Register | Biodiversity Warriors

Kamu berusia 17-25 tahun? Kamu peduli dan ingin berbagi tentang keanekaragaman hayati? Cukup daftar dan jadilah seorang “Biodiversity Warrior”.

Name

Email Address

Username

Password

Password must have:

At least 1 smallcase

At least 1 capital (uppercase)

At least 1 number

Minimum 8 characters

Gender

Pria
Wanita

Birth of Date

Handphone Number

Province

Regencies

District

Village

Full address

Representative

Kampus
Sekolah
Komunitas
Individu

Campus Name - Majors / School Name / Community Name

Major Name

Angkatan

Interest

Reason of interest

Contoh: saya berkuliah di xx dengan jurusan xxx. Saya telah melakukan riset xxx di xxx dan telah melakukan karya/publikasi di xxxx tentang xxxx. Karenanya saya tertarik untuk memilih peminatan tersebut karena mencerminkan passion dan keahlian yang saya miliki.

Achievement

Social Media (optional)

Profile Photos * Require Self Photos (Not ID Photo)

Completion of the form completely and correctly is needed so that we can develop an agenda of activities and training that is appropriate for warriors
We will protect the confidentiality of our friends’ data well
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