruary 2023
		4^thMarch 2023
Wave I	March - May 2023	14 April 2023
		3^rdJune 2023
Wave II	June - September 2023	4^th Juli 2023
		4^thAugust 2023
		2^ndSeptember 2023

Application Fee: Rp 200.000,-

Requirements:

- Photocopy, legalized:

Certificate SMA/SMK/Equivalent (1 Sheet)*

*submitted after received the certificate

- Photocopy of Family Card (2 Sheets)

- Passport color photo, size 3x4 cm (8 Sheets)

(Studio photo with red background)

- Photocopy of ID Card (if available - 2 Sheets)

- Photocopy of Birth Certificate (2 Sheets)

Academic Achievement Scholarship

Grade Ranking in 11^th grade	Financial Development Assistance
1^st	100 %
2^nd&3^rd	75 %
4^th&5^th	50 %

Requirements for Scholarship Application (Limited)

- Ranked within the top 5 in the 1^st and 2^nd semesters of 11^th grade.

- Certificate of class champion from the school authorities.

- One copy of photocopy of report card for 11^th grade (2 semesters) and legalized.

- The scholarship only granted to prospective students who graduate from high school or vocational school in 2023.

- Registering on Expo Wave / Wave I

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