Kode Pendaftaran
Tgl. Pendaftaran
Program Studi Pilihan
Program Studi *
-Pilih Program Studi-
S1 - Pendidikan Agama Kristen S1 - Teologi S2 - Pendidikan Agama Kristen S2 - Teologi S3 - Teologi
Kelas *
-Pilih Kelas-
Reguler Non Reguler
Periode Pendaftaran *
-Pilih Semester-
2024/2025 Ganjil 2023/2024 Ganjil 2022/2023 Genap 2022/2023 Ganjil 2021/2022 Ganjil 2020/2021 Genap 2020/2021 Ganjil 2019/2020 Genap 2019/2020 Ganjil 2018/2019 Genap 2018/2019 Ganjil
Masuk sebagai Mahasiswa *
-Pilih Status-
1 - Peserta Didik Baru 2 - Pindahan 11 - Alih Jenjang 12 - Lintas Jalur 13 - Rekognisi Pembelajaran Lampau (RPL)
Identitas Pribadi
Nama Lengkap *
Jenis Kelamin *
Tempat Lahir *
Tanggal Lahir *
Tanggal 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Bulan Januari Februari Maret April Mei Juni Juli Agustus September Oktober November Desember Tahun 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Agama *
-Pilih Agama-
1 - Islam 2 - Kristen 3 - Katholik 4 - Hindu 5 - Budha 6 - Konghucu 7 - Lainnya
Nama Ayah Kandung
Nama Ibu Kandung *
Identitas Kependudukan
NIK (No. KTP) *
Negara *
-Pilih Negara Asal-
Andorra United Arab Emirates Afghanistan Antigua And Barbuda Anguilla Albania Armenia Netherlands Antilles Angola Antarctica Argentina American Samoa Austria Australia Aruba Aland Islands Azerbaijan Bosnia And Herzegovina Barbados Bangladesh Belgium Burkina Faso Bulgaria Bahrain Burundi Benin Bermuda Brunei Darussalam Bolivia Brazil Bahamas Bhutan Bouvet Island Botswana Belarus Belize Canada Cocos (Keeling) Islands Congo, The Democratic Republic Of The Central African Republic Congo Switzerland Cote D'Ivoire Cook Islands Chile Cameroon China Colombia Costa Rica Serbia And Montenegro Cuba Cape Verde Christmas Island Cyprus Czech Republic Germany Djibouti Denmark Dominica Dominican Republic Algeria Ecuador Estonia Egypt Western Sahara Eritrea Spain Ethiopia Finland Fiji Falkland Islands (Malvinas) Micronesia, Federated States Of Faroe Islands France Gabon United Kingdom Grenada Georgia French Guiana Guernsey Ghana Gibraltar Greenland Gambia Guinea Guadeloupe Equatorial Guinea Greece South Georgia And The South Sandwich Islands Guatemala Guam Guinea-Bissau Guyana Hong Kong Heard Island And Mcdonald Islands Honduras Croatia Haiti Hungary Indonesia Ireland Israel Isle Of Man India British Indian Ocean Territory Iraq Iran, Islamic Republic Of Iceland Italy Jersey Jamaica Jordan Japan Kenya Kyrgyzstan Cambodia Kiribati Comoros Saint Kitts And Nevis Korea, Democratic People'S Republic Of Korea, Republic Of Kuwait Cayman Islands Kazakhstan Lao People'S Democratic Republic Lebanon Saint Lucia Liechtenstein Sri Lanka Liberia Lesotho Lithuania Luxembourg Latvia Libyan Arab Jamahiriya Morocco Monaco Moldova, Republic Of Madagascar Marshall Islands Macedonia, The Former Yugoslav Republic Of Mali Myanmar Mongolia Macao Northern Mariana Islands Martinique Mauritania Montserrat Malta Mauritius Maldives Malawi Mexico Malaysia Mozambique Namibia New Caledonia Niger Norfolk Island Nigeria Nicaragua Netherlands Norway Nepal Nauru Niue New Zealand Oman Panama Peru French Polynesia Papua New Guinea Philippines Pakistan Poland Saint Pierre And Miquelon Pitcairn Puerto Rico Palestinian Territory, Occupied Portugal Palau Paraguay Qatar Reunion Romania Russian Federation Rwanda Saudi Arabia Solomon Islands Seychelles Sudan Sweden Singapore Saint Helena Slovenia Svalbard And Jan Mayen Slovakia Sierra Leone San Marino Senegal Somalia Suriname Sao Tome And Principe El Salvador Syrian Arab Republic Swaziland Turks And Caicos Islands Chad French Southern Territories Togo Thailand Tajikistan Tokelau Timor-Leste Turkmenistan Tunisia Tonga Turkey Trinidad And Tobago Tuvalu Taiwan, Province Of China Tanzania, United Republic Of Ukraine Uganda United States Minor Outlying Islands United States Uruguay Uzbekistan Holy See (Vatican City State) Saint Vincent And The Grenadines Venezuela Virgin Islands, British Virgin Islands, U.S. Viet Nam Vanuatu Wallis And Futuna Samoa Yemen Mayotte South Africa Zambia Zimbabwe
Propinsi *
-Pilih Propinsi-
Prop. Aceh Prop. Bali Prop. Bangka Belitung Prop. Banten Prop. Bengkulu Prop. D.I. Yogyakarta Prop. D.K.I. Jakarta Prop. Gorontalo Prop. Jambi Prop. Jawa Barat Prop. Jawa Tengah Prop. Jawa Timur Prop. Kalimantan Barat Prop. Kalimantan Selatan Prop. Kalimantan Tengah Prop. Kalimantan Timur Prop. Kepulauan Riau Prop. Lampung Prop. Maluku Prop. Maluku Utara Prop. Nusa Tenggara Barat Prop. Nusa Tenggara Timur Prop. Papua Prop. Papua Barat Prop. Riau Prop. Sulawesi Barat Prop. Sulawesi Selatan Prop. Sulawesi Tengah Prop. Sulawesi Tenggara Prop. Sulawesi Utara Prop. Sumatera Barat Prop. Sumatera Selatan Prop. Sumatera Utara
Kabupaten/Kota *
-Pilih Kabupaten/Kota-
Kecamatan *
-Pilih Kecamatan-
Kodepos
Kelurahan *
RT
RW
Dusun, Jalan
Kontak
No. Telepon
No. Handphone
E-mail
Identitas Sekolah atau Perguruan Tinggi Sebelumnya
Nama Sekolah/Perguruan Tinggi *
Nama Program Studi/Jurusan
Perwalian dan Pembiayaan
Nama Wali/Sponsor
Sumber Pembiayaan *
-Pilih Sumber Pembiayaan-
Biaya pribadi Sponsor perorangan Sponsor institusi swasta/pemerintah Orang tua Lainnya
Riwayat Kerohanian, Pelayanan dan Panggilan
Asal Gereja *
Baptisan Air *
Pelayanan yang dilakukan
Kesaksian Panggilan
Mengapa STT Baptis Medan
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