{"id":8179,"date":"2023-05-12T11:02:24","date_gmt":"2023-05-12T04:02:24","guid":{"rendered":"https:\/\/stpmd.apmd.ac.id\/?page_id=8179"},"modified":"2023-05-12T11:02:25","modified_gmt":"2023-05-12T04:02:25","slug":"formulir-pendaftaran-calon-mahasiswa-jalur-rpl","status":"publish","type":"page","link":"https:\/\/stpmd.apmd.ac.id\/st\/formulir-pendaftaran-calon-mahasiswa-jalur-rpl\/","title":{"rendered":"Formulir Pendaftaran Calon Mahasiswa Jalur RPL"},"content":{"rendered":"\n<div class=\"wp-block-siteorigin-panels-layout-block\"><div id=\"pl-8179\"  class=\"panel-layout\" ><div id=\"pg-8179-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-8179-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-8179-0-0-0\" class=\"widget_text so-panel widget widget_custom_html panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"textwidget custom-html-widget\"><div id=\"vfb-form-11\" class=\"visual-form-builder-container\"><form id=\"registrasi-seleksi-mahasiswa-baru-rpl-11\" class=\"visual-form-builder vfb-form-11 \" method=\"post\" enctype=\"multipart\/form-data\">\n\t  \t<input type=\"hidden\" name=\"form_id\" value=\"11\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 calon-mahasiswa-jalur-rpl \" id=\"item-vfb-189\"><div class=\"vfb-legend\"><h3>CALON MAHASISWA JALUR RPL<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 eid \" id=\"item-vfb-184\"><div class=\"vfb-legend\"><h3>eID<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-email  \" id=\"item-vfb-171\"><label for=\"vfb-171\" class=\"vfb-desc\">EMAIL  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"email\" name=\"vfb-171\" id=\"vfb-171\" value=\"\" class=\"vfb-text  vfb-medium  required  email \" \/><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-3 identitas-diri \" id=\"item-vfb-162\"><div class=\"vfb-legend\"><h3>IDENTITAS DIRI<\/h3><\/div><ul class=\"vfb-section vfb-section-3\"><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-166\"><label for=\"vfb-166\" class=\"vfb-desc\">NAMA  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-166\" id=\"vfb-166\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><label>Nama lengkap sesuai ijasah terakhir<\/label><\/span><\/li><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-167\"><label for=\"vfb-167\" class=\"vfb-desc\">TEMPAT LAHIR  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-167\" id=\"vfb-167\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><label>Kabupaten\/Kotamadya sesuai ijasah terakhir<\/label><\/span><\/li><li class=\"vfb-item vfb-item-date   vfb-left-half\" id=\"item-vfb-168\"><label for=\"vfb-168\" class=\"vfb-desc\">TANGGAL LAHIR  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-168\" id=\"vfb-168\" value=\"\" class=\"vfb-text vfb-date-picker  vfb-medium  required \" data-dp-dateFormat=\"dd\/mm\/yy\" \/><label>Tanggal sesuai ijasah terakhir, format penulisan tanggal\/bulan\/tahun (misal : 17\/09\/1965)<\/label><\/span><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-169\"><label class=\"vfb-desc\">JENIS KELAMIN  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-169\" id=\"vfb-169-1\" value=\"Laki-laki\" class=\"vfb-radio  required \" \/><label for=\"vfb-169-1\" class=\"vfb-choice\">Laki-laki<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-169\" id=\"vfb-169-2\" value=\"Perempuan\" class=\"vfb-radio  required \" \/><label for=\"vfb-169-2\" class=\"vfb-choice\">Perempuan<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-170\"><label class=\"vfb-desc\">WARGANEGARA  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-170\" id=\"vfb-170-1\" value=\"Indonesia\" class=\"vfb-radio  required \" \/><label for=\"vfb-170-1\" class=\"vfb-choice\">Indonesia<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-170\" id=\"vfb-170-2\" value=\"Asing\" class=\"vfb-radio  required \" \/><label for=\"vfb-170-2\" class=\"vfb-choice\">Asing<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-phone  \" id=\"item-vfb-172\"><label for=\"vfb-172\" class=\"vfb-desc\">NOMOR HANDPHONE  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"tel\" name=\"vfb-172\" id=\"vfb-172\" value=\"\" class=\"vfb-text  vfb-medium  required  phone \" \/><label>Nomor aktif yang dapat dihubungi.<\/label><\/span><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-4 identitas-asal-sekolah-perguruan-tinggi \" id=\"item-vfb-173\"><div class=\"vfb-legend\"><h3>IDENTITAS ASAL SEKOLAH \/ PERGURUAN TINGGI<\/h3><\/div><ul class=\"vfb-section vfb-section-4\"><li class=\"vfb-item vfb-item-select  \" id=\"item-vfb-174\"><label for=\"vfb-174\" class=\"vfb-desc\">STATUS PENDIDIKAN TERAKHIR  <span class=\"vfb-required-asterisk\">*<\/span><\/label><select name=\"vfb-174\" id=\"vfb-174\" class=\"vfb-select  vfb-medium  required \"><option value=\"Lulusan SMTA Umum\/Kejuruan\">Lulusan SMTA Umum\/Kejuruan<\/option><option value=\"Pindahan Perguruan Tinggi\">Pindahan Perguruan Tinggi<\/option><option value=\"Lulusan Perguruan Tinggi\">Lulusan Perguruan Tinggi<\/option><\/select><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-175\"><label for=\"vfb-175\" class=\"vfb-desc\">NAMA SEKOLAH \/ PERGURUAN TINGGI ASAL  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-175\" id=\"vfb-175\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-176\"><label for=\"vfb-176\" class=\"vfb-desc\">JURUSAN \/ PROGRAM STUDI  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-176\" id=\"vfb-176\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-number  \" id=\"item-vfb-177\"><label for=\"vfb-177\" class=\"vfb-desc\">TAHUN LULUS  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-177\" id=\"vfb-177\" value=\"\" class=\"vfb-text  vfb-medium  required  digits \" \/><label>Isi jika telah lulus dari SMTA atau Perguruan Tinggi<\/label><\/span><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-187\"><label for=\"vfb-187\" class=\"vfb-desc\">FOTO DIRI  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"file\" name=\"vfb-187\" id=\"vfb-187\" value=\"\" class=\"vfb-text  vfb-medium  required    {accept:'png|jpe?g|gif'}\" \/><label>Upload foto diri disini, format png jpg jpeg<\/label><\/span><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-183\"><label for=\"vfb-183\" class=\"vfb-desc\">FILE UPLOAD Ijasah Terakhir  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"file\" name=\"vfb-183\" id=\"vfb-183\" value=\"\" class=\"vfb-text  vfb-medium  required    {accept:'png|jpe?g|pdf'}\" \/><label>Sertakan file softcopy ijasah terakhir (SMU\/PT) dalam format .png .jpg .pdf<\/label><\/span><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-185\"><label for=\"vfb-185\" class=\"vfb-desc\">FILE UPLOAD Daftar Riwayat Hidup  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"file\" name=\"vfb-185\" id=\"vfb-185\" value=\"\" class=\"vfb-text  vfb-medium  required    {accept:'doc?|pdf'}\" \/><label>Sertakan file softcopy  format doc. docx.  .pdf<\/label><\/span><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-186\"><label for=\"vfb-186\" class=\"vfb-desc\">FILE UPLOAD Copy Bukti Pembayaran Pendaftaran  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"file\" name=\"vfb-186\" id=\"vfb-186\" value=\"\" class=\"vfb-text  vfb-medium  required    {accept:'png|jpe?g|pdf'}\" \/><label>Sertakan file softcopy bukti pembayaran Rp. 150.000,- ,dalam format .png .jpg .pdf<\/label><\/span><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-5 pilihan-jurusan-program-studi \" id=\"item-vfb-178\"><div class=\"vfb-legend\"><h3>PILIHAN JURUSAN \/ PROGRAM STUDI<\/h3><\/div><ul class=\"vfb-section vfb-section-5\"><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-179\"><label class=\"vfb-desc\">PILIHAN STUDI <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-179\" id=\"vfb-179-1\" value=\"Diploma 3 - Pembangunan Masyarakat Desa\" class=\"vfb-radio  \" \/><label for=\"vfb-179-1\" class=\"vfb-choice\">Diploma 3 &#8211; Pembangunan Masyarakat Desa<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-179\" id=\"vfb-179-2\" value=\"Sarjana - Pembangunan Sosial (ilmu Sosiatri)\" class=\"vfb-radio  \" \/><label for=\"vfb-179-2\" class=\"vfb-choice\">Sarjana &#8211; Pembangunan Sosial (ilmu Sosiatri)<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-179\" id=\"vfb-179-3\" value=\"Sarjana - Ilmu Pemerintahan\" class=\"vfb-radio  \" \/><label for=\"vfb-179-3\" class=\"vfb-choice\">Sarjana &#8211; Ilmu Pemerintahan<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-179\" id=\"vfb-179-4\" value=\"Sarjana - Ilmu Komunikasi\" class=\"vfb-radio  \" \/><label for=\"vfb-179-4\" class=\"vfb-choice\">Sarjana &#8211; Ilmu Komunikasi<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-179\" id=\"vfb-179-5\" value=\"Magister - Ilmu Pemerintahan\" class=\"vfb-radio  \" \/><label for=\"vfb-179-5\" class=\"vfb-choice\">Magister &#8211; Ilmu Pemerintahan<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-181\"><label class=\"vfb-desc\">STATUS STUDI  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-181\" id=\"vfb-181-1\" value=\"Pribadi\" class=\"vfb-radio  required \" \/><label for=\"vfb-181-1\" class=\"vfb-choice\">Pribadi<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-181\" id=\"vfb-181-2\" value=\"Ijin Belajar\" class=\"vfb-radio  required \" \/><label for=\"vfb-181-2\" class=\"vfb-choice\">Ijin Belajar<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-181\" id=\"vfb-181-3\" value=\"Tugas Belajar\" class=\"vfb-radio  required \" \/><label for=\"vfb-181-3\" class=\"vfb-choice\">Tugas Belajar<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-182\"><label class=\"vfb-desc\">BIAYA STUDI  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-182\" id=\"vfb-182-1\" value=\"Mandiri\" class=\"vfb-radio  required \" \/><label for=\"vfb-182-1\" class=\"vfb-choice\">Mandiri<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-182\" id=\"vfb-182-2\" value=\"Orangtua\/Wali\" class=\"vfb-radio  required \" \/><label for=\"vfb-182-2\" class=\"vfb-choice\">Orangtua\/Wali<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-182\" id=\"vfb-182-3\" value=\"Instasi Pemerintah\" class=\"vfb-radio  required \" \/><label for=\"vfb-182-3\" class=\"vfb-choice\">Instasi Pemerintah<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-182\" id=\"vfb-182-4\" value=\"Instasi Swasta\" class=\"vfb-radio  required \" \/><label for=\"vfb-182-4\" class=\"vfb-choice\">Instasi Swasta<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-182\" id=\"vfb-182-5\" value=\"Beasiswa\" class=\"vfb-radio  required \" \/><label for=\"vfb-182-5\" class=\"vfb-choice\">Beasiswa<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-182\" id=\"vfb-182-6\" value=\"Lain-lain\" class=\"vfb-radio  required \" \/><label for=\"vfb-182-6\" class=\"vfb-choice\">Lain-lain<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-6 verifikasi \" id=\"item-vfb-163\" style=\"display:block\"><div class=\"vfb-legend\"><h3>Verifikasi<\/h3><\/div><ul class=\"vfb-section vfb-section-6\"><li class=\"vfb-item\" id=\"vfb-164\">Logged in as &lt;a href=&quot;https:\/\/stpmd.apmd.ac.id\/st\/wp-admin\/profile.php&quot;&gt;Suryo Gunarso&lt;\/a&gt;. Verification not required.<\/li><li class=\"vfb-item vfb-item-secret\"  style=\"display:none;\" style=\"display:block\"><label for=\"vfb-164\" class=\"vfb-desc\">Masukkan 2 digit angka <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-164\" \/><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-164\" id=\"vfb-164\" value=\"14\" class=\"vfb-text  vfb-large  required {digits:true,maxlength:2,minlength:2} \" style=\"display:block\" \/><label>Misalkan :  12<\/label><\/span><li style=\"display:none;\"><label>This box is for spam protection &#8211; &lt;strong&gt;please leave it blank&lt;\/strong&gt;:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-165\">\n\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-165\" value=\"-> KIRIM <-\" class=\"vfb-submit \" \/>\n\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/st\/wp-admin\/admin-ajax.php?_panelsnonce=6800af07a5\" \/><\/form><\/div> <!-- .visual-form-builder-container --><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":10,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-8179","page","type-page","status-publish","hentry"],"publishpress_future_action":{"enabled":false,"date":"2026-07-03 07:25:58","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/stpmd.apmd.ac.id\/st\/wp-json\/wp\/v2\/pages\/8179","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stpmd.apmd.ac.id\/st\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/stpmd.apmd.ac.id\/st\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/stpmd.apmd.ac.id\/st\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/stpmd.apmd.ac.id\/st\/wp-json\/wp\/v2\/comments?post=8179"}],"version-history":[{"count":0,"href":"https:\/\/stpmd.apmd.ac.id\/st\/wp-json\/wp\/v2\/pages\/8179\/revisions"}],"wp:attachment":[{"href":"https:\/\/stpmd.apmd.ac.id\/st\/wp-json\/wp\/v2\/media?parent=8179"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}