Hal 17 Dan 23 PDF

ADMISSION MANUAL
PROSPECTIVE UNDERGRADUATE STUDENTS
ACADEMIC YEAR 2012/2013
BUKU PETUNJUK PENDAFTARAN
CALON MAHASISWA S1
TAHUN AJARAN 2012/2013
Welcome to UPH Global Campus.
Selamat datang di UPH Global Kampus.
This Admission Manual Book has been prepared to provide you with comprehensive information regarding UPH
Faculty, Double Degree Program, Dual Degree Program,
admission requirements, procedures and financial regulations.
Buku Manual Admission ini dipersiapkan secara

menyeluruh mencakup informasi yang berkaitan dengan
Fakultas dan Jurusan di UPH, Program Double Degree,
Program Dual Degree, prosedur dan persyaratan
pendaftaran serta peraturan keuangan.
We are eager to have you in the UPH family and introduce you to the vision of our university, which is: True
Knowledge, Faith in God and Godly Character.
Kami ingin Anda dapat bergabung dengan kami dan

memperkenalkan Anda tentang visi UPH, yaitu: True
Knowledge, Faith in God and Godly Character.
UPH are committed to serve you in the best possible

ways, providing a holistic education and learning with an
internationally qualified lecturers and professors, worldclass facilities, technology, and infrastructure. UPH also
prepare students to be globally respected and appreciated
by modern industries and businesses.
UPH berkomitmen melayani Anda dengan cara yang

terbaik, menyediakan pendidikan serta pengajaran
holistik, dengan pengajar, teknologi dan infrastruktur
berkualitas internasional. UPH juga mempersiapkan
mahasiswa agar dapat bersaing secara global di bidang
industri dan bisnis modern.
I welcome you to UPH, the Global Campus in Indonesia

where learning is fun and excellent holistic education is
open to you.
Selamat datang di UPH, Global Campus di Indonesia

yang menyediakan pembelajaran menarik dengan
pendidikan holistik terbaik.
Lippo Village, May 17, 2011
Dr. (Hon) Jonathan L.Parapak, M.Eng.Sc.

Chancellor / Rector
CONTENT
BEFORE YOU
APPLY
WHEN YOU
APPLY
AFTER YOU
APPLY
AFTER
ACCEPTANCE
APPENDIX
Admission Manual
Buku Petunjuk Pendaftaran
Admission Schedule & Scholarship Schedule
Jadwal Pendaftaran & Jadwal Beasiswa
Entry Options
Jalur Masuk
Faculty and Major
Fakultas dan Jurusan
Double Degree Program
Program Double Degree
Dual Degree Program
Program Dual Degree
Admission Requirements
Persyaratan Pendaftaran
Application Form Receipt
Tanda Terima Pendaftaran
Application Form
Formulir Pendaftaran
Arts Recommendation Form
Formulir Rekomendasi Beasiswa Kategori Seni
Sport Recommendation Form
Formulir Rekomendasi Beasiswa Kategori Olahraga
Conservatory of Music Form
Formulir Conservatory of Music
Faculty of Medicine Form
Formulir Fakultas Kedokteran
Admission Statement
Surat Pernyataan
2
3
4
5
6
9
11
13
14
15
17
23
Check Admission Result

Memeriksa Status Kelulusan
19
Payment Guidelines
Pedoman Pembayaran
English Test
Tes Bahasa Inggris
Uniform Fitting & Smartcard Photo Session
Pengukuran Seragam & Foto Smartcard
Re-Registration Form
Formulir Daftar Ulang
20
UPH Festival
20
Health Declaration Form

Formulir Fakultas Kedokteran
Re-Registration Form
Formulir Daftar Ulang
21
Admission Statement SPECIMEN

Contoh Surat Pernyataan
Guideliness
Petunjuk pengisian formulir
27
Table
30
20
20
20
25
28
ADMISSION MANUAL
A book contains all information about the enrollment of

Universitas Pelita Harapan.
What is
Admission
Manual
Apakah Admission
Manual
This book consists of four sections:

1. Before you apply
2. When you apply
3. After you apply
4. After acceptance
Buku yang berisi tentang informasi pendaftaran Universitas Pelita
Harapan.
Buku ini terbagi atas 4 bagian, yaitu:
1. Sebelum anda mendaftar
2. Saat anda mendaftar
3. Setelah anda mendaftar
4. Setelah anda diterima
Before you apply

Inform you about all Programs that UPH offers to you for
Academic Year 2012/2013.
When you apply
Inform you about documents needed to submit to Admission
Center at D building 1st floor.
After you apply
Inform you how to check whether you are accepted in UPH or not.
When to use
the Admission
Manual
Kapan
menggunakan
Admission Manual
After acceptance
In this section you will know what to do after you are accepted in
UPH.
Sebelum anda mendaftar

Informasi tentang Program yang ditawarkan UPH untuk Tahun
Ajaran 2012/2013.
Saat anda mendaftar
Informasi tentang dokumen yang harus diserahkan ke Admission
Center di gedung D lantai 1.
Setelah anda mendaftar
Informasi tentang bagaimana mengetahui apakah anda diterima di
UPH.
Setelah anda diterima
Informasi tentang hal-hal yang harus dilakukan setelah Anda
diterima di UPH.
ADMISSION SCHEDULE
TERM
ENTRY OPTION
SUBMISSION DEADLINE
Early Admission 1
Direct Admission
Saturday, September 24, 2011
Admission Test
Friday, October 07, 2011
Direct Admission
Saturday, November 12, 2011
Admission Test
Friday, November 25, 2011
Direct Admission
Saturday, January 21, 2012
Admission Test
Friday, February 03, 2012
Direct Admission
Saturday, March 24, 2012
Admission Test
Friday, April 06, 2012
Direct Admission
Saturday, May 05, 2012
Admission Test
Friday, May 18, 2012
Direct Admission
Saturday, June 02, 2012
Admission Test
Thursday, June 21, 2012
Direct Admission
Saturday, July 14, 2012
Admission Test
Thursday, July 26, 2012
Early Admission 2
Term 1
Term 2
Term 3
Term 4
Term 5
ADMISSION TEST
Saturday, October 08, 2011
Saturday, February 04, 2012
Saturday, April 07, 2012
Saturday, May 19, 2012
Friday, June 22, 2012
Friday, July 27, 2012
Note: Please refer to www.uph.edu for any updated information due to possibility of public holiday
SCHOLARSHIP SCHEDULE
SCHOLARSHIP PROCESS
DATE
Submission Form Deadline

Batas akhir pengembalian formulir
Admission Test (Medicine)

Ujian Saringan Masuk/USM
(hanya untuk jurusan Kedokteran)
Interview Session (Medicine)

Periode Interview
Interview Session (Non Medicine)

Periode Interview
(semua Jurusan, kecuali FK)
November 09-15, 2011
Announcement
Pengumuman
Monday, November 28, 2011
Payment Deadline (1st installment or Cash)

Batas akhir pembayaran (Cicilan 1 atau tunai)
Friday, December 16, 2011
Payment Deadline (2nd installment)

Batas akhir pembayaran (Cicilan 2)
Friday, January 20, 2012
ENTRY OPTION
DIRECT
ADMISSION
BEFORE YOU APPLY

Applicable to all majors (exclude Medicine).
Prospective Students can choose up to 3 majors.
Berlaku untuk semua jurusan (kecuali FK).
Calon Mahasiswa dapat memilih 3 jurusan.
Applicable to prospective student who are not accepted in Direct

Admission (exclude Conservatory of Music).
Prospective Students can choose up to 3 majors (exclude Medicine only 1
major)
ADMISSION
TEST
Applicable to Faculty of Medicine applicants.

Prospective Students who apply to Faculty of Medicine are restricted to
choose only one major and can take the Admission Test for maximum 4
times in one academic year.
Berlaku bagi Calon Mahasiswa yang tidak lolos seleksi Direct
Admission (kecuali Conservatory of Music).Calon Mahasiswa dapat
memilih 3 jurusan (kecuali FK hanya 1 jurusan).
Berlaku bagi Calon Mahasiswa yang mendaftar di Fakultas Kedokteran
(FK). Calon Mahasiswa yang mendaftar di FK hanya dapat memilih 1
jurusan dan dapat melakukan USM maksimal 4 (empat) kali dalam 1
tahun ajaran yang sama.
Open to all majors and only the first chosen major will be processed
in scholarship.
Scholarship Category
Academic Achievement
Limited Financial
Arts
Sport
SCHOLARSHIP
Scholarship Types
Platinum (100%)
Gold
(75%)
Silver
(50%)
Bronze
(25%)
Scholarship Coverage
Admission Fee
Semester Fee
Credit Fee
Berlaku untuk semua jurusan dan hanya pilihan pertama yang akan
diproses melalui jalur Beasiswa.
Kategori Beasiswa
Prestasi Akademik
Keterbatasan Keuangan
Seni
Olahraga
Tipe Beasiswa
Platinum (100%)
Gold
(75%)
Silver
(50%)
Bronze
(25%)
Cakupan Beasiswa
BPP SPP
BPP Semester
BPP SKS
FACULTY & MAJOR
BEFORE YOU APPLY
FACULTY
Business School
MAJOR
Management
Accounting
Civil Engineering
ADMISSION TEST
SUBJECT
English Test & Mathematics

English Test,
Mathematics & Physics
Architecture
Faculty of Design and
Planning (FDTP)
Visual Communication
Design
Interior Design
Faculty of Industrial
Technology (FTI)
Industrial Engineering
Food Technology
English Test, Mathematics &

Drawing
English Test, Mathematics &

Physics
English Test, Mathematics,
Biology & Chemistry
Communications
School of Law (FH)
Law
Conservatory of Music
(FIS)
Music
Faculty of Medicine and

Health Sciences (FK)
Medicine
Not available
S.T.
Not available
8
S.Sn.
Available
Not available
Not available
S.T.
8
Available
Available
S.TP.
Available
S.H.
Not available
S.Sn.

Biology & Chemistry
Not available
10
dr.
S.Kom.
S.Pd.
S.Si.
Available
Not available
Available
Not available
English Test
Available
Applied Mathematics
Not available
Biotechnology

Biology & Chemistry
Not available
Faculty of Psychology
(F.Psi)
Psychology
Not available
S.Psi.
Faculty of Nursing and

Allied Health Sciences
(SON)
Nursing
Mathematics, English,
Indonesian, Science Potential
Test, Interview
Not available
S.Kep.
School of Hospitality and

Tourism (STPPH)
Hospitality Management
Travel Industry
Management
S.ST.
Faculty of Science and

Applied Mathematics
(FSM)
S.E.
S.I.Kom
S.Sos.
Computer System
Faculty of Education (FIP) English
Information System
School of Computing (FIK) Informatics
Available
DEGREE
Not available
Faculty of Social and

Political Science (FISIP)
International Relations
Available
TOTAL
SEMESTER
Not available
Product Design
Electrical Engineering
FULL
ENGLISH
CLASS
English Test & Tourism

Knowledge
Available
Not available
DOUBLE DEGREE PROGRAM
BEFORE YOU APPLY
This program enables a student to earn 2 (two) degrees from UPH within shorter time periode.
MAJOR
TOTAL SEMESTER
DEGREES
Information System & Accounting
S.Kom. & S.E.
Travel Industry Management & Management
S.ST. & S.E.
Hospitality Management & Management
10
S.ST. & S.E.
Applied Mathematics & Management
S.Si. & S.E.
Food Technology & Management
10
S.TP. & S.E.
Computer Technology & Management
10
S.Kom. & S.E.
Informatics & Applied Mathematics
S.Kom. & S.Si.
REGULATIONS FOR DOUBLE DEGREE PROGRAM


TERMS & CONDITIONS
SYARAT & KETENTUAN
A new student who wants to join the Double Degree

Pendaftaran Program Double Degree dari
program from the first semester can register with the
Penerimaan Mahasiswa Baru semester pertama
Admission Department. The student can choose up
akan dilakukan di Departemen Admission.
to 3 (three) Double Degree Programs.
Mahasiswa boleh memilih sampai dengan 3 pilihan
Program Double Degree.
A student who enrolls in the Double Degree
Mahasiswa yang mendaftar ke Program Double
Program will get 2 (two) degrees. Thus, he/she will
Degree akan mendapat 2 (dua) Gelar, 2 (dua)
get 2 (two) diplomas and 2 (two) transcripts.
Ijazah, dan 2 (dua) Transkrip.
A student can enroll in a Double Degree Program
Mahasiswa dapat mendaftar Program Double
within his/her first 4 (four) semesters in the
Degree sejak semester pertama sampai dengan
university.
semester keempat.
A student can move from a Double Degree program Mahasiswa Program Double Degree dapat pindah
to a Single Program or vice versa (as long as he
ke Program Double Degree lain atau Single Degree
follows relevant UPH regulations).
(sesuai ketentuan yang berlaku)
The student will be assigned only one Home
Home Department adalah Jurusan yang akan
Department, which will provide all necessary
mengurus semua Administrasi Mahasiswa Program
academic & administrative services for him.
Double Degree.
Current students who want to join Double Degree
Pendaftaran Program Double Degree saat
program can register directly through their PA or the mahasiswa sudah kuliah sampai dengan semester
UPH online system.
keempat dapat dilakukan pada saat registrasi ulang
melalui PA atau melalui on-line system di UPH.
DUAL DEGREE PROGRAM
BEFORE YOU APPLY
This program allows a student to earn two degrees from UPH and university partner.
DEGREE PROGRAM
Management
Accounting
Civil Engineering
Interior Design
SEMESTER
Universitas Pelita Harapan, Karawaci - Indonesia (S.E.)
6 semesters
La Trobe University, Melbourne - Australia

(Bachelor of Business / Bachelor of Intl Business)
2 semesters
Universitas Pelita Harapan, Karawaci - Indonesia (S.E.)
6 semesters
La Trobe University, Melbourne - Australia

(Bachelor of Business / Bachelor of Intl Business)
2 semesters
Universitas Pelita Harapan, Karawaci - Indonesia (S.T.)
5 semesters
Hanzehogeschool Groningen, Netherland

(Civiele Techniek Ingenieur)
3 semesters
Universitas Pelita Harapan, Karawaci - Indonesia (S.Sn.)
4 semesters
Queensland University of Technology, Brisbane - Australia

(Bachelor of Design)
4 semesters
Universitas Pelita Harapan, Karawaci - Indonesia (S.TP.)
6 semesters
Food Technology
University of Newcastle, New South Wales - Australia

(Bachelor of Food Science and Human Nutrition)
2 semesters
Universitas Pelita Harapan, Karawaci - Indonesia (S.Sos.)
4 semesters
Communications
Queensland University of Technology, Brisbane - Australia

(Bachelor of Journalism)
4 semesters
Universitas Pelita Harapan, Karawaci - Indonesia (S.H.)
6 semesters
Murdoch University, Perth - Australia

(Bachelor of Common Law)
2 semesters
Universitas Pelita Harapan, Karawaci - Indonesia (S.Kom.)
4 semesters
Napier University, Scotland - UK

(Bachelor of Science (Hons) in Business Information Systems /
Bachelor of Science (Hons) in Computing /
Bachelor of Engineering (Hons) in Multimedia Systems)
4 semesters
4 semesters
Napier University, Scotland - UK

(Bachelor of Science (Hons) in Computing /
Bachelor of Science (Hons) in Multimedia Systems /
Bachelor of Engineering (Hons) in Software Engineering)
4 semesters
5 semesters
University of Ballarat, Australia

(Bachelor of Information Technology /
Bachelor of Applied Computing (Mathematics))
3 semesters
Universitas Pelita Harapan, Karawaci - Indonesia (S.ST.)
7 semesters
Intl College of Hotel Management, Adelaide - Australia

(Bachelor of Hotel Management)
2 semesters
7 semesters
Intl College of Hotel Management, Adelaide - Australia

(Bachelor of Hotel Management)
1 semesters
Law
Information System
Informatics
Informatics
UNIVERSITIES
7 semesters
Southern New Hampshire, Manchester - USA

(Bachelor of Applied Science in Hospitality Administration)
2 semesters
7 semesters
International Hotel Management Institute, Lucerne - Switzerland

(Bachelor of Arts)
2 semesters
ADMISSION REQUIREMENTS
Registration Folder
GENERAL
REQUIREMENTS
Application Form Receipt (page 9)

Admission Statement (page 23)
Application Form (page 11)
2 recent photo size 3x4
A copy of a valid ID Card (KTP/Kartu Pelajar/SIM)
NATIONAL
CURRICULUM
WHEN YOU APPLY
A copy of legalized Junior High School National Examination (UAN SMP)

A copy of legalized Academic Records: Grade 10 and 11
A copy of legalized Senior High School National Certificate (STTB SMA)*
A copy of legalized Senior High School National Examination (UAN SMA)*
* submit later
CAMBRIDGE
CURRICULUM
INTERNATIONAL
BACCALAUREATE
A copy of legalized IGCSE Certificate

A copy of legalized Foundation Certificate (for O Level)
A copy of legalized Certificate Equivalency by Indonesian Education Department
A copy of legalized Predicted Academic Record: Grade 11
A copy of legalized IB Predicted / Final Certificate
A copy of legalized Academic Records: Grade 10 and 11
OTHERS
A copy of legalized Academic Records: Grade 10 and Foundation Certificate

A copy of legalized Final Certificate
FOR APPLICANTS
1 (one) page Essay: Statement of Purpose Why I choose X Major Study Program?
FACULTY OF
DESIGN
AND PLANNING
Color Blindness Test Certificate

Architecture/Interior Design/Product Design: 3 (three) hand drawings / portfolios
Drawing Theme: Free, Interior and Exterior
DKV: 3 (three) hand drawings / portfolios
Media of Portfolio: Pencil, Paint and Free Media
Conservatory of Music Form (page 15)
CONSERVATORY
OF MUSIC
1 pc DVD/VCD (in Windows Media Player Format) for each Concentration

Sound Design: 3 (three) songs that are made through computer software such
as Reason, Fruity Loops, Garage Band, Cubase, Sonar, etc.
Music Therapy: 1 (one) page Essay about Music Therapy
Music Composition: create your own music score
FACULTY OF
MEDICINE
A-500-word English Essay on Why I am interested in Medicine and how

I will use it to provide good health care for the people of Indonesia in future.
Faculty of Medicine Form (page 17)
Color Blindness Test Certificate
ADDITIONAL REQUIREMENTS FOR SCHOLARSHIP

WHEN YOU APPLY
GENERAL
REQUIREMENTS
FOR ACADEMIC
ACHIEVEMENT &
ALL SCHOLARSHIP
CATEGORIES
A copy of family card (KK)

Curriculum Vitae
Scholarship Application Letter to UPH Scholarship Committee signed by parents.
A-500-word English Essay about Why I choose X Major at UPH as a Stepping
Stone for My Career
FOR CATEGORY
LIMITED
FINANCIAL
SCHOLARSHIP
A statement letter of family financial condition, issued by:

Church (for Christian/Catholic) or RT/RW/Kelurahan (for non Christian/Catholic)
A copy of electricity bill for the last 3 (three) months
A copy of water bill for the last 3 (three) months
A copy of land telephone bill for the last 3 (three) months
A copy of Land and Building Tax (PBB) payment
A copy of Parents payslip or Certificate of Income
ARTS
SCHOLARSHIP
ARTS Recommendation Form (page 13)

A copy of Course Certificate in respective field
A copy of Certificate of performance (Province/National/International level)
SPORT Recommendation Form (page 14)
SPORT
SCHOLARSHIP
Recommendation Letter from the Indonesian National Committee for Sports

(KONI) or other National/ Province sports organization
A copy of Certificate of performance (Province/National/International level)
A recent photo (postcard size)wearingteamuniforms (write your name,height
and weightbehind thephoto)
Copy 1 : Prospective Student
APPLICATION FORM RECEIPT

STUDENTS INFORMATION
Form Number
Full Name
High School
Major
Phone
Mobile Phone
Science Social Others

-
Direct Admission
Admission Test
WHEN YOU APPLY
ENTRY OPTION
Scholarship
CHOICES OF PROGRAMS (See Table 2)

1st Choice
: Code
Major
2nd Choice
: Code
Major
3 Choice
: Code
Major
rd
Lippo Village, ,20................

Admission Staff
-----------------------------------------------------Name :
Copy 2 : UPH Admission Center
APPLICATION FORM RECEIPT

Form Number
Full Name
High School
Major
Phone
Mobile Phone
Science Social Others

-
ENTRY OPTION

Direct Admission
Admission Test
Scholarship
CHOICES OF PROGRAMS (See Table 2)

1st Choice
: Code
Major
2nd Choice
: Code
Major
3 Choice
: Code
Major
rd
Lippo Village, ,20................

Prospective Student
Photo
GUNTING DISINI
3 x4
-----------------------------------------------------Name :
Incomplete items :
Form Number :
1. ----------------------------------2. ----------------------------------3. ----------------------------------4. -----------------------------------
Due Date
5. -----------------------------------
10
GUNTING DISINI
WHEN YOU APPLY
_________________________________
APPLICATION FORM
Form Number
Full Name
Phone
Mobile Phone
ENTRY OPTION
WHEN YOU APPLY
q
Direct Admission
q
Admission Test
q
Scholarship
q
Academic Achievement q
Limited Financial q
Arts q
Sport
EDUCATIONAL BACKGROUND
High School
National Curriculum
q
Science q
Social q
Others....................
If you choose Others, fill in the column with score in Year 11 Final Report.
NO
SUBJECT
1.
Mathematics (Compulsory)
2.
English (Compulsory)
SCORE
MAXIMUM SCORE
3.
4.
5.
International Curriculum
q
IB q
A Level q
AS Level q
O Level q
Others....................
Fill in the column with your score in Year 11 Final Report.
NO
SUBJECT
SCORE
MAXIMUM SCORE
1.
2.
3.
4.
5.
6
...............................20......................
Prospective Student
Acknowledged by,
Parent/Guardian
-----------------------------------------Name:
-----------------------------------------Name:
11
12
WHEN YOU APPLY
ARTS RECOMMENDATION FORM

The undersigned is:

:
High School/Institution
Address
Mobile Phone
WHEN YOU APPLY
Coach/ Teacher Full Name
Declare that:
Prospective Student Full Name :
Class
Has the following activities at school:

1. ..............................................................................................................................................................................................................................
2. ..............................................................................................................................................................................................................................
3. ..............................................................................................................................................................................................................................
4. ..............................................................................................................................................................................................................................
5. ..............................................................................................................................................................................................................................
Has the following achievements:

1. ..............................................................................................................................................................................................................................
2. ..............................................................................................................................................................................................................................
3. ..............................................................................................................................................................................................................................
4. ..............................................................................................................................................................................................................................
5. ..............................................................................................................................................................................................................................
, .. 20..
Signed by,
Arts Teacher

-------------------------Signature & Stamp
Name:
13
SPORT RECOMMENDATION FORM

WHEN YOU APPLY
The undersigned is:

Coach/ Teacher Full Name
High School/Institution
Address
Mobile Phone
Inform that:
Prospective Student Full Name :
Class
Height & Weight
cm /
kg
Has the following activities at school:

1. ..............................................................................................................................................................................................................................
2. ..............................................................................................................................................................................................................................
3. ..............................................................................................................................................................................................................................
4. ..............................................................................................................................................................................................................................
5. ..............................................................................................................................................................................................................................
Has the following achievements:

1. ..............................................................................................................................................................................................................................
2. ..............................................................................................................................................................................................................................
3. ..............................................................................................................................................................................................................................
4. ..............................................................................................................................................................................................................................
5. ..............................................................................................................................................................................................................................
, .. 20..
Signed by,
Sports Teacher

-------------------------Signature & Stamp
Name:
14
CONSERVATORY OF MUSIC FORM

STUDENT INFORMATION
Form Number
Full Name
High School
Phone
Mobile Phone
photograph
3 x4
1st choice consentration* :
WHEN YOU APPLY
2nd choice consentration :

3rd choice consentration :
* see www.uph.music.ac.id
Why do you choose UPH Conservatory of Music?
How does music bring impact on your life?
Why do you choose the 1st concentration choice?
Who is your favorite composer or performer? Why?
Why do you choose the 2nd concentration choice?
Ensemble playing experiences: Yes/No

Apply to conservatory of music other than UPH: Yes / No
Why do you choose the 3rd concentration choice?
Latest teacher name:

Institution/music schools :
Music award ever received (if any):
- .................................................................................
- .................................................................................
- .................................................................................
Mention the repertoire that you have ever learned?
Write the name of major instrument/vocal lecturer desired.

(term & condition applied)
Briefly, describe your goals and influence that make you plan a career in music.
MUSIC RECOMMENDATION FORM PROCEDURE

STEP 1. Student complete the data & details of Prospective Student.
STEP 2. The recommender complete the data & details of the Recommender. Insert this form into sealed envelope
Candidates are NOT PERMITTED TO READ THE DATA & FACTS RECOMMENDATIONS from Recommender.
15
RECOMMENDER
Full Name
Institution/School of Music
Phone
Length of Course
Year
Frequency/Week
course/week, and
Mobile Phone
hours/course
DETAILS OF RECOMMENDATION
WHEN YOU APPLY
Please circle the most appropriate answer choice based on prospective students.
1. How is the Technical strength in playing the instrument:
a. Solid
b. Need supervision to be solid
c. Difficult to be solid
6 Level of dilligence:
a. Show a great enthusiasm to learn his/her musical pieces
b. Has ambition to develop his/her musical ability yet less
consistent
c. Depends on mood, always need support to gain motivation and
inspiration
2. How is the Musical strength in playing the instrument

a. Sensitive and able to perform an outstanding musical
showing diligence to do the work
b. Sensitive yet need guidance
c. Less sensitive
7 Level of speed to grasp the knowledge:

a. Show rapid development in a short amount of time
b. Not too fast in showing dilligence to do the work ability by his/her
own initiative
c. Not too fast and less careful over the given correction not too fast
and less careful over the given correction
3 Knowledge about Theory of Music:

a. Very good in making harmony using S-A-T-B format
b. Know basic format in writing S-A-T-B
c. Doesnt have a deep knowledge in theory of music
8 Your opinion about the maturity of your student: Your opinion about
the maturity of your student:
a. Able to show his/her maturity, think logically and critical in a
consistent manner
b. Able to show his/her maturity yet fail to accomplish
c. Immature and need special guidance/attention immature and need
special guidance/attention
4. Knowledge about aural training:

a. Well trained in solfegio/prima vista for example: ritmic
dictation, melody, interval, and harmony
b. Has sufficient session in aural training but only before the
examination period
c. Havent received aural training yet
9 Level of confidence to see your student will be able to succeed

studying at UPH Conservatory of Music with his/her chosen ritmic
dictation, melody, interval, and harmony concentration:
a. Very sure 80% - 100%
b. Sure 60% - 80%
c. Unsure 50% - 60%
5. Knowledge about history of music:

a. Has interest in learning the history of music as well as
background of songs that he/she is playing
b. Has sufficient guidance
c. Never receive any guidance
10 Your consideration for the student to get scholarship:

a. Highly recommended
b. Recommended
c. Less recommended
RECOMMENDATION LETTER FOR SCHOLARSHIP APPLICANT (only for scholarship applicant) to be completed by the
recommender
We would like to ask your recommendation of this student regarding his/her scholarship application to UPH Conservatory of Music:
Sincerely,
.......................
(Name & signature of Recommender)
16
FACULTY OF MEDICINE FORM

A. PROSPECTIVE STUDENT INFORMATION

Form Number
Full Name
Date of Birth
Address
Name of Parent
Name of Family Doctor :

:
WHEN YOU APPLY
Mobile Phone
B. INTEREST IN MEDICINE
COMMUNITY INVOLVEMENT
Please provide a brief summary of all volunteering, caring, community leadership, religious services and organizations (Clubs or
Student) that you have participated in the box provided.
PERSONAL ACHIEVEMENTS
What are your current sports, artistic, hobbies and interests?
Sports :
Artistic :
Hobbies:
Interests:
PERSONAL STATEMENT
Please attach a-500-word English Essay about Why I am interested in Medicine and how I will use it to provide good health care for
the people of Indonesia in the future.
17
18
WHEN YOU APPLY
AFTER YOU APPLY
Your status as
Scholarship
Applicants
Admission
Test
(USM)
Setelah 14haripengumpulan formulir,status penerimaan Anda dapat

dilihat melalui http://klik.uph.edu/admission/announcement/.
Masukkannomorformulirdantanggallahir Anda(ddmmyy).
UPH will announce the Scholarship Result through

http://www.uph.edu at the date scheduled. The payment details can
be checked through http://klik.uph.edu/admission/announcement/ by
simply type your form number and your date of birth (ddmmyy).
PengumumanBeasiswadapat dilihat melaluihttp://www.uph edu
padatanggal dijadwalkan. Rincianpembayarandapatdilihatmelalui
http://klik.uph.edu/admission/announcement/.Masukkan
nomorformulirAnda dantanggallahir Anda(ddmmyy).
AFTER YOU APPLY
Your status as
Regular
Applicants
Please check your acceptance through http://klik.uph.edu/admission/

announcement/14 days after form submission by simply type your form
number and your date of birth (ddmmyy).
If you are not accepted from Direct Admission, you will receive
an invitation to register yourself to Admission Test (except for
Conservatory of Music).
Jika Andatidak diterimamelalui jalur DirectAdmission,Anda akan
menerimaundanganuntuk mendaftar melalui Ujian Saringan
Masuk/USM(kecualiuntukKonservatoriumMusik).

IMPORTANT. Prospective Students who pass the Direct Admission, Scholarships and Admission Test are required
to seek the further needed information proactively such as to collect the Offering Letter/Acceptance Letter from
UPH Admission Center in order to gather payment schedule and tuition fees that must be paid.
PENTING. Para Calon Mahasiswa yang lulus melalui jalur Direct Admission, Program Beasiswa dan USM ,
wajib secara aktif mencari informasi atau mengambil Surat Pemberitahuan Lulus Seleksi/Offering Letter di UPH
Admission Center untuk selanjutnya mengetahui jadwal, batas waktu pembayaran dan biaya kuliah yang harus
diselesaikan.
19
AFTER ACCEPTANCE
The Prospective Student should do the payment obligations in accordance with tuition
fees listed in Offering Letter.
Payment can be made by installment as well as cash, and must be finalized
ACCORDING TO THE PAYMENT DUE DATE that has been determined by UPH/
STTPH. Prospective Students must meet the payment schedule accordingly regardless
any delay in receiving letter from UPH. If delay occurs, then the tuition fees that apply are
the tuition fees at the time of payments occurs.
All payment fees are final and CANT BE RETURNED/WITHDRAWN FOR ANY
REASON/CONDITION, unless the Prospective Student is failed from High School
National Examination (terms and condition applied).
Validate the payment at UPH Finance Department, 3rd fl. A Building or fax to +62215461038.
PAYMENT
GUIDELINES
Check payment status at http://www2.klik.uph.edu/admission/announcement/

Calon Mahasiswa harus melakukan kewajiban pembayaran sesuai dengan biaya studi
yang tertera di Surat Pengumuman Kelulusan.
Pembayaran dapat dilakukan secara tunai dan cicilan. Pembayaran harus diselesaikan
SESUAI DENGAN JADWAL BATAS WAKTU yang telah ditetapkan UPH/STPPH.
Keterlambatan penerimaan Surat Pemberitahuan tidak dapat dijadikan alasan
keterlambatan pembayaran. Bila terjadi keterlambatan, maka biaya studi yang berlaku
adalah biaya studi pada saat pembayaran berlangsung.
Seluruh pembayaran yang telah dilakukan merupakan keputusan akhir dari pihak
penyetor dan TIDAK DAPAT DIKEMBALIKAN/DITARIK KEMBALI/DIALIHKAN
DENGAN ALASAN/KONDISI APAPUN, kecuali tidak lulus SMA (syarat dan ketentuan
berlaku).
Melakukan Validasi atas pembayaran yang dilakukan, di Bagian Keuangan UPH,
Gedung A lt.3 atau fax bukti transfer ke +6221-5461038.
AFTER ACCEPTANCE
AFTER ACCEPTANCE
Memeriksa status pembayaran di http://www2.klik.uph.edu/admission/announcement/
ENGLISH TEST
UNIFORM
FITTING &
SMARTCARD
PHOTO SESSION
REREGISTRATION
FORM
UPH FESTIVAL
20
The Prospective Student should take the English Test conducted by UPH. The schedule
can be checked at www.uph.edu
Calon Mahasiswa wajib mengikuti English Test yang diselenggarakan di UPH. Jadwal
English Test dapat dilihat di www.uph.edu
Uniform Fitting and Smartcard Photo session can be done after 1st Semester Tuition Fee
is paid. The schedule can be checked at www.up.edu
Pengukuran seragam dan pengambilan foto Smartcard dapat dilakukan setelah melunasi
biaya studi semester 1. Jadwal Pengukuran Seragam dan Foto Smartcard dapat dilihat di
www.uph.edu
Complete the Re-Registration Form (Form 021) on Juli 2012

Melengkapi Form Registrasi Ulang (Form 021) pada Juli 2012
Attend the UPH Festival on August 2012

Mengikuti UPH Festival pada bulan Agustus 2012
HEALTH DECLARATION FORM

A. PROSPECTIVE STUDENT INFORMATION

Form Number
Full Name
If you are accepted as a student of the Faculty of Medicine, you will be required to complete the Health Declaration Form prior to
joining for your classes. The information provided to us is confidential and will not be used for any other purposes except providing
support for the student.
B. HEALTH DECLARATION
Please thick while your answer YES or NO. If YES, please give details in the space provided.
NO
1.
Do you have, or have you ever had, any medical

conditions or operations in the past 5 years?
2.
Are you at present attending a doctor for medical

care, taking any medication or on a waiting list for hospital assessment or
treatment?
3.
Do you have impairment/disability (physical or mental) or specific learning

disability which may affect your ability to study in Faculty of Medicine UPH?
4.
Have you ever suffered from tuberculosis (TB) within the past 12 months?
5.
Has any family member or close contact been treated for TB?
6.
Have you had a cough for more than 3 weeks?
7.
Have you coughed up blood?
8.
Have you had any unexplained weight loss?
9.
Have you suffered from night sweats or fever?
10.
Have you ever had any kind of back, joint or muscle problem?
11.
Have you ever had: Dermatitis, Eczema, Psoriasis or any other skin condition?
12.
Have you ever had any mental illness which might affect your ability to study
and practice medical science? (including anxiety, depression, self-harm, eating,
disorders, psychological or emotional problems)
13.
Have you ever had a drug, tobacco, nicotine or alcohol problem?
14.
Do you have any difficulty with your eyesight (including color blindness)?
15.
Do you have difficulty hearing?
16.
Have you ever suffered from any of the following; loss of consciousness including
fainting attacks, blackouts, epilepsy?
17.
Have you ever suffered from any of the following; heart disease, diabetes,
Hypertension or any other medical illness?
18.
Have you ever suffered with chest or lung problems; Asthma, Bronchitis?
19.
Have you ever had any allergies; including allergies to drugs, food or latex?
20.
Have you ever received treatment for bowel or gastric problems?
21.
Do you have any other medical condition not previously mentioned in

questions 1 15 above?
DETAILS
AFTER ACCEPTANCE
YES
21
22
AFTER ACCEPTANCE
AFTER ACCEPTANCE
Copy 2 : UPH Admission Center
ADMISSION STATEMENT
Form Number /Nomor Formulir
Full Name/ Nama Lengkap
High School/ Asal SMA
Mobile Phone / Nomor HP.
Hereby affirm that:
Dengan ini menegaskan bahwa:
1. I will not engage in any conduct against the law; bring,

consume, and/or distribute illegal drugs or alcoholic drinks.

The rights to be a student of UPH/STPPH will be denied

should I fail the drug examination.
2. I am not color blinded (for Medicine & Design Major)
3. I am willing to participate in a blood/urine examination at any

given time by UPH/STPPH.
4. The education program of UPH/STPPH is characterized by the

Christian Faith, based on the Pancasila and UUD 1945.
5. I am willing to abide by the Regulations stated by the

University, both presently and in the future, within the area of

UPH/STPPH.
6. I am ready to be dismissed from UPH/STPPH if at the end

of the first 4 semesters I have not yet at least 40 credits and

have a GPA <2,00, in accordance with the Rectors Decree

No. 450-SKR/UPH/VI/2003 issued on June 25, 2003.
7. A student had to resign Admission unless he/she can

submit a copy of their SMA certificate (national

school)/ Certificate Equivalency (international school)

before the end of 4th semester, even though the tuition fee has

been paid.
8. I have received, understood, signed & am willing to abide the

Regulations of the Financial Administration No. 01 BAKU/

PMB/VII/2011.
9. The tuition fee (BPP Pokok, BPP SKS and re-registration) will

only be valid for 1 academic year for STPPH extension

programs; 4 academic years for S-1/D-4, and 5 academic years

for Faculty of Medicine. The subsequent semesters will be

charged with the tuition fee in accordance with the most recent

academic year.
10. All payments transferred to YUPH are declared as the final

decision, finalized by the depositor, cant be refunded for any

conditions.
11. Recent certificate of study completion and NEM/STK/STL/

SKHUN/International Certificate that I own are legal. I am

fully responsible for any consequences should there be any

false documents.
12. I have not been dismissed from UPH.
13. Willing to accept all sanctions for any INCORRECT

information I have stated.
14. I have read, known, and understood the regulations and

registration requirements stated on this Admission Manual.
1. Tidak akan melakukan semua perbuatan yang melanggar

hukum; membawa, mengkonsumsi serta mengedarkan obat

terlarang (Narkoba)/minuman keras. Hak sebagai mahasiswa

UPH/STPPH akan gugur bila tidak lulus dalam tes

kesehatan/tes narkoba.
2. Tidak buta warna (khusus jurusan: FK & Jurusan-jurusan

Desain)
3. Bersedia melakukan tes darah/urine yang sewaktu-waktu akan

dilakukan oleh pihak UPH/STPPH.
4. Mengetahui bahwa penyelenggaraan pendidikan di UPH/

STPPH bercirikan iman Kristiani dan berdasarkan Pancasila

& UUD 1945
5. Bersedia mentaati Statuta, Peraturan Tata Tertib Kampus dan

peraturan lain yang telah dan akan diberlakukan di UPH/

STPPH.
6. Bersedia dikeluarkan (Drop Out/DO) dari UPH/STPPH

jika pada akhir 4 semester pertama belum mengumpulkan

minimal 40 sks dan IPK < 2,00 sesuai dengan SK Rektor

No. 450-SKR/UPH/VI/2003 tanggal 25 Juni 2003.
7. Bersedia mengundurkan diri dari UPH/STPPH jika

tidak dapat menyerahkan fotokopi ijazah SMA Nasional/Surat

Penyetaraan Ijazah setelah 4 semester walaupun sudah

diterima dan membayar uang kuliah.
8. Telah menerima, memahami, menandatangani dan bersedia

memenuhi Peraturan Administrasi Keuangan PMB No. 01

BAKU/PMB/VII/2011.
9. Menyetujui biaya studi (BPP Pokok, BPP SKS dan Registrasi

Ulang) hanya berlaku selama 1 tahun akademik untuk

Program Extension STPPH; 4 tahun akademik untuk program

S-1/D-4, dan 5 tahun akademik untuk Fakultas Kedokteran.

Untuk semester-semester selanjutnya akan dikenakan biaya

studi yang disesuaikan dengan mahasiswa angkatan terbaru.
10. Semua pembayaran yang telah disetor ke Yayasan Universitas

Pelita Harapan (YUPH) dinyatakan sebagai keputusan akhir

dari pihak penyetor dan tidak dapat ditarik kembali dengan

alasan dan kondisi apapun.
11. STTB dan NEM/STK/STL/SKHUN terakhir yang saya miliki

adalah sah. Saya akan menanggung akibat apabila berkas

tidak sah.
12. Belum pernah dikeluarkan (Drop Out) dari UPH.
13. Bersedia menanggung segala sanksi apabila informasi yang

saya berikan TIDAK BENAR.
14. Telah membaca, mengetahui, mengerti ketentuan dan

persyaratan pendaftaran dalam Buku Petunjuk ini.
WHEN YOU APPLY
I, the undersigned below/ Saya, yang bertanda tangan di bawah ini:
This Admission Statement is an agreement between Prospective Student and UPH as an institution
Lippo Village,
Stamp Duty
Rp. 6000

---------------------------------------------
Parent/Guardians Name & Signature
------------------------------------------------Prospective Students Name & Signature

23
24
WHEN YOU APPLY
FORM REGISTRASI ULANG MAHASISWA BARU TAHUN AKADEMIK 2012/2013

NEW STUDENT RE-REGISTRATION FORM ACADEMIC YEAR 2012/2013
FORM 020
SYARAT UMUM
GENERAL REQUIREMENTS
CHECK
q
q
q
q
q
q
HARUS DILENGKAPI/TO BE SUBMITTED
Satu lembar fotokopi Ijazah/Surat Tanda Tamat Belajar dilegalisasi oleh Kepala Sekolah.
A copy of High School Final Certificate legalized by Principal.
Satu lembar fotokopi NEM/STL/STK/SKHUN/TRANSKRIP dilegalisasi oleh Kepala Sekolah.

A copy of NEM/STL/STK/SKHUN/TRANSCRIPT legalized by Principal.
Satu lembar fotokopi Akte Kelahiran

A copy of Birth Certificate
Satu lembar fotokopi KTP/SIM/Paspor yang masih berlaku

A copy of valid ID/Driving License/Passport
4 lembar Pasfoto ukuran 3x4 (Foto terbaru menggunakan kemeja berkerah dengan berlatar belakang biru)
Tuliskan nama & jurusan Calon Mahasiswa di bagian belakang foto.
4 pcs recent photos 3x4 (Recent photos using collared shirt with a blue background). Write the name and major in the back
of the photo
Bukti pelunasan pembayaran SPP/BPP/SKS yang telah dilegalisasi oleh Unit Keuangan UPH
Receipt of Tuition Fee legalized by UPH Finance Department
FORM 021 yang telah diisi lengkap dan ditandatangani oleh Calon Mahasiswa dan Orangtua/Wali
Fully completed FORM 021 and signed by prospective student and parent/guardian.
SYARAT TAMBAHAN BAGI CALON MAHASISWA DENGAN KURIKULUM INTERNASIONAL

Additional Requirement for Student from International Curriculum
Surat Penyetaraan Ijazah/Diploma dari Kementerian Pendidikan Nasional RI
A Highschool/Diplomas Equivalent Statement issued by Ministry of National Education RI
AFTER ACCEPTANCE
CHECK
SYARAT TAMBAHAN BAGI CALON MAHASISWA WARGA NEGARA ASING

Additional Requirements for Student from Foreign Country
CHECK
q
q
Surat Ijin Belajar Warga Negara Asing yang dikeluarkan oleh Kementerian Pendidikan Nasional RI
Foreigner Study Permit issued by Ministry of National Education RI
Kartu Ijin Menetap Sementara di Indonesia

Living Permit in Indonesia
IMPORTANT!!!!
Lengkapi dan serahkan persyaratan di atas ke Biro Administrasi Akademik UPH/STPPH
di Gedung A lt.3 sebelum 8 Agustus 2012.
Setelah itu, Anda akan mendapat Nomor Pokok Mahasiswa dan sah menjadi mahasiswa UPH/STPPH
Complete and submit all the requirements above to the Academic Administration Bureau of UPH/STPPH at Bd. A 3rd fl. , before Aug 8,
2012.
You will get a valid Student Number (NPM) and officially become a student UPH/STPPH.
LENGKAPI & SERAHKAN PERSYARATAN

KE GD. A LT. 3 SEBELUM 8 AGUSTUS 2012
Complete and submit all the requirements
to Bd.A 3rd fl., before Aug 8, 2012
MENDAPATKAN NOMOR POKOK MAHASISWA

(NPM) DARI PETUGAS REGISTRASI ULANG
Get a valid Student Number (NPM)
SAH MENJADI MAHASISWA

UPH/STPPH
You are officially a Student of
UPH/STPPH
25
FORM REGISTRASI ULANG MAHASISWA BARU TAHUN AKADEMIK 2012/2013

NEW STUDENT RE-REGISTRATION FORM ACADEMIC YEAR 2012/2013
Nomor Peserta/Participant Number
FORM 021
Jurusan/Department
ISI DENGAN HURUF CETAK/Fill in with Capital Letter
MAHASISWA/Student
Nama Lengkap
Full Name *)
Tempat & Tanggal Lahir

Date of Birth *)
Jenis Kelamin
qPria/Male
Status Sipil
qKawin/Married
Sex
Civilian Status
qWanita/Female
qTidak Kawin/Unmarried
Agama
Religion
Kewarganegaraan
Nationality
Alamat Lengkap
(Perumahan, RT/RW & Kode Pos)
Full Address
(Include Residence & Zip Code)
Asal Sekolah (Nama & Alamat)

High School (Name & Address )
No. Telp dan HP
Phone and Mobile Phone Number
Alamat E-mail
Email Address
No.KTP atau No.SIM
ID Card Number or Driving License Number

*) Sesuai Akte Lahir & Ijazah SMA/As stated in Birth Certificate & Graduation Certificate
Nama Lengkap
AYAH/Father
IBU/Mother
Full Name
Status Sipil
Civilian Status
Agama
Religion
Kewarganegaraan
Nationality
AFTER ACCEPTANCE
AFTER ACCEPTANCE
Alamat Lengkap
(Perumahan, RT/RW & Kode Pos)
Full Address
(Include Residence & Zip Code)
No. Telp dan HP
Phone and Mobile Phone Number
Alamat E-mail
Email Address
Pendidikan Terakhir
Recent Education
Pekerjaan
Occupation
Nama Perusahaan, Alamat & No.Telp

Company, Address & Phone Number
INFORMASI YANG SAYA SAMPAIKAN ADALAH BENAR.

Mengetahui/Acknowledged by,
Tanda Tangan & Nama Orangtua/Wali

Signature & Name of Parent/Guardian
26
Karawaci, ..
Tanda Tangan & Nama Mahasiswa

Signature & Name of Student
Copy 1 : Prospective Student
ADMISSION STATEMENT
Form Number /Nomor Formulir
Full Name/ Nama Lengkap
High School/ Asal SMA
Mobile Phone / Nomor HP.
Hereby affirm that:
Dengan ini menegaskan bahwa:
1. I will not engage in any conduct against the law; bring,

consume, and/or distribute illegal drugs or alcoholic drinks.

The rights to be a student of UPH/STPPH will be denied

should I fail the drug examination.
2. I am not color blinded (for Medicine & Design Major)
3. I am willing to participate in a blood/urine examination at any

given time by UPH/STPPH.
4. The education program of UPH/STPPH is characterized by the

Christian Faith, based on the Pancasila and UUD 1945.
5. I am willing to abide by the Regulations stated by the

University, both presently and in the future, within the area of

UPH/STPPH.
6. I am ready to be dismissed from UPH/STPPH if at the end

of the first 4 semesters I have not yet at least 40 credits and

have a GPA <2,00, in accordance with the Rectors Decree

No. 450-SKR/UPH/VI/2003 issued on June 25, 2003.
7. A student had to resign Admission unless he/she can

submit a copy of their SMA certificate (national

school)/ Certificate Equivalency (international school)

before the end of 4th semester, even though the tuition fee has

been paid.
8. I have received, understood, signed & am willing to abide the

Regulations of the Financial Administration No. 01 BAKU/

PMB/VII/2011.
9. The tuition fee (BPP Pokok, BPP SKS and re-registration) will

only be valid for 1 academic year for STPPH extension

programs; 4 academic years for S-1/D-4, and 5 academic years

for Faculty of Medicine. The subsequent semesters will be

charged with the tuition fee in accordance with the most recent

academic year.
10. All payments transferred to YUPH are declared as the final

decision, finalized by the depositor, cant be refunded for any

conditions.
11. Recent certificate of study completion and NEM/STK/STL/

SKHUN/International Certificate that I own are legal. I am

fully responsible for any consequences should there be any

false documents.
12. I have not been dismissed from UPH.
13. Willing to accept all sanctions for any INCORRECT

information I have stated.
14. I have read, known, and understood the regulations and

registration requirements stated on this Admission Manual.
1. Tidak akan melakukan semua perbuatan yang melanggar

hukum; membawa, mengkonsumsi serta mengedarkan obat

terlarang (Narkoba)/minuman keras. Hak sebagai mahasiswa

UPH/STPPH akan gugur bila tidak lulus dalam tes

kesehatan/tes narkoba.
2. Tidak buta warna (khusus jurusan: FK & Jurusan-jurusan

Desain)
3. Bersedia melakukan tes darah/urine yang sewaktu-waktu akan

dilakukan oleh pihak UPH/STPPH.
4. Mengetahui bahwa penyelenggaraan pendidikan di UPH/

STPPH bercirikan iman Kristiani dan berdasarkan Pancasila

& UUD 1945
5. Bersedia mentaati Statuta, Peraturan Tata Tertib Kampus dan

peraturan lain yang telah dan akan diberlakukan di UPH/

STPPH.
6. Bersedia dikeluarkan (Drop Out/DO) dari UPH/STPPH

jika pada akhir 4 semester pertama belum mengumpulkan

minimal 40 sks dan IPK < 2,00 sesuai dengan SK Rektor

No. 450-SKR/UPH/VI/2003 tanggal 25 Juni 2003.
7. Bersedia mengundurkan diri dari UPH/STPPH jika

tidak dapat menyerahkan fotokopi ijazah SMA Nasional/Surat

Penyetaraan Ijazah setelah 4 semester walaupun sudah

diterima dan membayar uang kuliah.
8. Telah menerima, memahami, menandatangani dan bersedia

memenuhi Peraturan Administrasi Keuangan PMB No. 01

BAKU/PMB/VII/2011.
9. Menyetujui biaya studi (BPP Pokok, BPP SKS dan Registrasi

Ulang) hanya berlaku selama 1 tahun akademik untuk

Program Extension STPPH; 4 tahun akademik untuk program

S-1/D-4, dan 5 tahun akademik untuk Fakultas Kedokteran.

Untuk semester-semester selanjutnya akan dikenakan biaya

studi yang disesuaikan dengan mahasiswa angkatan terbaru.
10. Semua pembayaran yang telah disetor ke Yayasan Universitas

Pelita Harapan (YUPH) dinyatakan sebagai keputusan akhir

dari pihak penyetor dan tidak dapat ditarik kembali dengan

alasan dan kondisi apapun.
11. STTB dan NEM/STK/STL/SKHUN terakhir yang saya miliki

adalah sah. Saya akan menanggung akibat apabila berkas

tidak sah.
12. Belum pernah dikeluarkan (Drop Out) dari UPH.
13. Bersedia menanggung segala sanksi apabila informasi yang

saya berikan TIDAK BENAR.
14. Telah membaca, mengetahui, mengerti ketentuan dan

persyaratan pendaftaran dalam Buku Petunjuk ini.
WHEN YOU APPLY
I, the undersigned below/ Saya, yang bertanda tangan di bawah ini:
This Admission Statement is an agreement between Prospective Student and UPH as an institution
Lippo Village,
Stamp Duty
Rp. 6000

---------------------------------------------
Parent/Guardians Name & Signature
------------------------------------------------Prospective Students Name & Signature

27
GUIDELINES FOR COMPLETING THE ADMISSION FORM

PETUNJUK PENGISIAN FORMULIR PENDAFTARAN
PAGE 1
WHEN YOU APPLY
K-01
K-02
K-03

K-04
K-05
K-06

K-07

K-08
Form Number
Students Name
Place And Date Of Birth
See Table 5 for the Country Code.
If its not found in the table, please write 99.
See Table 4 for the Code of Province and Code
of City.
If it is not found in the table, please write 00.
Example: Born in Jakarta Selatan on September
16, 1995, then it should be written 00 01 01
160995.
Students Address
RT & RW
Province & City
See Table 4. If it is not found in the table,
please write 00.
Country
See Table 5. If it is not found in the table, please
write 99.
Zipcode
PAGE 2
K-09
K-10
K-11
K-12
K-13
K-14
K-15

K-16

K-17
Form Number
Parents Name
Parents Salary
Parents Religion
Parents Address
RT & RW
Province & City
See Table 4.
Country
See Table 5.
Zipcode
PAGE 3
K-18
K-19
K-20
K-21
K-22
K-23
K-24
K-25
K-26
K-27
K-28
K-29
K-30
28
Form Number
Gender
Marital Status
Religion
Citizenship
Blood Type
Rhesus Factor
Phone Number
Mobile Phone Number
EAT Certificate Number
Students E-Mail Address
Parents Education
Parents Occupation
HALAMAN 1
K-01
K-02
K-03

K-04
K-05
K-06

K-07

K-08
No. Formulir
Nama Calon Mahasiswa
Tempat Dan Tanggal Kelahiran
Lihat Tabel 5 untuk kode Negara.
Bila tidak terdapat pada tabel, isi dengan 99.
Lihat Tabel 4 untuk kode Propinsi dan kode
Kota.
Contoh: Jakarta Selatan, 16 Sept 1995

000101 160995.
Alamat Calon Mahasiswa
RT & RW
Provinsi & Kota
Lihat Tabel 4. Bila tidak terdapat pada tabel, isi
dengan 00.
Negara
Lihat Tabel 5.Bila tidak terdapat pada tabel, isi
dengan 99.
Kode Pos
HALAMAN 2
K-09
K-10
K-11
K-12
K-13
K-14
K-15

K-16

K-17
No. Formulir
Nama Orang Tua
Penghasilan Orang Tua
Agama Orang Tua
Alamat Orang Tua
RT & RW
Provinsi & Kota
dengan 00.
Negara
dengan 99.
Kode Pos
HALAMAN 3
K-18
K-19
K-20
K-21
K-22
K-23
K-24
K-25
K-26
K-27
K-28
K-29
K-30
No. Formulir
Jenis Kelamin
Status Sipil

Agama
Kewarganegaraan
Golongan Darah
Rhesus
No. Telepon Rumah
No. HP
Nomor Sertifikat EAT
E-Mail Mahasiswa
Pendidikan Orang Tua
Pekerjaan Orang Tua
Parents Handphone
Parents E-Mail Address
PAGE 4
K-33
K-34

K-35
K-36
K-37

K-38

K-39

K-40

K-41

K-42

K-43

K-44

K-45

K-46

Form Number
Major Chosen
See Table 2
Entry Option
Scholarship
High School Code
See Table 6
If it is not found, leave the column blank.
High School Location
See Table 5 for the Country Code.
See Table 4 for the Code of Province and Code
of City.
High School Major
See Table 3 for the High School Major Code.
UPH Campus Location
See Table 1
Junior High School Final Examination Score
Clear
Score in Schools Report Grade 10 Semester 1
Fill in this column with your score in Schools
Report Grade 10 Semester 1 for Mathematics,
English, Chemistry/ Economic, Biology/
Geography and Physics/ Sociology. For
example: Your Mathematics score is 75 then
your score should be written as follows: 75, 00.
Report Grade 10 Semester 2. See K-42
Siblings
Fill in the column with the month & year of
birth of your siblings.
K-31
K-32
No. HP Orang Tua

E-Mail Orang Tua
HALAMAN 4
K-33
K-34

K-35
K-36
K-37

K-38

K-39

K-40

K-41

K-42

K-43

K-44

K-45

K-46

No. Formulir
Kode Pilihan Jurusan
Lihat Tabel 2
Jalur Masuk
Beasiswa
Kode SMA
Lihat Tabel 6
Bila tidak terdapat pada tabel, kosongkan kolom
tersebut.
Lokasi SMA
Lihat Tabel 5 untuk kode Negara.
Lihat Tabel 4 untuk kode Propinsi dan kode
Kota.
Bila tidak terdapat pada tabel, isilah dengan 00.
Jurusan SMA
Lihat Tabel 3 untuk Kode Jurusan SMA.
Lokasi Kampus UPH
Lihat Tabel 1
Nilai UAN SMP
Sudah Jelas
Nilai Rapor Kelas 10 Semester 1
Isilah kolom dengan nilai rapor kelas 10
Semester 1, untuk bidang studi Matematika,
Bahasa Inggris, Kimia/Ekonomi, Biologi/
Geografi, Fisika/Sosiologi. Contoh:

Nilai Matematika Anda 75 maka ditulis 75,00.
Semester 2.
Lihat contoh K-42.
Semester 1.
Lihat contoh K-42.
Semester 2.
Lihat contoh K-42.
Data Saudara Kandung
Isilah kolom ini dengan data bulan dan tahun
lahir saudara kandung Anda.
WHEN YOU APPLY
K-31
K-32
29
TABLE 1
CAMPUS LOCATION CODE
KODE LOKASI KAMPUS
NO
LOCATION/LOKASI
CODE /KODE
Universitas Pelita Harapan - Karawaci
Universitas Pelita Harapan - Surabaya
Universitas Pelita Harapan - Semarang (will be opened)
Universitas Pelita Harapan Medan (will be opened)
TABLE 2
MAJOR CODE
KODE JURUSAN
CODE
KODE
MAJOR
JURUSAN
CODE
KODE
MAJOR
JURUSAN
CODE
KODE
MAJOR
JURUSAN
011
Management
051
Law
542
Travel Industry Management
012
Accounting
061
Music
543
Hospitality Management (D
IV Ext)
021
Civil Engineering
071
Medicine
544
Travel Industry Management

(D IV Ext)
022
Architecture
081
Information Systems
701
Double Degree Mathematics

& Informatics
023
Visual Communication and

Design
082
Informatics
702
Double Degree Management

& Travel Industry
Management
024
Interior Design
083
Computer Technology
703

& Hospitality Management
025
Product Design
101
English
704

& Mathematics
032
Electrical Engineering
112
Applied Mathematics
705

& Food Technology
033
Industrial Engineering
113
Biotechnology
706

& Computer Technology
034
Food Technology
121
Psychology
707
Double Degree Accounting &

Information System
041
Communications
501
Nursing
043
International Relations
541
TABLE 3
HIGH SCHOOL MAJOR CODE
KODE JURUSAN SMA
CODE
KODE
TABLES
011
012
019
30
MAJOR
JURUSAN
NATIONAL CURRICULA
Science/Ilmu Pengetahuan Alam
Social/Ilmu Pengetahuan Sosial
Others/Lain-lain
CODE
KODE
051
052
053
054
059
MAJOR
JURUSAN
INTERNATIONAL CURRICULA
International Baccalaureate
Cambridge A Level
Cambridge AS Level
Cambridge O Level
Others
TABLE 4
CODE OF PROVINCE AND CODE OF DISTRICT/ADMINISTRATIVE CITY/REGION
KODE PROPINSI DAN KODE KOTAMADYA/KOTA ADMINISTRATIF/KABUPATEN
NAMA WILAYAH
DKI Jakarta (01)
KODE
WILAYAH
NAMA WILAYAH
KODE
WILAYAH
NAMA WILAYAH
36
Kab. Purworejo
52
Kab. Bojonegoro
01
Jakarta Selatan
37
Kab. Wonosobo
53
Kab. Tuban
02
Jakarta Timur
38
Kab. Magelang
54
Kab. Lamongan
03
Jakarta Pusat
39
Kab. Boyolali
55
Kab. Gresik
04
Jakarta Barat
40
Kab. Klaten
56
Kab. Bangkalan
05
Jakarta Utara
41
Kab. Sukoharjo
57
Kab. Sampang
06
Kab. Kepulauan Seribu
42
Kab. Wonogiri
58
Kab. Pamekasan
43
Kab. Karang Anyar
59
Kab. Sumenep
Banten (28)
31
Kab. Tangerang
44
Kab. Karang Anyar
48
Kab. Nganjuk
32
Kab. Serang
45
Kab. Grobongan
60
Kab. Situbondo
33
Kab. Pandeglang
48
Kab. Pati
22
Kota Batu
34
Kab. Lebak
49
Kab. Kudus
45
Kab. Sidoarjo
22
Kota Cilegon
50
Kab. Jepara
46
Kab. Mojokerto
21
Kota Tangerang
51
Kab. Demak
47
Kab. Jombang
52
Kab. Semarang
49
Kab. Madiun
Jawa Barat (02)

01
Kodya Bandung
53
Kab. Temanggung
50
Kab. Magetan
02
Kodya Bogor
54
Kab. Kendal
51
Kab. Ngawi
03
Kodya Sukabumi
55
Kab. Batang
Bali (22)
04
Kodya Cirebon
56
Kab. Pekalongan
32
Kab. Bangli
33
Kab. Bogor
57
Kab. Pemalang
33
Kab. Gianyar
34
Kab. Sukabumi
58
Kab. Tegal
34
Kab. Jembrana
35
Kab. Cianjur
59
Kab. Brebes
35
Kab. Karang Asem
36
Kab. Bandung
46
Kab. Blora
37
Kab. Klungkung
37
Kab. Garut
47
Kab. Rembang
38
Kab. Tabanan
38
Kab. Tasikmalaya
31
Kab. Badung
39
Kab. Ciamis
01
Kodya Yogyakarta
39
Kab. Buleleng
40
Kab. Kuningan
31
Kab. Kulon Progo
21
Kota Denpasar
41
Kab. Cirebon
32
Kab. Bantul
42
Kab. Majalengka
33
Kab. Gunung Kidul
01
Kodya Padang
43
Kab. Sumedang
34
Kab. Sleman
02
Kodya Solok
45
Kab. Indramayu
03
Kodya Sawah Lunto
46
Kab. Purwakarta
01
Kodya Surabaya
04
Kodya Padang Panjang
47
Kab. Karawang
02
Kodya Mojokerto
05
Kodya Bukit Tinggi
48
Kab. Bekasi
03
Kodya Malang
06
Kodya Payakumbuh
49
Kab. Subang
04
Kodya Pasuruan
31
Kab. Pesisir Selatan
05
Kota Banjar
05
Kodya Kediri
32
Kab. Solok
23
Kota Bekasi
06
Kodya Blitar
34
Kab. Tanah Datar
25
Kota Cimahi
07
Kodya Probolinggo
35
Kab. Padang Pariaman
24
Kota Depok
08
Kodya Madiun
36
Kab. Agam
22
Kota Tasikmalaya
31
Kab. Pacitan
37
Kab. Limapuluh Kota
32
Kab. Ponorogo
38
Kab. Pesaman
Jawa Tengah (03)
D.I. Yogyakarta (04)
Jawa Timur (05)
Sumatera Barat (08)
01
Kodya Magelang
33
Kab. Trenggalek
39
Kab. Dharmas Jaya
02
Kodya Surakarta
34
Kab. Tulung Agung
40
Kab. Kepulauan Mentawai
03
Kodya Salatiga
35
Kab. Blitar
41
Kab. Pasaman Barat
04
Kodya Semarang
36
Kab. Kediri
33
Kab. Sawah Lunto Sijunjung
05
Kodya Pekalongan
37
Kab. Malang
42
Kab. Solok Selatan
06
Kodya Tegal
38
Kab. Lumajang
22
Kota Pariaman
31
Kab. Cilacap
39
Kab. Jember
32
Kab. Banyumas
40
Kab. Banyuwangi
01
Kodya Banda Aceh
33
Kab. Purbalingga
41
Kab. Bondowoso
02
Kodya Sabang
34
Kab. Banjarnegara
42
Kab. Panarukan
31
Kab. Aceh Selatan
35
Kab. Kebumen
43
Kab. Probolinggo
32
Kab. Aceh Tenggara
TABLES
KODE
WILAYAH
Nanggroe Aceh Darussalam (06)
31
CONTINUED (LANJUTAN)
KODE
WILAYAH
NAMA WILAYAH
Nanggroe Aceh Darussalam (06)
TABLES
NAMA WILAYAH
KODE
WILAYAH
NAMA WILAYAH
32
Kab. Solok
37
Kab. Muko-Muko
33
Kab. Aceh Timur
34
Kab. Tanah Datar
33
Kab. Rejang Lebong
34
Kab. Aceh Tengah
35
Kab. Padang Pariaman
38
Kab. Seluma
35
Kab. Aceh Barat
36
Kab. Agam
36
Kab. Aceh Besar
37
Kab. Limapuluh Kota
01
Kodya Pangkal Pinang
37
Kab. Aceh Utara
38
Kab. Pesaman
31
Kab. Bangka
38
Kab. Pidie
39
Kab. Dharmas Jaya
32
Kab. Belitung
39
Kab. Aceh Barat Daya
40
Kab. Kepulauan Mentawai
33
Kab. Bangka Barat
40
Kab. Aceh Jaya
41
Kab. Pasaman Barat
34
Kab. Bangka Tengah
41
Kab. Aceh Singkil
33
Kab. Sawah Lunto Sijunjung
35
Kab. Bangka Selatan
42
Kab. Aceh Tamiang
42
Kab. Solok Selatan
36
Kab. Belitung Timur
43
Kab. Bener Merah
22
Kota Pariaman
44
Kab. Bireuen
02
Kodya Bandar Lampung
45
Kab. Gayo Lues
01
Kodya Palembang
31
Kab. Lampung Selatan
46
Kab. Nagan Raya
22
Kotip Prabumulih
32
Kab. Lampung Tengah
47
Kab. Simeulue
31
Kab. Ogan Komering Hulu
33
Kab. Lampung Utara
48
Kota Langsa
32
Kab. Ogan Komering Hilir
34
Kab. Lampung Barat
49
Kota Lhokseumawe
33
Kab. Muara Enim / Liot
35
Kab. Lampung Timur
34
Kab. Lahat
33
Kab. Kepulauan Talaud
Sumatera Utara (07)
Sumatera Selatan (11)
Bangka Belitung (30)
Lampung (12)
01
Kodya Medan
35
Kab. Musi Rawas
36
Kab. Minahasa Selatan
02
Kodya Sibolga
36
Kab. Musi Banyuasin
37
Kab. Minahasa Utara
03
Kodya Tanjung Balai
39
Kab. Banyuasin
38
Kab. Sangihe
04
Pematang Siantar
40
Kab. Ogan Ilir
21
Kota Bitung
05
Kodya Tebing Tinggi
41
Kab. Oku Selatan
22
Kota Tomohon
06
Kodya Binjai
42
Kab. Oku Timur
36
Kab. Tenggamus
31
Kab. Nias
21
Kota Lubuk Linggau
37
Kab. Tulang Bawang
32
Kab. Tapanuli Selatan
24
Kab. Pagar Alam
38
Kab. Way Kanan
33
Kab. Tapanuli Tengah
Riau (09)
21
Kota Metro
34
Kab. Tapanuli Utara
01
Kodya Pekan Baru
Jambi (10)
35
Kab. Labuhan Ratu
31
Kab. Indragiri Hulu
01
Kodya Jambi
36
Kab. Asahan
32
Kab. Indragiri Ilir
34
Kab. Batang Hari
37
Kab. Simalungun
34
Kab. Kampar
36
Kab. Kerinci
38
Kab. Dairi
35
Kab. Bengkalis
38
Kab. Bungo
39
Kab. Karo
36
Kab. Kuantan Singingi
39
Kab. Merangin
40
Kab. Deli Serdang
37
Kab. Pelalawan
40
Kab. Muaro Jambi
42
Kab. Humbang Hasundutan
38
Kab. Rokan Hilir
41
Kab. Sarolangon
43
Kab. Langkat
39
Kab. Rokan Hulu
42
Kab. Tanjung Jabung Barat
44
Kab. Mandailing Natal
40
Kab. Siak
43
Kab. Tanjung Jabung Timur
45
Kab. Nias Selatan
21
Kota Dumai
44
Kab. Tego
46
Kab. Pak Pak Barat
32
Kab. Karimun
47
Kab. Samosir
31
Kab. Kepulauan Riau
34
Kab. Donggala
48
Kab. Serdang Bedagai
33
Kab. Lingga
35
Kab. Banggai
49
Kab. Toba Samosir
34
Kab. Natuna
36
Kab. Poso
21
Kota Padang Sidempuan
01
Kodya Batam
37
Kab. Banggai Kepulauan
21
Kota Tanjung Pinang
38
Kab. Buol
39
Kab. Morowali
Kab. Parigi Moutong
Sumatera Barat (08)

01
32
KODE
WILAYAH
Kodya Padang
Bengkulu (26)
Sulawesi Tengah (18)
02
Kodya Solok
01
Kodya Bengkulu
40
03
Kodya Sawah Lunto
31
Kab. Bengkulu Selatan
41
Kab. Toli-Toli
04
Kodya Padang Panjang
32
Kab. Bengkulu Utara
21
Kota Palu
05
Kodya Bukit Tinggi
34
Kab. Kaur
06
Kodya Payakumbuh
35
Kab. Kepahyang
32
Kab. Buton
31
Kab. Pesisir Selatan
36
Kab. Lebong
35
Kab. Kolaka
Sulawesi Tenggara (20)
NAMA WILAYAH
Sulawesi Tenggara (20)
KODE
WILAYAH
NAMA WILAYAH
34
Kab. Mamuju Utara
35
Kab. Polewali Mandar
KODE
WILAYAH
NAMA WILAYAH
Kalimantan Timur (16)
36
Kab. Muna
37
Kab. Bombana
38
Kab. Kolaka Utara
01
Kodya Gorontalo
39
Kab. Konawe
31
Kab. Gorontalo
40
Kab. Konawe Selatan
32
Kab. Boalemo
31
Kab. Bima
41
Kab. Wakatobi
33
Kab. Bone Bolango
33
Kab. Lombok Barat
22
Kota Bau Bau
34
Kab. Pahuwato
34
Kab. Lombok Tengah
21
Kota Kendari
35
Kab. Lombok Timur
Sulawesi Selatan (19)
Gorontalo (32)
Kalimantan Barat (13)
01
Kodya Samarinda
02
Kodya Balikpapan
31
Kab. Berau
Nusa Tenggara Barat (23)
01
Kodya Pontianak
36
Kab. Sumbawa
02
Kodya Pare Pare
31
Kab. Pontianak
32
Kab. Dompu
31
Kab. Selayar
32
Kab. Sambas
37
Kab. Sumbawa Barat
33
Kab. Bantaeng
33
Kab. Sanggau
21
Kota Mataram
35
Kab. Takalar
34
Kab. Ketapang
22
Kota Bima
36
Kab. Gowa
35
Kab. Sintang
37
Kab. Sinjai
36
Kab. Kapuas Hulu
33
Kab. Timor Tengah Selatan
38
Kab. Bone
37
Kab. Bengkayang
34
Kab. Timor Tengah Utara
39
Kab. Maros
38
Kab. Landak
35
Kab. Belu
41
Kab. Barru
39
Kab. Melawi
36
Kab. Alor
42
Kab. Soppeng
40
Kab. Sekadau
37
Kab. Flores Timur
43
Kab. Wajo
41
Kab. Sintang
38
Kab. Sikka
44
Kab. Sidenreng Rappang
21
Kota Singkawang
39
Kab. Ende
45
Kab. Pinrang
41
Kab. Manggarai
46
Kab. Parekang
01
Kodya Banjarmasin
42
Kab. Kupang
47
Kab. Luwu
31
Kab. Tanah Laut
43
Kab. Lembata
48
Kab. Tana Toraja
32
Kab. Kota Baru
44
Kab. Manggarai Barat
32
Kab. Bulukumba
33
Kab. Banjar
40
Kab. Ngada
52
Kab. Enrekang
34
Kab. Baritokuala
45
Kab. Rote Ndao
34
Kab. Janeponto
39
Kab. Tabalong
46
Kab. Sumba Barat
53
Kab. Luwu Timur
40
Kab. Balangan
32
Kab. Sumba Timur
54
Kab. Luwu Utara
36
Kab. Hulu Sungai Selatan
21
Kota Kupang
40
Kab. Pangkajene Kepulauan
37
Kab. Hulu Sungai Tengah
21
Kota Makasar
38
Kab. Hulu Sungai Utara
01
Kodya Ambon
22
Kota Palopo
41
Kab. Tanah Bumbu
31
Kab. Maluku Tenggara
35
Kab. Tapin
32
Kab. Maluku Tengah
22
Kota Banjar Baru
35
Kab. Aru
36
Kab. Buru
Sulawesi Utara (17)

01
Kodya Manado
31
Kab. Minahasa
35
Kab. Bolaang Mongondow
Sulawesi Barat (31)
Kalimantan Selatan (15)
Kalimantan Tengah (14)
Nusa Tenggara Timur (24)
Maluku (21)
01
Kodya Palangkaraya
37
Kab. Maluku Tenggara Barat
31
Kab. Kota Waringin Barat
38
Kab. Seram Bagian Barat
39
Kab. Seram Bagian Timur
31
Kab. Majene
32
Kab. Kota Waringin Timur
32
Kab. Mamuju
33
Kab. Katingan
33
Kab. Mamasa
34
Kab. Kapuas
32
Kab. Halmahera Tengah
32
Kab. Bulungan
38
Kab. Gunung Mas
31
Kab. Maluku Utara
34
Kab. Pasir
39
Kab. Murung Raya
33
Kab. Halmahera Barat
35
Kab. Kutai Barat
35
Kab. Barito Selatan
34
Kab. Halmahera Selatan
36
Kab. Kutai Kartanegara
36
Kab. Barito Timur
35
Kab. Halmahera Timur
37
Kab. Kutai Timur
37
Kab. Barito Utara
36
Kab. Halmahera Utara
38
Kab. Malinau
41
Kab. Lamandau
37
Kab. Kepulauan Sula
39
Kab. Nunukan
42
Kab. Pulang Pisau
21
Kota Ternate
40
Kab. Penajam Paser Utara
40
Kab. Seruyan
22
Kota Tidore Kepulauan
41
Kota Bontang
43
Kab. Sukamara
21
Kota Tarakan
Maluku Utara (33)
TABLES
KODE
WILAYAH
Papua (25)
32
Kab. Jayapura
33
KODE
WILAYAH
NAMA WILAYAH
TABLES
Papua (25)
34
KODE
WILAYAH
NAMA WILAYAH
Papua Barat (34)
34
Kab. Merauke
33
Kab. Fak-Fak
35
Kab. Paniai
34
Kab. Manokwari
40
Kab. Asmat
31
Kab. Sorong
41
Kab. Biak Numfor
35
Kab. Kaimana
42
Kab. Bovel Digoel
36
Kab. Raja Ampat
43
Kab. Jayawijaya
32
Kab. Sorong Selatan
44
Kab. Keerom
21
Kota Sorong
45
Kab. Mappi
46
Kab. Mimika
47
Kab. Nabire
48
Kab. Pegunungan Bintang
39
Kab. Puncak Jaya
49
Kab. Sarmi
50
Kab. Supriori
51
Kab. Tolikara
52
Kab. Waropen
53
Kab. Yahukimo
38
Kab. Yapen Waropen
21
Kota Jayapura
TABLE 5
COUNTRY CODE
KODE NEGARA / BANGSA
KODE
NEGARA
NAMA NEGARA
KODE
NEGARA
NAMA NEGARA
ASIA
KODE
NEGARA
AMERICA
NAMA NEGARA
OCEANIA
00
Indonesia
48
United States of America
86
Australia
01
United Arab Emirates
49
Argentina
87
Christmas Island
02
Afghanistan
50
Alaska
88
Fiji Island
03
Bahrain
51
Brazil
89
Polynesia
04
Bangladesh
52
Canada
90
Papua New Guinea
05
Burma
53
Chile
91
New Caledonia
06
China
54
Colombia
92
New Hebrides
07
Cambodia
55
Cuba
93
New Zealand
08
Hong Kong
56
Mexico
99
Others
09
India
57
Panama
10
Iran
58
Venezuela
11
Iraq
12
Israel
60
Austria
13
Japan
61
Belgium
14
Jordan
62
Bulgaria
15
North Korea
63
Netherlands
16
South Korea
64
Cyprus
17
Kuwait
65
Czech Republic
18
Laos
66
Denmark
19
Lebanon
67
Hongary
20
Macau
68
Ireland
21
Malaysia
69
Italy
22
Pakistan
70
United Kingdom
24
Philippines
71
Germany
25
Saudi Arabia
73
Luxembourg
26
Sri Lanka
74
Poland
27
Singapore
75
Portugal
28
Syria
76
France
29
Thailand
77
Spain
30
Taiwan
78
Sweden
31
Turki
79
Switzerland
32
Vietnam
80
Soviet Union
33
Yaman
81
Greece
82
Yugoslavia
36
Algeria
37
Libya
38
Morocco
39
Egypt
40
Madagascar
41
Nigeria
42
Sudan
43
Tanzania
44
Tunisia
45
Uganda
AFRICA
TABLES
EUROPE
35
TABLE 6
DAFTAR NAMA dan
KODE SEKOLAH
Jenis
Nama SMA
Kode
SMA
A. PULAU JAWA
Wilayah Jabodetabek
(Jakarta, Bogor, Depok,
Tangerang, Serpong & Bekasi)
Kode
SMA
Jenis
Nama SMA
Kode
SMA
SMA
Bhudaya 2, Duren Sawit
31723859
SMA
Cempaka, Cempaka Putih Barat
31733856
SMA
Bina Bangsa PIK, Jakarta Utara
00620028
SMA
Cendrawasih II, Pondok Aren
33320016
SMA
Bina Bangsa, Jakarta Barat
31744974
SMA
Cendrawasih, Gandaria Selatan
31714101
SMA
Bina Darma, Senen
31733887
SMA
Cengkareng, Cengkareng
31744251
SMA
Bina Gama, Kebayoran Lama
00220004
SMA
Central School, Jakarta Barat
00520026
SMA
Bina Insani, Bogor
00820004
SMA
Chandra Kusuma, Kapuk Muara
31753841
SGO
Negeri
31712767
SMA
Bina Kusuma Pesanggrahan
31713861
SMA
Chandra Naya, Gajah Mada
31744073
17 Agustus 45, Tebet
31714012
SMA
Bina Lestari, Kuningan
31714194
SMA
Charitas, Lebak Bulus
31714654
31714027
SMA
Bina Siswa, Paseban Dalam
31733961
SMA
Cikra, Rawamangun
31723826
31725952
SMA
Bina Tunas Bangsa
00620015
SMA
Cindera Mata, Bekasi
01320012
Binatama, Pisangan Lama
31724022
SMA
Cipta Karya, Cawang
31724006
SMA
28 Oktober 1928, Warung Buncit

Adi Luhur, Balekembang
SMA
Al Hikmah, Pulo Gadung
31724366
SMA
SMA
Al Irsyad, Hasyim Ashari
31734016
SMA
Bintang Kejora, Cengkareng
31744183
SMA
Cita Buana, Jakarta Selatan
00220008
SMA
Al Washliyah, Jati
31725872
SMA
Bintang Mas, Penjaringan
31754044
SMA
Citra Kasih, Cimone, Tangerang
33320027
31744011
SMA
Binus High School, Simpruk
00220001
SMA
Corpatarin, Pondok Kopi
31723854
BKKK Agape, Tangerang
33320018
SMA
Daar El-Qolam, Balaraja-Tangerang
33320022
SMA
Al-Chasanah, Tanjung Duren
SMA
Alhuda, Cengkareng
31744026
SMA
SMA
Al-Kamal, Kedoya
31743865
SMA
BKUI, Kebayoran Baru
31714074
SMA
Damai Mekar, Bogor
00820007
SMA
Al-khairiyah, Tanjung Priok
31754013
SMA
BKUI, Pulo
31713856
SMA
Damai, Duri Selatan
31743851
SMA
Al-Kholidin, Melawai
31713855
SMA
Boni Siswa, Menteng Pulo
31714082
SMA
Darul Marif, Cipete
31714116
Borobudur, Cilandak
31714461
SMA
Darum Muminin, Jatinegara
31724304
SMA
Al-Muhajirin, Rawa Badak Selatan
31753842
SMA
SMA
Ananda, Bekasi
00320008
SMA
BPSK 1, Pondok Kopi
31723856
SMA
Darussalam, Pondok Labu
31714573
SMA
Ananda, Bekasi
01310008
SMA
BPSK, Tanah Abang
31734055
SMA
Dewi Sartika, Balimester
31723832
SMA
Angkasa 2, Halim Perdana Kusuma
31723861
SMA
Budaya, Salemba
31734063
SMA
Dewi Sartika, Jatiuwung
33320033
31724231
SMA
Budhaya, Matraman
31724037
SMA
Dewi Sartika, Tebet
31713917
31734024
SMA
Budhi Ciswa, Kemayoran
31734071
SMA
Dhammasavana, Jembatan Dua
31743947
Budhi Warman 2, Kramat Jati
31723893
SMA
Dharma Bhakti , Sunter Agung
31753847
SMA
SMA
Angkasa, Halim Pk.

API, Menteng
SMA
Arena Siswa 1, Gunung Sahari
31734032
SMA
SMA
Arena Siswa 2, Kenari
31734047
SMA
Budhi Warman, Kramat Jati
31724045
SMA
Dharma Bhakti, Cempaka Putih
31733872
SMA
Arena Siswa 4, Koja
31754237
SMA
Budi Agung, Bandengan
00620002
SMA
Dharma Budhi Bakti, Jakarta Utara
00620010
01310006
SMA
Budi Anugerah, Krekot
31734272
SMA
Dharma Jaya, Jelambar
31743836
Budi Luhur, Tangerang
33320020
SMA
Dharma Karya Ut
33320028
SMA
TABLES
Nama SMA
SMA
SMA
36
Jenis
Arena Siswa, Bekasi
SMA
Asisi, Menteng Dalam
31714035
SMA
SMA
As-syafiiyah 2, Jt. Waringin
31724014
SMA
Budi Mulia, Bogor
31841003
SMA
Dharma Karya, Kebayoran Baru
31714132
SMA
Asysyfiiyah, Bukit Duri
31714043
SMA
Budi Mulia, Mangga Besar
31734086
SMA
Dharma Putra, Kebon Bawang
31753848
SMA
AsySyukuriyah, Cipondoh,
Tangerang
33320034
SMA
Budi Murni Kedoya
31744057
SMA
Dharma Putra, Tangerang
33320010
SMA
Budi Murni 1, Pasar Rebo
31724084
SMA
Dharma Satria, Pejagalan
31753840
SMA
Atisa Dipamkara, Karawaci
33320036
SMA
Budi Murni 2, Kembangan
31743823
SMA
Dharma Suci, Pejagalan
31753837
SMA
Attaqwa, Gunung Sahari Utara
31733843
SMA
Budi Murni 3, Pondok Bambu
31723853
SMA
Dian Harapan, Cikarang
01320001
SMA
Australian International School,

Pejaten Barat
00220013
SMA
Budi Utomo, Depok
01420008
SMA
Dian Harapan, Daan Mogot, Jak Bar
00520017
SMA
Avicenna, Jakarta Selatan
00220006
SMA
Budi Waluyo, Petogogan
31713854
SMA
Dian Kasih, Jakarta Barat
00520012
SMA
Bahagia II, Kebon Kacang
31734674
SMA
Bukit Sion, Jakarta Barat
00520025
SMA
Dian Kasih, Tangerang
33320032
SMA
Bahariawan 45, Kelapa Gading
31754021
SMA
Bunda Hati Kudus, Jelambar
31744065
SMA
Dian Persada, Cipinang Timur
31723823
SMA
Bakti Putra, Kebayoran Lama Sel
31713853
SMA
Bunda Hati Kudus, Kota Wisata

Bogor
00820010
SMA
Diponegoro 2, Cakung
31723862
SMA
Baptis Cengkareng, Kapuk
31743831
SMA
Bunda Kandung, Pasar Minggu
31713956
SMA
Diponegoro, Rawamangun
31726036
SMA
Barunawati, Slipi
31743866
SMA
Bunda Mulia International School
00620023
SMA
Don Bosco 1, Pegangsaan Dua
31753857
SMA
Bellarminus 2, Bekasi
01310007
SMA
Bunda Mulia, Petojo
00420011
SMA
Don Bosco 2, Pulo Mas
31724416
SMA
Bethel, Jelambar
31754276
SMA
Bunga Harapan, Barat
31743963
SMA
Don Bosco Seruni, Pondok Indah
31714655
SMA
Bethel, Petamburan
31733862
SMA
Bunga Hati Bangsa
00620014
SMA
Don Bosco, Mangga Besar
31734113
SMA
Bhakti Idhata, Cilandak
31714051
SMA
Cahaya Kudus, Pluit
31753831
SMA
Dwi Daya 2, Kebayoran Lama
31713867
SMA
Bhakti Mulya, Lebak Bulus
31714656
SMA
Cahaya Sakti, Jatinegara
31724111
SMA
Dwi Putra, Ciputat-Jakarta Selatan
00220009
SMA
Bhakti Samodra, Klender
31723974
SMA
Cakra Buana, Depok
01420003
SMA
Dwi Warna, Bogor
00820002
SMA
Bhayangkari, Ragunan
31714066
SMA
Cakra Buana, Tegal Alur
31743830
SMA
Bhineka Tunggal Ika, Tambora
31744042
SMA
Cawang Baru 1, Cawang Baru
31724103
Nama SMA
Kode
SMA
Jenis
Kode
SMA
Jenis
SMA
IIBS Republic of Indonesia,

Cikarang
01320009
SMA
Insan Cendekia, Serpong
33320005
SMA
Insan Kamil, Bogor
00820006
SMA
Ipeka Green Ville, Tomang
31744985
SMA
IPEKA Internasional, Christian

School
00520020
SMA
Ipeka Puri, Kembangan Selatan
31743819
SMA
Ipeka Sunter, Jakarta Utara
00620005
SMA
Islam Al Maruf, Cijantung
31723841
SMA
Islam Al-Azhar 1, Kebayoran Baru
31714171
SMA
Islam Al-Azhar 2, Pejaten Barat
31713848
SMA
Islam Al-Azhar 3, Kebayoran Baru
31713857
SMA
Islam Al-Azhar Kemang, Kemang
31714646
SMA
Islam Al-Azhar, Bekasi
01320002
SMA
Islam Al-Azhar, BSD Serpong
33320007
SMA
Islam Al-Azhar, Kelapa Gading
00620011
SMA
Islam Al-Azhar, Pegangsaan Dua
31753855
SMA
Islam Al-Azhar, Tanjung Barat
00220003
SMA
Islam Al-Izhar, Pondok Labu
00220002
SMA
Islam Bahagia, Jakarta Barat
31743901
SMA
Islam Dian Ilmu, Depok
01420004
SMA
Islam Malahayati, Cijantung
31723835
SMA
Islam PB Sudirman, Cijantung
31723844
SMA
Islam Village, Tangerang
31840012
SMA
Jakarta Emerald School
00220010
Nama SMA
Nama SMA
Kode
SMA
SMA
Katolik Ricci, Kemenangan
31744131
SMA
Katolik Yos Sudarso
00620018
SMA
Kebon Jeruk 1, Kebon Jeruk
31744266
SMA
Kelapa Dua, Kebon Jeruk
31743955
SMA
Kelapa Dua, Kelapa Dua
31743863
SMA
Keluarga Widuri, Kebayoran Baru
31713995
SMA
Kemala Bhayangkari, Ragunan
31713847
SMA
Kemurnian 1, Kemurnian
31744972
SMA
Kemurnian 2, Duri Kepa
31743860
SMA
Kencana, Sungai Bambu
31753844
SMA
Kesatuan, Bogor
31841006
SMA
Ketapang 2, Kedoya Utara
31743855
SMA
Ketapang, Jakarta Pusat
31734678
SMA
Kharismuwita, Pasar Minggu
31714124
SMA
Komunitas Homeschooling Berkemas, Jak-Sel
00220016
SMA
Korpri, Bekasi
01320003
SMA
KRIS, Menteng
31734225
SMA
Kristen Almasih, Jelambar
31743840
SMA
Kristen Baptis, Kebon Kosong
31733849
SMA
Kristen Berkat, Balimester
31723830
SMA
Kristen Bethanie, Pintu Air
31733945
SMA
Kristen Immanuel, Wijaya Kusuma
31743835
SMA
Kristen Kasih Karunia, Jakarta Barat
00520024
SMA
Kristen Nasional Anglo, Jakarta
00420013
SMA
Kristen Pancaran Berkat, Jelambar

Barat
31743841
31743821
SMA
Dwi Warna, Bogor
00820002
SMA
Dwisaka, Pegan
31733863
SMA
Dwisaya I, Kebayoran Baru
31714147
SMA
Eka Sakti, Cengkareng Timur
31743833
SMA
Eka Sakti, Tanjung Duren
31744096
SMA
Eka Wijaya, Bogor
00820014
SMA
El Shaddai International School,

Jakarta Barat
0520028
SMA
El-Syifa, Kampung Setu Ciga
31713864
SMA
Fajar Indah, Pademangan Barat
31753859
SMA
Fajrul Islam, Kali Deres
31743828
SMA
Fatahillah, Grogol
31744107
SMA
Fatahillah, Kali bata
31713866
SMA
Fons Vitae 1, Matraman
31724061
SMA
Fons Vitae 2, Tanjung Priok
31753861
SMA
Fons Vitae 3 / Marsudirini, Bekasi
31842003
SMA
Fransiskus 2, Kp. Ambon
31724076
SMA
Fransiskus, Kramat
31734136
SMA
Gajah Mada, Cempaka Putih Barat
31733857
SMA
Galatia 1, Wijaya Kusuma
31743843
SMA
Galatia 3, Pegadungan
31743826
SMA
Galatia, Bekasi
03520003
SMA
Gamaliel, Jakarta Utara
00620008
SMA
Gandhi Internasional School, Ancol
00620007
SMA
Gandhi Memorial International

School, Kemayoran
31733848
SMA
Gandhi School, Kemayoran
31733844
SMA
Jakarta International School
00220007
SMA
Gandhi School, Pangandaran Ancol
31753886
SMA
Jatinegara, Jatinegara
31724277
SMA
Kristen Petra, Joglo
SMA
Ghandi Poera, Cijantung
31724343
SMA
Jaya, Kemang
31714186
SMA
Kristen Samaria, Tomang
00520011
SMA
Giki 2, Jakarta Utara
31753926
SMA
00320010
SMA
Kristen Tiara Kasih, Cengkareng
00520010
SMA
Gita Kirti 2, Sunter Jaya
31753850
John Calvin Internasional School,

Pulo Mas
00520016
31753836
31713858
Joshua, Palmerah
Kristen Yusuf, Pejagalan
Gitta Kirtti 3, Gandaria Utara
SMA
SMA
SMA
00320002
31753787
31734264
Global Islamic School, Condet
Jubele, Sunter Agung
Ksatria, Percetakan Negara
SMA
SMA
SMA
33320019
31744123
01420007
Global Jaya, Tangerang
Kalam Kudus 1, Tangkilio
Lab School, Cinere
SMA
SMA
SMA
31743832
31713868
01320013
Kalam Kudus 2, Duri Kosambi
Lab School, Kebayoran
Global Prestasi, Kalimalang, Bekasi
SMA
SMA
SMA
31714155
31744976
31724420
GMK, Karet
Kalam Kudus 3, Green Garden
Lab School, Rawamangun
SMA
SMA
SMA
31714631
00820011
31743897
Gonzaga, Pasar Minggu
Kamandaka, Bogor
Lamaholot, Bojong Indah
SMA
SMA
SMA
31734167
31733861
01420005
Guntur, Pejompongan
Kanaan, Gunung Sahari
Lazuardi, Depok
SMA
SMA
SMA
31713972
31840020
31733846
Hamasto Institut, Cidodol
Kanaan, Tangerang
LPPU A Jaya, Pasar Baru
SMA
SMA
SMA
31734191
31744243
31713852
Kanisius, Menteng
M. H. Thamrin, Kalideres
Hang Tuah 1, Cipulir
SMA
SMA
SMA
31734175
31724262
31714565
Harapan 1, Pramuka Murtado
Kapin, Pondok Kelapa
MABAT, Komp. MABAT
SMA
SMA
SMA
31733922
31723858
31841010
Harapan 2, Pramuka Murtado
Kapin, Pondok Kopi
Madania, Bogor
SMA
SMA
SMA
31753835
31713862
00210003
Harapan Abadi, Pluit
Kartika X-1, Srengseh Sawah
Madrasah Aliyah
SMA
SMA
SMA
33320004
31713941
00620029
Harapan Bangsa, Tangerang
Kartika, Kebayoran Lama
Mahatma Gading
SMA
SMA
SMA
31723843
00420014
31713851
Kartini Adnan, Kalisari
Mahatma Gandhi
Harapan Ibu, Pondok Pinang
SMA
SMA
SMA
31743874
31734577
01320017
Harapan Jaya, Cengkareng
Kartini, Kartini
Mahanaim, Bekasi
SMA
SMA
SMA
31753830
31734677
31713875
Harapan Kasih, Penjaringan
Karunia, Jakarta Pusat
Manggarai, Manggarai
SMA
SMA
SMA
31753843
00320006
31744154
Hasanuddin, Lagoa
Karya Iman, Jakarta Timur
Marco, Kebon Jeruk
SMA
SMA
SMA
00320009
01420001
31714163
Karya Iman, Lippo Cikarang, Bekasi
Mardiyuana, Depok
Hias 1, Manggarai
SMA
SMA
SMA
31723935
31713964
31841001
Hikmah Pendidikan
Kasgoro, Mampang Prapatan
Mardiyuana/St. Fransiskus, Bogor
SMA
SMA
SMA
Home Schooling Kak Seto
00220012
Kasgoro, Mangga Besar
31734217
Maria Mediatri, Kuta baru,

Tangerang
33320031
SMA
SMA
SMA
SMA
Hutama, Pondok Gede, Jakarta

Timur
00320014
SMA
Katolik Abdi Siswa, Duri Kepa
31743857
SMA
Katolik Budi Luhur, Ancol
31754195
SMA
Ibu Pertiwi, Setiabudi
31714476
SMA
Katolik Diakonia, Pluit
31753833
SMA
Katolik Notre Dame, Kembangan
31743824
TABLES
Jenis
37
TABLES
Jenis
38
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
SMA
Mark Joseph, Kelapa Gading
00610021
SMA
Patria Wisata
00820013
SMA
PKBM Remaja (Paket C)
00610002
SMA
Markus, Tangerang
31840011
SMA
Patria Wisata, Jakarta Selatan
00220011
SMA
00510001
SMA
Marsudirini, Bogor
01820003
SMA
Patriot, Petamburan
31744282
PKBM, Perguruan Rakyat,

Cengkareng
SMA
Mater Dei, Pamulang
31840021
SMA
Pattimura, Setiabudi
31714252
SMA
Poris Indah
33310021
SMA
Mawar Saron, Jakarta Utara
00620013
SMA
Pax Patriae, Bekasi
01320014
SMA
PPSP IKIP, Rawamangun
31724181
SMA
Melania , Cempaka Putih Barat
31733858
SMA
Pelita 2, Duri Kepa
31743862
SMA
Pramita, Tangerang
33320052
SMA
Methodist, Pejagalan
31753832
SMA
Pelita Bangsa, Tangerang
33320008
SMA
Presiden, Cikarang
01320016
SMA
Metrop 2, Pisangan Lama
31724254
SMA
Pelita Harapan, Cikarang
31842002
SMA
Pribadi, Depok
01420009
SMA
Metrop. 1, Bendungan Jago
31734627
SMA
Pelita Harapan, Sentul
31841004
SMA
Prima Nusantara. Pd. Kelapa
31724327
SMA
Metros, Tanjung Priok
31754075
SMA
Pelita Harapan, Tangerang
31840007
SMA
Providentia, Kebon Jeruk
31744979
SMA
Morning Star Academy, Kuningan
0220024
SMA
Pelita III, By. Pass
31723982
SMA
PSKD 1, Diponegoro
31734353
SMA
Muamanah, Senayan
31714484
SMA
Pelita Kudus, Wijaya Kusuma
31743842
SMA
PSKD 2, Slamet Riyadi
31724196
SMA
Muawanah, Petukangan Selatan
31713859
SMA
Pelita, Duri Utara
31743849
SMA
PSKD 3, Kwini
31734361
SMA
Muhammadiyah 1, Kramat
31734287
SMA
Pemb. Nusantara, Kel. Gedong
31724157
SMA
PSKD 4, Kebayoran Baru
31714275
SMA
Muhammadiyah 11, Rawamangun
31723943
SMA
Pembangunan 2, Jakarta Pusat
00420003
SMA
PSKD 5, Penjaringan
31753839
SMA
Muhammadiyah 12, Matraman
31723927
SMA
Pembangunan 3, Cakung
31723912
SMA
PSKD 7, Depok
01420002
SMA
Muhammadiyah 13, Tomang
31743844
SMA
Pembangunan Jaya, Tangerang
31840022
SMA
PSKD Mandiri, Jakarta Pusat
00420006
SMA
Muhammadiyah 14, Pejompongan
31733914
SMA
Perg. Advent 1, Kramat Pulo
31734345
SMA
Purnama, Kebayoran Baru
31714283
SMA
Muhammadiyah 15, Slipi
31743916
SMA
Perg. Advent 2, Salemba
31734635
SMA
Pusaka Abadi, Pejagalan
31753828
SMA
Muhammadiyah 16, Kali Baru
31733953
SMA
Perg. Nasional, Kemayoran
31734643
SMA
Puspita
33320039
SMA
Muhammadiyah 18, Cipulir
31713850
SMA
Perg. Nasional, Tebet
31714492
SMA
Puspita sari
33320042
SMA
Muhammadiyah 19, Tebet Barat
31713846
SMA
Perg. Rakyat 1, Semanggi
31714267
SMA
Putra Nusa, Tegal Alur
31743829
SMA
Muhammadiyah 2, Kemayoran
31734295
SMA
Perg. Rakyat. 2, Pondok Bambu
31724165
SMA
Putra Satria, Petukangan Utara
31713860
SMA
Muhammadiyah 23, Pondok Bambu
31723852
SMA
Pergunas, Cempaka Baru
31733852
SMA
00220005
SMA
Muhammadiyah 24, Grogol
31743837
SMA
Perguruan Buddhi, Tangerang
33320006
Raffles Int School Christian, Jakarta

Selatan
SMA
Muhammadiyah 25, Pamulang
33320012
SMA
Perguruan Cikini, Cikini
31734105
SMA
Rasa Sayang, Duri Kepa
31743856
SMA
Muhammadiyah 3, Kebayoran Baru
31714205
SMA
Perguruan Cikini, Duren Tiga
31714607
SMA
Rawabadan, Wijaya Kusuma
31743847
SMA
Muhammadiyah 4, Cawang
31724126
SMA
Perguruan Nasional, Cijantung
31723836
SMA
Raya, Lubang Buaya
31724351
SMA
Muhammadiyah 5, Tebet
31714213
SMA
Perintis Pembangunan, Jatinegara
31723850
SMA
Reformasi Pembangunan 1,
Cipinang Timur
31723824
SMA
Muhammadiyah 6, Slipi
31744162
SMA
Permai, Pluit
31753888
SMA
Regina Pacis, Bogor
31841002
SMA
Mutaqien, Kebon Baru
31713844
SMA
Permata Bunda, Duri Selatan
31743848
SMA
Regina Pacis, Palmerah
31744193
SMA
Mutiara 1, Kebon Bawang
31753846
SMA
Permata Indah, Pejagalan
31753838
SMA
Remaja, Koja
31754083
Ricci 2, Bintaro
31840023
SMA
Mutiara 17 Agustus, Bekasi
01310005
SMA
Persamaan, Bogor
00820008
SMA
SMA
Mutiara Bangsa
33320038
SMA
Petra, Joglo
31743821
SMA
Ruwabadan, BDN Pesing
31744034
SMA
Mutiara Bangsa 3
00520019
SMA
PGRI 1, Pisangan Lama
31724173
SMA
S Pemandu, Wijaya Kusuma
31743839
SMA
Nasional 1, Bekasi
00320013
SMA
PGRI 10, Utan Kayu
31724134
SMA
Said Naum, Tanah Abang
31734376
SMA
Negeri 3, Depok
01410002
SMA
PGRI 109, Tangerang
33320023
SMA
Saint Anthony, Cideng
31733842
SMA
Nur-Attaqwa, Jakarta Utara
00610001
SMA
PGRI 11, Slipi
31743924
SMA
Saint Peter SHS
00320012
SMA
Nurul Falah, Semper Timur
31753854
SMA
PGRI 12, Utara
31753934
SMA
Samaria Kudus, Meruya Utara
31743822
SMA
Nurul Huda, Cakung Barat
31723847
SMA
PGRI 13, Cempaka Putih
31733906
SMA
San Marino, Kalideres
31743827
SMA
Nusa Indah I, Cipete Utara
31713933
SMA
PGRI 19, Kemayoran Gempol
31733851
SMA
Sang Timur, Kebon Jeruk
31743861
Santa Lukas 1, Sunter Agung
31753845
SMA
Nusa Putra, Tangerang
33320051
SMA
PGRI 2, Cengkareng
31744297
SMA
SMA
Nusantara 1, Tangerang
33320021
SMA
PGRI 22, Tanjung Barat
31714615
SMA
Nusantara, Diponegoro
31734314
SMA
PGRI 3, Pondok Labu
31714445
Santa Maria Della Strada,

Pademangan
00620022
SMA
SMA
Nusantara, Jakarta Utara
31754245
SMA
PGRI 4, Pasar Rebo
31724293
SMA
Santa Maria Monica, Bekasi
01320010
SMA
Ora Et Labora, BSD Serpong
31840002
SMA
PGRI 5, Cilincing
31753884
SMA
Santa Ursula 1, Pasar Baru
31734384
SMA
Ora Et Labora, Pondok Indah
31714236
SMA
PGRI 6, Cempaka Putih
31733937
SMA
Santika 1, Cijantung
31723834
SMA
PAMI, Pintu Air
31734322
SMA
PGRI 8, Kebon Jeruk
31743932
SMA
Santo Andreas, Kedoya
00520008
SMA
Pancakarya, Tangerang
33310022
SMA
PGRI, Mangga Besar
31744177
SMA
Santo Paulus, Sunter
00620006
SMA
Pangudi Luhur 2, Bekasi
03520001
SMA
33310010
Sapta Kharisma, Cakung Barat
31723848
SMA
Pangudi Luhur, Kebayoran Baru
31714244
PKBM Bina Sejahtera (paket C),

Legok
SMA
SMA
Sari Mulia, Sukapura
31753853
SMA
Pangudi Rahayu, Pasar Rebo
31724142
SMA
Sariputra, Hayam Wuruk
31744204
SMA
Paramitha 2, Jakarta Pusat
00420015
SMA
Saudara, Manggarai
31714291
SMA
Paskalis, Sumur Batu
31733850
SMA
Selatan 1, Palbatu
31714097
SMA
PKBM Budi Mulya, Cileduk,

Jakarta Selatan
00220014
SMA
PKBM Kartini (Paket C), Bekasi
01310003
SMA
PKBM Negri 16 (Paket C)
00410003
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
SMA
Sentosa, Mangga Besar
31743853
SMA
Tarsisius 2, Kebon Jeruk
31743859
SMA
Yadika 5, Joglo
31743820
SMA
Setia Bhakti, Tangerang
33320024
SMA
Tarsisius Vireta, Tangerang
31840001
SMA
Yadika 7, Bogor
01820002
SMA
Setia Mandiri, Kebayoran Baru,

Jakarta Selatan
00220015
SMA
Tarsisius, Hasyim Ashari
31734442
SMA
Yadika 8, Jatimulya, Bekasi
03520004
SMA
Sevilla School, Pulomas
00320011
SMA
Taruna Jaya 2, Kramat
31734465
SMA
Yake, Cipinang Besar Utara
31723829
SMA
Silaparamita, Cawang
31724207
SMA
Taruna, Karet Kuningan
31714333
SMA
Yakeba, Kalibata
31714372
SMA
Singapore International School, PIK
00620019
SMA
Teladan 1, Cijantung
31723837
SMA
Yampi, Sunter
31753903
SMA
SKJN, Taman Sari
31744212
SMA
Teladan, Cilincing
31754261
SMA
Yapan, Bekasi Timur
31723904
SMA
Slamet Riyadi, Cijantung
31724215
SMA
Teladan, Kalibata
31714453
SMA
Yapemri, Jatinegara
31724246
SMA
SLK II IKIP, Halimun
31714503
SMA
The International School of Bogor
00820009
SMA
Yapenap, Guntur
31714387
SMA
Spes Patriae, Kemurnian
31743882
SMA
Tiara Bangsa, Cibubur
00320004
SMA
Yapenda, Kebon Bawang
31753852
SMA
Springfield Internasional Curriculum, Depok
00320015
SMA
Tirta Marta, Pondok Indah
31713902
SMA
Yapenka 1, Sumur Batu
31733895
SMA
Trampil 2, Cililitan
31723845
SMA
Yapenka I, Sumur Batu
31733895
SMA
St. Alexius, Pondok Bambu
31723851
SMA
Tri Arga, Kebon Jeruk
31743854
SMA
Yaperjasa, Pasar Minggu
31714623
SMA
St. Antonius, Balimester
31723831
SMA
Tri Bina, Pejagalan
31744227
SMA
Yapermas, Menteng
31733976
SMA
St. Bellarminus, Menteng
31734651
SMA
Tri Ratna, Kel. Krukut
31744316
SMA
Yapindo 1, Serdang Baru
31734666
SMA
St. John, BSD, Tangerang
33320050
SMA
Tri Utama, Pasar Minggu
31714511
SMA
Yapis, Ciganjur
31714395
SMA
St. Kristoforus 2, Perum Taman

Lestari
00520001
SMA
Triana, Petojo Utara
31733841
SMA
Yappenda, Tanjung Priok
31754117
SMA
Tribawa, Gunung Sahari Utara
31733845
SMA
Yappri Pagi, Kelapa Gading
31753911
SMA
St. Kristoforus, Jelambar
31743838
SMA
Triguna, Kebayoran Baru
31714341
SMA
YAPPRI, Kel. Gading
31754253
SMA
St. Laurensia , Tangerang
31840005
SMA
Trinitas, Cengkareng
00520003
SMA
Yapsi, Pasar Jumat
31714526
SMA
St. Leo 2, Kosambi
31744186
SMA
Trinitas, Cikarang, Bekasi
01320011
SMA
Yasda, Kuningan
31714596
SMA
St. Leo, Mangga Besar
31744185
SMA
Trisoko, Pondok Gede
31723966
SMA
Yasmu Sudirman, Cijantung
31724092
SMA
St. Lukas 1, Ancol
31753891
SMA
Trisula, Guntur
31714356
SMA
Yasmu, Sungai Bambu
31753851
SMA
St. Nikolas, Jakarta Utara
00620009
SMA
Triwibawa
00420010
SMA
Yasmu, Tanjung Priok
31754125
SMA
St. Patricia
33320046
SMA
Tunas Bangsa, Sunter
00620004
SMA
Yaspend Raya, Kereo
31713987
SMA
St. Paulus, Gambir
31734403
SMA
Tunas Bangsa, Tangerang
33320017
SMA
Yaspi, Tanjung Priok
31754133
SMA
St. Peter, Kelapa Gading
00620012
SMA
Tunas Gading, Jakarta Utara
00620016
SMA
Yaspita Serpong, Tangerang
33320026
SMA
St. Theresia, H. Agus Salim
31734675
SMA
Tunas Harapan, Bogor
00820003
SMA
Yasporbi 1, Menteng Dalam
31713843
SMA
St. Ursula 2, Tangerang
31840004
SMA
Tunas Islam, Cijantung
31723838
SMA
Yaspri 1, Cakung
31754141
SMA
St. Yakobus, Pengangsaan
31753889
SMA
Tunas Jaka Sampurna, Bekasi
01320004
SMA
Yaspri 1, Pulo Mas
31723877
SMA
St. Yosef, Jakarta Timur
00320003
SMA
Tunas Karya, Kelapa Gading
31753858
SMA
Yaspri 2, Cakung
31754156
SMA
St. Yoseph, Kebon Jeruk
31744187
SMA
Tunas Markatin, Rawamangun
31723828
SMA
Yaspri 2, Pulo Gadung
31723885
SMA
Stella Maris, BSD Serpong
31840024
SMA
Tunas Muda, Meruya
00520014
SMA
YBPK, Cikini
31733860
SMA
Stella Maris, Pejagalan
31753834
SMA
Tunas Muda, Meruya
00520021
SMA
YMCA, Perc. Negara
31734507
SMA
Stella Maris, Penjaringan
31744182
SMA
Universal School, Kemayoran
00420009
SMA
YMIK 2, Manggarai
31713845
SMA
STRADA Budi Luhur, Bekasi
01320015
SMA
Unwanul Huda, Mampang Prapatan
31713891
SMA
YMIK Pagi, Senen
31734515
SMA
Strada Thomas Aquino, Tangerang
31840003
SMA
31723860
SMA
YMIK Sore, Pasar Baru
31734523
SMA
Suluh, Pasar Minggu
31714302
Uswatun Hasanah , Cipinang

Melayu
31723822
31714406
31714317
Utama 1, Kebun Manggis
YMIK, Manggarai
Sumbangsih, Setiabudi
SMA
SMA
SMA
31734411
31743834
31754164
Sunda Kelapa, Menteng
Vianney , Rawa Buaya
Yoel, Cilincing
SMA
SMA
SMA
31724223
31723997
31733855
Swadaya, Duren Sawit
Villa Mas, Pulomas
Yon Angmor, Tanah Tinggi Barat
SMA
SMA
SMA
31749012
31723842
31734546
Swasta, Jakarta Barat
Vini Vidi Vici, Cijantung
YP IPPI, Gambir
SMA
SMA
SMA
31753892
31734585
31729015
Walang Jaya, Jakarta Utara
YP IPPI, Petojo
Swasta, Timur
SMA
SMA
SMA
31759014
31713883
31713849
Swasta, Utara
Walisongo, Mampang Prapatan
YP Mulia, Pondok Pinang
SMA
SMA
SMA
31723951
31714364
31714542
Taman Kemajuan, Kramat Jati
Waskito, Setiabudi
YP, Dwijaya, Radio Dalam
SMA
SMA
SMA
31733854
31734496
31723849
Taman Madya , Gunung Sahari

Selatan
Widuri, Kebon Sirih
YP. IPPI Cakung, Pulo Gebang
SMA
SMA
SMA
SMA
Widya Manggala, Cijantung
31723840
SMA
YPK Wijaya, Kebayoran Baru
31714414
SMA
Taman Madya 1, Kemayoran
31734426
SMA
Widyasana, Dr. Saharjo
31714581
SMA
YPKP DKI, Cijantung
31723839
SMA
Taman Madya 4, Perc. Negara
31734434
SMA
Wijaya, Sunter
31753876
SMA
YPM, Lenteng Agung
31713865
SMA
Taman Madya 5, Rawasari
31733859
SMA
Wijayakusuma, Bandengan
31754102
SMA
YPM, Setiabudi
31714534
SMA
Taman Sakti, Lubang Buaya
31724335
SMA
Wiyata Mandala, Duren Sawit
31723855
SMA
YPMII, Pademangan
31754172
SMA
Tarakanita 1, Kebayoran Baru
31714325
SMA
Wiyata Mandala, Kebon Bawang
31753849
SMA
YPPU Kansantang, Menteng Dalam
31714221
SMA
Tarakanita 2, Pluit
31754091
SMA
Yadika 1, Tanjung Duren
31743845
SMA
YPR 1, Srengseh Sawah
31713863
SMA
Tarakanita 3, Gading Serpong
31840025
SMA
Yadika 2, Tegal Alur
31743825
SMA
YPUI, Kebayoran Lama
31714557
SMA
Yupentek 1, Tangerang
33320009
TABLES
Jenis
39
TABLES
Jenis
40
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
SMA
31840013
SMAN
15, Ancol
31750023
SMAN
5, Sumur Batu
31730034
SMA
31840014
SMAN
16, Slipi
31740036
SMAN
5, Tangerang
03310001
SMA
Yuppentek 4, Tangerang
33320025
SMAN
17, Blandongan
31740044
SMAN
50, Cipinang Muara
31720032
SMA
Yusha, Koja
31754187
SMAN
18, Jembatan Baru
31740067
SMAN
51, Condet
31720121
SMAK
1 Bhakti, Bogor
00820012
SMAN
18, Warakas
31750010
SMAN
52, Cilincing
31750062
SMAK
1 BPK Penabur, Bogor
31841007
SMAN
19, Perniagaan
31740075
SMAN
52, Semper Barat
31750013
SMAK
1 BPK Penabur, Tanjung Duren
31744233
SMAN
2, Bekasi
31842004
SMAN
53, Cipinang
31720063
SMAK
2 BPK Penabur, Pasar Baru
31733847
SMAN
2, Bogor
31841008
SMAN
54, Jatinegara
31720217
SMAK
3 BPK Penabur, Gunung Sahari
31734256
SMAN
2, Cikarang
01310004
SMAN
55, Duren Tiga
31710014
SMAK
4 BPK Penabur, Kedoya
31743858
SMAN
2, Depok
01410001
SMAN
56, Cengkareng
31740125
SMAK
5 BPK Penabur, Kelapa Gading
31753885
SMAN
2, Gajahmada
00410001
SMAN
57, Kedoya Raya
31740141
SMAK
6 BPK Penabur, Tangerang
31840006
SMAN
2, Tangerang
31840010
SMAN
58, Pasar Rebo
31720225
SMAK
7 BPK Penabur, Cipinang
31724423
SMAN
20, Krekot Bunder
31730065
SMAN
59, Klender
31720047
SMAK
Harapan Zaman, Pejagalan
31753829
SMAN
21, Kampung Ambon
31720086
SMAN
6, Bogor
00810002
SMAK
IPEKA, Pluit Jakarta Utara
00620020
SMAN
22, Utan Kayu
31720105
SMAN
6, Kebayoran Baru
31710037
SMAK
Nasional Anglo, Cikarang
03520002
SMAN
23, Tomang
31740083
SMAN
6, Tangerang
33310003
SMAK
Pembangunan 2
00520023
SMAN
24, Kj. Jenderal Sudirman
31710092
SMAN
60, Mampang
31710262
SMAK
Strada, Daan Mogot
33320049
SMAN
24, Lapangan Tembak
31730146
SMAN
61, Jatinegara
31720233
SMAN
77
00410002
SMAN
25, Petojo
31730073
SMAN
62, Kramat Jati
31720241
SMAN
1, Bekasi
31842001
SMAN
26, Tebet
31710076
SMAN
63, Kebayoran Lama
31710277
SMAN
1, Bogor
31841005
SMAN
27, Rawasari
31730081
SMAN
64, Pasar Rebo
31720094
SMAN
1, Budi Utomo
31730011
SMAN
28, Ragunan
31710084
SMAN
65, Kebon Jeruk
31740133
SMAN
1, Cikarang
03510002
SMAN
29, Kebayoran Lama
31710103
SMAN
66, Pondok Labu
31710142
SMAN
1, Cikupa
33310019
SMAN
3, Bekasi
31842005
SMAN
67, Halim Pk
31720202
SMAN
1, Curug
33310011
SMAN
3, Bogor
31841009
SMAN
68, Salemba
31730131
SMAN
1, Gubug
33310016
SMAN
3, Setiabudi
31710022
SMAN
69, Pulau Seribu
31750077
SMAN
1, Pamulang
01110002
SMAN
30, Rawasari
31730096
SMAN
7, Bekasi
01310001
SMAN
1, Serpong
33310004
SMAN
31, Pramuka Jaya
31720191
SMAN
7, Gambir
31730042
SMAN
1, Tangerang
31840009
SMAN
32, Cidodol Baru
31710126
SMAN
7, Tangerang
33310002
SMAN
10, Bekasi
01310002
SMAN
33, Cengkareng
31740091
SMAN
70, Bulungan
31710207
SMAN
10, Mangga Besar
31730057
SMAN
34, Pondok Labu
31710134
SMAN
71, Duren Sawit
31720016
SMAN
10, Tangerang
33310007
SMAN
35, Karet Tengsin
31730154
SMAN
72, Utara
31750093
SMAN
100 , Cipinang Besar Selatan
31720001
SMAN
36, Rawamangun
31720136
SMAN
73, Tanjung Priok
31750085
SMAN
101, Joglo
31740006
SMAN
37, Tebet
31710165
SMAN
74, Kebayoran Lama
31710053
SMAN
102, Cakung Timur
31720009
SMAN
38, Srengseng Sawah
31710173
SMAN
75, Cilincing
31750104
SMAN
103, Malaka Raya
31720011
SMAN
39, Cijantung
31720144
SMAN
76, Cakung
31720071
SMAN
104, Gedong
31720003
SMAN
4, Bekasi
03510001
SMAN
78, Kemanggisan
31740011
SMAN
105, Kelapa Dua Wetan
31720015
SMAN
4, Bogor
00810003
SMAN
79, Menteng Atas
31710001
SMAN
106, Pekayon
31720005
SMAN
4, Gambir
31730026
SMAN
8, Bukit Duri
31710045
SMAN
107, Jati Negara
31720007
SMAN
4, Tangerang
33310005
SMAN
8, Perumnas, Tangerang
33310008
SMAN
108, Kebayoran Lama Utara
31710003
SMAN
40, Kj. Cilincing
31750031
SMAN
8, Tangerang
33310017
SMAN
109, Srengseng Sawah
31710004
SMAN
40, Pademangan
31750046
SMAN
81, Rawa Mangun
31720264
SMAN
11, Pulo Gebang
31720006
SMAN
41, Sumur Batu
31730115
SMAN
82, Jakarta Selatan
31710278
SMAN
110, Tugu Selatan
31750008
SMAN
41, Sunter Agung
31750009
SMAN
84, Kalideres
31740010
SMAN
111, Penjaringan
31750007
SMAN
42, Halim Pk.
31720152
SMAN
85, Srengseng
31740005
SMAN
112, Sanggrahan Meruya
31740007
SMAN
43, Minangkabau
31710181
SMAN
86 Bintaro, Jakarta Selatan
00210002
SMAN
113, Lubang Buaya
31720013
SMAN
44, Klender
31720256
SMAN
87, Pesanggrahan
31710005
SMAN
114, Cilincing
31750011
SMAN
45, Klp. Gading
31750054
SMAN
88, Pasar Rebo
31720175
SMAN
115, Rorotan
31750012
SMAN
46, Blok A
31710196
SMAN
89, Cakung Timur
31720008
SMAN
12, Klender
31720024
SMAN
47, Tanah Kusir
31710246
SMAN
9 , Kebon Pala
31720012
SMAN
13, Tangerang
33310025
SMAN
48, Pondokgede
31720113
SMAN
90, Petukangan Selatan
31710006
SMAN
13, Tg. Priok
31750015
SMAN
49, Jagakarsa
31710254
SMAN
91, Pondok Kelapa
31720010
SMAN
14, Cililitan
31720055
SMAN
5, Bogor
00810001
SMAN
92, Semper Barat
31750014
SMAN
14, Tangerang
33310024
SMAN
5, Karawaci Baru
33310012
SMAN
93, Kramat Jati
31720167
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
SMAN
94, Semanan
31740008
SMK
Assyfiyah, Menteng Dalam
31715520
SMK
Cagar Budaya, Cijantung
31725926
SMAN
95, Pegadungan
31740009
SMK
Bahariwan 45, Kelapa Gading
31756055
SMK
Cahaya Sakti, Balimester
31725884
SMAN
96, Cengkareng Timur
31740012
SMK
Balekembang
31725937
SMK
Cakra Buana, Depok
01420006
SMAN
97, Jagakarsa
31710111
SMK
Baranangsiang
00820015
SMK
Caraka Nusantara, Pulo Gebang
31725978
SMAN
98, Kalisari
31720002
SMK
Barunawati , Sungai Bambu
31756078
SMK
Cawang , Cipinang Cempedak
31725875
SMAN
99, Cibubur
31720014
SMK
31746002
SMK
Cendikia, Sunter
31756080
SMAN
Atlit Ragunan
31710231
Benteng Gading, Kp. Belakang

Kamal
31730123
31725877
31745942
Cempaka Putih
Berlian , Bidaracina
Cendrawasih, Cengkareng
SMAN
SMK
SMK
31721012
31735978
31745995
Cijantung
Bethanie, Kebon Kelapa
Cengkareng, Rawa Lele
SMAN
SMK
SMK
31711025
31746025
31725862
Ciputat
Bethel, Jelambar
Cikra 2, Pulo Gadung
SMAN
SMK
SMK
31736013
31756094
31741016
Bethel, Petamburan
Cilincing 1, Cilincing
Grogol
SMK
SMK
SMAN
31711017
31726002
31756095
Mampang Prapatan
Bhakti 2, Cipinang Melayu
Cilincing 3, Semper Timur
SMAN
SMK
SMK
31710002
33320037
31745965
Ragunan, Ragunan
Bhakti Anindya, Tangerang
Cindra Mata Indah, Duri Utara
SMAN
SMK
SMK
31725888
2, Cikarang
00110002
31725882
SMK
Citra Dharma, Gedong
31725907
SMEA
Ketapang, Jakarta Pusat
00420007
Bhakti Pertiwi, Cipinang Besar

Selatan
Cipta Karya, Cipinang Cempedak
SMEA
SMK
SMK
00520013
31725999
31725985
(Farmasi) Kristen Penabur
Bhakti, Cawang
Corpatarin, Pondok Kelapa
SMF
SMK
SMK
00420005
31745955
31736004
Jayawisata 1, Jakarta Pusat
Bhakti, Wijaya Kusuma
Darma Bhakti, Cemp. Putih Barat
SMIP
SMK
SMK
31849001
31745954
31725878
St. Laurensia, Serpong
Bhara Trikora 2, Jelambar
Darul Mukminim, Cipinang Muara
SMIP
SMK
SMK
31735981
31745950
31715526
2, Gambir, Jakarta Pusat
Bhara Trikora I, Jelambar
Darul Ulum, Karet Kuningan
SMK
SMK
SMK
31745960
31745985
31745958
Bhineka Tunggal Ika, Tanah Sereal
Dewi Sartika, Duri Kepa
1 BPK Penabur, Tanjung Duren
SMK
SMK
SMK
31745999
31725916
31745963
1, Kalideres
Bina Dharma, Cijantung
Dhamasavana, Angke
SMK
SMK
SMK
31735985
31725965
31756087
1, Tanah Abang
Bina Karya Utama, Pulo Gebang
Dharma Budhi, Sunter Agung
SMK
SMK
SMK
31725972
31745959
31756088
11 Maret, Rawa Terate
Bina Karya, Krendang
Dharma Putra, Sunter
SMK
SMK
SMK
31716096
31725962
31756050
17 Agustus 1945, Tebet
Bina Manajemen, Pulo Gebang
Dharma Suci, Pejagalan
SMK
SMK
SMK
31715533
31726010
31745939
Bina Putra
Dharma Surya , Cipayung
2 Citra Adhi, Rawa Buaya
SMK
SMK
SMK
31735988
31745981
31745998
2, Cempaka Baru
Bina Siswa, Sukabumi Utara
Dian, Sumur Bor
SMK
SMK
SMK
31715534
31725871
31725956
28 Oktober 1928, Tegal Parang
Bina Tama, Pulo Gadung
Dinamika Pembangunan, Jatinegara
SMK
SMK
SMK
31745978
31726013
31725968
3, Kedoya Selatan
Bonaventura I, Pd. Bambu
Diponegoro 2, Rawa Terate
SMK
SMK
SMK
31715545
31726036
31725952
Borobudur, Cilandak
Diponegoro, Rawamangun
Adi Luhur , Balekembang
SMK
SMK
SMK
31725942
31725891
31725863
Aditama, Cawang
Borobudur, Cipinang Cempedak
Dirgantara, Pulo Gadung
SMK
SMK
SMK
31725970
31725981
31756110
Al Akhyar 1, Rawa Terate
BPS K-II, Pondok Kopi
Djadajat, Marunda
SMK
SMK
SMK
31725955
31725990
31715531
Al Akhyar 2, Jatinegara
BPSK Pembangunan, Pondok

Kelapa
DKI, Pasar Manggir
SMK
SMK
SMK
SMK
Dua Mei, Ciputat, Tangerang
33320047
Budaya, Pondok Kelapa
31725988
SMK
Al Falah, Rawa Terate
31725973
SMK
SMK
Duren Sawit, Pondok Kelapa
31725983
SMK
Al Fathiyah, Cawang
31725943
SMK
Budaya/PSKI, Matraman
31726021
SMK
Duta Bangsa, Kapuk
31745946
SMK
Al Huda, Kelapa Dua
31745982
SMK
Budi Asih 1, Cipayung
31726012
SMK
Dwijaya, Kebayoran Baru
31716011
SMK
Al Washliyah, Jati
31725872
SMK
Budi Asih, Cijantung
31725917
SMK
Dwikora, Gn.Sahari Selatan
31735997
SMK
Al Wathoniyah, Pulo Gebang
31725964
SMK
Budi Asih, Pasar Manggis
31715528
SMK
Eka Bakti Pertiwi, Joglo
31746006
SMK
Al-Ansyoriah, Petojo Utara
31735979
SMK
Budi Daya Insani, Pulo Gadung
31725869
SMK
Eka Sakti, Cengkareng Timur
31745945
SMK
Al-Chasanah, Tanjung. Duren Utara
31745952
SMK
Budi Kemurnian, Duri Kepa
31745983
SMK
Era Pembangunan Umat, Cijantung
31725927
SMK
Al-Hairiyah, Tanjung Priok
31756012
SMK
Budi Luhur, Ancol
31756027
SMK
Fensensius, Jati
31725860
SMK
Al-Huda, Cengkareng
31746017
SMK
Budi Luhur, Tanah Abang
31736023
SMK
Fransiskus, Kramat
31736031
Budi Mulia Utama, Pondok Kelapa
31725989
SMK
Al-Ihsan, Tanah Abang
31736012
SMK
SMK
Gandi Poera, Cijantung
31725920
SMK
Al-Irsyad, Hasyim Ashari
31736015
SMK
Budi Murni 1, Duren Sawit
31725979
SMK
Ganesha, Semper Barat
31756099
SMK
Al-Irsyad, Lagoa
31756065
SMK
Budi Murni 2, Kedoya Selatan
31745984
SMK
Gaya Baru, Rawa Badak
31756035
SMK
Al-Jihad, Papanggo
31756076
SMK
Budi Murni 3, Cipinang Cempedak
31725889
SMK
Giri Kencana, Pekayon
31725902
SMK
Al-Khairiyah 2, Lagoa
31756061
SMK
Budi Murni 4, Pekayon
31725900
SMK
Gita Kirti 2, Sunter
31756082
Budi Murni 5, Gedong
31725911
SMK
Grafika Desa, Lenteng Agung
31715561
SMK
Guna Bangsa, Cipinang Besar

Selatan
31725883
SMK
Gunung Jati, Sungai Bambu
31756081
SMK
Hangtuah 1, Kelapa Gading
31756066
SMK
Al-Khairiyah, Lagoa
31756060
SMK
SMK
Al-Makmur, Cikini
31736005
SMK
Budi Pekerti, Tambora
31745967
SMK
Al-Mudatsiriyah, Utan Panjang
31735984
SMK
Budi Satria, Bangka
31715532
SMK
Al-Wasliyah, Kembangan Utara
31746011
SMK
Budi Utomo, Cawang
31725938
SMK
Angkasa, Cipayung
31726011
SMK
Budi Warman, Pekayon
31725930
SMK
Annida, Pegadungan
31746003
SMK
Bunda Kandung, Pasar Minggu
31715553
SMK
Asisi, Menteng Dalam
31715523
SMK
Buntul Kubu, Pondok Kelapa
31725992
SMK
Assaad Abadiyah, Kemandoran
31716107
SMK
Cagar Budaya 2, Pekayon
31725896
TABLES
Jenis
41
TABLES
Jenis
42
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
SMK
Harapan 1, Rawa Terate
31725974
SMK
LPPU Minpersdam, Gambir
31734612
SMK
Pembangunan, Pemuda
31721526
SMK
Harapan Jaya, Kapuk
31745943
SMK
Maarif, Grogol
31745956
SMK
Pemda DKI, Jelambar
31746041
SMK
Harapan Mulia, Pademangan
31756111
SMK
Mahadika, Cawang
31725940
SMK
Perbankan Nasional, Rawa Terate
31725967
SMK
Harapan Raya, Cengkareng Timur
31745940
SMK
Mahardhika 1, Gedong
31725910
SMK
Perdana Kusuma, Cipayung
31726009
SMK
Harvard, Angke
31745966
SMK
Malahayati, Semper Timur
31756108
SMK
Perdana, Pondok Kelapa
31725991
SMK
Hatawana , Cipinang Cempedak
31725876
SMK
Malaka, Pondok Kopi
31725998
SMK
Perg. Ksatria, Cempaka Putih Barat
31736000
SMK
Hias, Cipinang Melayu
31726001
SMK
Manggarai, Manggarai
31715519
SMK
31756056
SMK
Ibu Pertiwi, Setiabudi
31716026
SMK
Mardi Bhakti, Cijantung
31725919
Perguruan Cikini, Rawa Badak

Utara
SMK
Indonesia, Kramat
31736046
SMK
Maribaya, Kramat Jati
31725944
SMK
Perintis Nasional , Kebon Bawang
31756091
SMK
Institut Yakin, Cengkareng
31746033
SMK
Markus, Tangerang
33320014
SMK
Perkapalan, Mampang Prapatan
31715592
SMK
IPPI Petojo, Petojo Utara
31735983
SMK
Mekarsari, Pulomas
31726075
SMK
Permata Bunda, Duri Selatan
31745962
SMK
Iptek, Pulo Gebang
31725961
SMK
Mercusuar, Jatinegara
31725954
SMK
Permata Indah, Pejagalan
31756051
SMK
Islam Al Wahyu, Gedong
31725908
SMK
Mitra Kencana , Malaka Jaya
31725980
SMK
Persahabatan, Rawamangun
31725868
SMK
Islam Andalus, Pela Mampang
31715536
SMK
Mth, Kalideres
31746000
SMK
Pertiwi, Cijantung
31725928
SMK
Islam Malahayati, Cijantung
31725913
SMK
Muara Indonesia, Cipinang Muara
31725881
SMK
Petri Jaya, Pondok Kelapa
31725993
SMK
Islam PB Sudirman , Cijantung
31725918
SMK
31746013
PGRI 1, Cipinang Melayu
31726003
SMK
Islam Perti, Tomang
31745957
Muhammadiyah 1, Gunung Sahari

Selatan
SMK
SMK
PGRI 1, Tangerang
33310023
SMK
Islam Yasmin, Cijantung
31725923
SMK
Muhammadiyah 10, Paseban
31735994
SMK
PGRI 10, Pasar Baru
31731744
SMK
Jaya Wisata, Cipinang Melayu
31726006
SMK
Muhammadiyah 11, Harapan Mulia
31735987
SMK
PGRI 12, Krukut
31745969
SMK
Jaya, Kelapa Gading
31756054
SMK
Muhammadiyah 12, Kenari
31735995
SMK
PGRI 13, Taman Sari
31745970
SMK
K Rahmani, Tangki
31745974
SMK
Muhammadiyah 12, Tugu Utara
31756053
SMK
PGRI 15, Duri Kepa
31745987
SMK
Kalpataru, Rawa Terate
31725969
SMK
Muhammadiyah 2, Kb. Melati
31736009
SMK
PGRI 16, Cijantung
31725921
SMK
Kampung Jawa, Johar Baru
31735999
SMK
Muhammadiyah 4, Kemanggisan
31745989
SMK
PGRI 17, Rawamangun
31725865
SMK
Kapin, Gatot Subroto
31715576
SMK
Muhammadiyah 5, Kb. Kacang
31736010
SMK
PGRI 19, Pekayon
31725898
SMK
Kapin, Pondok Kelapa
31725982
SMK
Muhammadiyah 7, Tebet Timur
31715521
SMK
PGRI 2 , Kembangan Utara
31746008
SMK
Kartini 2 Jkt, Kartini
31735986
SMK
Mutiara 1, Kebon Bawang
31756077
SMK
PGRI 2, Rorotan
31756097
SMK
Kartini 3, Pisangan Timur
31725866
SMK
Nasional Alfan, Dukuh
31725949
SMK
PGRI 20, Pekayon
31725895
SMK
Karya Darma, Batu Ampar
31725951
SMK
Negeri 1, Tangerang
33310014
SMK
PGRI 21, Rawamangun
31725861
SMK
Karya Guna, Manggarai
31715518
SMK
Negeri 2, Tangerang
33310013
SMK
PGRI 22, Kampung Bali
31731756
SMK
Karya Nusa, Semper Timur
31756109
SMK
Negeri 3, Tangerang
33320035
SMK
PGRI 25, Karet Tengsin
31736014
SMK
Karya Wijayakusuma, Gedong
31725909
SMK
Nurul Huda, Pulo Gebang
31725963
SMK
PGRI 26, Pluit
31756044
SMK
Kasih Ananda, Pegangsaan Dua
31756072
SMK
Nurul Islam, Pondok Kelapa
31725986
SMK
31746015
SMK
Kawula Indonesia, Pondok Kelapa
31725995
SMK
Nusantara 1, Cilincing
31756102
PGRI 27, Garuda 63, Gn. Sahari

Selatan
SMK
Kebangsaan, Utan Kayu Selatan
31725975
SMK
Nusantara 2, Semper Barat
31756107
SMK
PGRI 28, Gedong
31725931
SMK
Kebon Jeruk, Sukabumi Utara
31745977
SMK
Nusantara, Pekayon
31725893
SMK
PGRI 29, Slipi
31745991
SMK
Kelapa Gading , Kelapa Gading
31756062
SMK
Otomindo , Pekayon
31725901
SMK
PGRI 3, Marunda
31756101
SMK
Kemala Bhayangkara, Cipinang
31725859
SMK
Pancasila, Rawa Terate
31725971
SMK
PGRI 30, Pejokan
31745964
SMK
Kencana 1, Sungai Bambu
31756090
SMK
Pandawa, Cipinang Muara
31725880
SMK
PGRI 31, Bend. Hilir
31731758
SMK
Kencana 2
31756084
SMK
31745941
SMK
PGRI 34, Sangihe 26, Cideng
31731742
SMK
Kencana, Sungai Bambu
31756040
Pangeran Wijaya Kusuma, Cengkareng Brt
SMK
PGRI 4, Rawa Sari
31736001
SMK
Kesatuan, Rawa Buaya
31745944
SMK
Pangudi Rahayu, Cijantung
31725924
SMK
PGRI 5 , Pasar Baru
31731745
SMK
Kesdam Jaya, Jakarta Pusat
00420012
SMK
Papanggo
31756093
SMK
PGRI 5, Cengkareng
31745947
SMK
Kesosi, Srengseng
31746009
SMK
Pariwisata Cantika Wisata, Pondok

Kelapa
31725997
SMK
PGRI 6, Kebon Kosong
31731751
SMK
Ketapang, Petojo Utara
31735980
SMK
Pariwisata Cikra 1, Pulo Gadung
31725870
SMK
PGRI 7, Paseban
31731753
SMK
Kramat Jati, Cawang
31725941
SMK
Pariwisata Mahadika 3, Gedong
31725934
SMK
PGRI 9, Pekayon
31725894
SMK
Kresna, Cililitan
31725950
SMK
Pariwisata Paramita, Pondok Kelapa
31725996
SMK
PKP 2, Pekayon
31725892
SMK
Kristen BPK, Pembangunan
31736054
SMK
Pelayaran Baruna, Cipinang Melayu
31726005
SMK
Pluit Raya, Penjaringan
31756052
SMK
Kristen Widuri, Kebon Sirih
31736062
SMK
Pelayaran Jaya, Kelapa Gading
31756071
SMK
Poncol , Mutiara Raya, Sumur Batu
31735998
SMK
Ksatrya, Perc. Negara
31736077
SMK
Pelayaran Nasional, Tanjung Priok
31756092
SMK
Pondok Karya Pembangunan,

Cijantung
31725915
SMK
Lagoa, Lagoa
31756064
SMK
Pelayaran Pembangunan, Gedong
31725932
SMK
PSKD 1, Prapatan
31736085
SMK
Lamaholot, Rawa Buaya
31745938
SMK
Pelita 2, Manggarai
31715524
SMK
PSKD 2, Bulungan
31716042
SMK
Lektur, Kebayoran Baru
31715584
SMK
Pelita IV, Duri Utara
31745961
SMK
PSKD 3, Penjaringan
31756045
SMK
LPPM No. 1, By. Pass
31726052
SMK
Pelita Tiga No.1, Pisangan Timur
31725873
SMK
LPPM No. 2, By. Pass
31726067
SMK
Pembangunan, Bogor
01820001
Jenis
Kode
SMA
Jenis
Punta Dewata, Sumur Batu
31735992
SMK
Purnama, Kebayoran Baru
31716057
SMK
Syahid, Cilincing
31756104
SMK
Yoel, Semper Timur
31756106
Taman Sakti, Tegal Alur
31746001
SMK
Yosua, Kotabambu Utara
SMK
Pusaka 1, Cipinang Muara
31725879
31745990
SMK
Taman Siswa, Kemayoran
31736104
SMK
YP IPPI, Petojo
SMK
Putra Nusa, Tegal Alur
31736127
31746005
SMK
Taman Siswa, Perc. Negara
31736112
SMK
YP. IPPI, Pulo Gebang
31725976
SMK
SMK
Rahayu, Kramat Jati
31725947
SMK
Tamsis 2, Pegangsaan
31736007
SMK
YPK Kesatuan, Manggarai
31716073
Raudhatul Jannatin, Pademangan
31756112
SMK
Tamsis, Kebon Kosong
31746014
SMK
YPK Wijaya, Kebayoran Baru
31716081
SMK
Raya 2, Cijantung
31725914
SMK
Tanjung Priok 2, Lagoa
31756059
SMK
YPMII, Kebayoran Lama
31715611
SMK
Raya, Pekayon
31725899
SMK
Tanjung Priok I, Lagoa
31756057
SMK
Yusha, Tugu Utara
31756067
SMK
Reformasi Pembangunan 1, Pulo

Gadung
31725864
SMK
Tanjung, Grogol
31745951
SMK
Yusufiah, Cijantung
31725925
SMK
Remaja Pluit, Pluit
31756048
SMK
Tanwirul Quluh, Palmerah
31745993
SMKK
2, Tanjung Duren
00520015
SMK
Reses 66, Tanah Tinggi
31736002
SMK
Tarakanita, Kebayoran Baru
31716065
SMKK
Budi Asih , Pekayon
31725906
SMK
Respati, Cawang
31725939
SMK
Taruna , Jatinegara
31725960
SMKK
Budi Luhur
31756086
SMK
Respati, Karet
31715530
SMK
Teladan Golden, Kemanggisan
31745994
SMKK
Nazaret, Pejagalan
31756049
SMK
Rex Mundi, Jakarta
00420008
SMK
Telkom Sandhy Putra, Jakarta Utara
00520009
SMKK
Negeri 1, Pasar Minggu
31712036
SMK
Ristek Jaya, Penggilingan
31725959
SMK
Teratai Putih , Pondok Kelapa
31725984
SMKK
Negeri 2, Kebayoran Baru
31712013
SMK
Ristek Kikin, Penggilingan
31725958
SMK
Timur, Kramat Jati
31725945
SMKK
Negeri 4, Pasar Minggu
31712044
SMK
Risto Jaya, Jatinegara
31725953
SMK
Timur, Utan Kayu
31726044
SMKK
Negeri 5, Tebet
31712021
SMK
RPI, Kuningan Timur
31715529
SMK
Tomang Raya, Jatipulo
31745992
SMKK
Negeri 7, Kebayoran Baru
31712052
SMK
Sahid, Gedong
31725933
SMK
Trampil, Cililitan
31725948
SMKK
Negeri, Kayu Putih
31722015
SMK
Said Naum, Kb. Kacang
31736011
SMK
Tri Arga 1, Kebon Jeruk
31745988
SMKK
Widuri, Kebayoran Baru
31716525
SMK
Saint Anthony Jkt, Cideng
31735982
SMK
Tri Arga 3, Kebon Jeruk
31745986
SMKN
1, Gambir
31731761
SMK
Saint John, Gn.Sahari Selatan
31735993
SMK
Tri Dharma Budhi Daya, Pejagalan
31756046
SMKN
10, Cawang
31721522
SMK
Samaria Jaya, Mangga Besar
31745971
SMK
Tri Ratna, Krukut
31745976
SMKN
10, Tanjung Priok
31751765
SMK
Sanggit Cendikia, Kalideres
31746004
SMK
Tri Sastra, Cijantung
31725922
SMKN
11, Percetakan Negara
31731792
SMK
Santa Lusia, Cipinang Cempedak
31725890
SMK
Tri Tunggal , Pisangan Timur
31725874
SMKN
11, Pinangsia
31741764
SMK
Santa Lusiana, Balekembang
31725935
SMK
Tridaya, Cipayung
31726008
SMKN
12 , Kebon Bawang
31751758
SMK
Santo Leo, Tangki
31745972
SMK
Tunas Harapan, Cempaka Putih
31736003
SMKN
12, Cilandak
31711795
SMK
Sari Mulia I, Suka Pura
31756103
SMK
Tunas Harapan, Wijaya Kusuma
31745953
SMKN
13, Kemayoran
31731803
SMK
Sari Putra, Semper Barat
31756100
SMK
Tunas Markatin, Rawamangun
31725867
SMKN
13, Palmerah
31741766
SMK
Sarimulia 2, Semper Timur
31756096
SMK
Uswatun Hasanah, Cipinang Melayu
31726004
SMKN
14, Johar Baru
31731760
SMK
Sasmita Jaya 1, Pamulang,

Tangerang
33320048
SMK
Vini Vidi Vici, Cijantung
31725929
SMKN
14, Pejompongan
31731811
SMK
Walang Jaya, Tugu Selatan
31756058
SMKN
15, Kabayoran Baru
31711806
SMK
Satria, Sengseng
31746007
SMK
Wawasan Nusantara, Balimester
31725887
SMKN
16, Kelapa Gading
31751763
SMK
SDM, Kuningan Barat
31715535
SMK
Widya Manggala, Gedong
31725912
SMKN
16, Pegangsaan
31731755
SMK
Sejahtera, Tugu Utara
31756063
SMK
Wiratama, Marunda
31756098
SMKN
16. Tm. Amir Hamzah
31731826
SMK
Sentosa, Mangga Besar
31745975
SMK
31756089
SMKN
17, Kemanggisan
31741794
SMK
Silam Fatahillah, Krukut
31745973
Wiyata Mandala Bakti, Kebon

Bawang
31756070
31725994
31711769
Siliwangi, Lagoa
Wiyata Mandala, Pondok Kelapa
18, Pondok Pinang
SMK
SMK
SMKN
31741805
31745968
31745997
18, Slipi
Sinar Dharma, Krendang
SMKN
SMK
SMK
31756079
31745996
31731757
Spic Patrie, Sunter Agung
19 , Bendungan Hilir
SMK
SMK
SMKN
31725957
31726007
31721782
Sriwijaya, Jatinegara
Yamas , Cipayung
19, Pasar Rebo
SMK
SMK
SMKN
31735977
31725905
31731776
St Paulus, Duri Pulo
Yamor Jaya , Pekayon
2, Menteng
SMK
SMK
SMKN
31751773
31736128
31756083
20, Pademangan
St. Maria, Juanda
Yanindo, Tanjung Priok
SMKN
SMK
SMK
31736008
31756085
31731750
St. Theresia, Gondangdia
Yapenda, Kebon Bawang
21, Kebon Kosong
SMK
SMK
SMKN
31735989
31735990
31711814
Strada 2, Gn. Sahari Selatan
Yapenka, Sumur Batu
21, Pasar Minggu
SMK
SMK
SMKN
31756068
31736006
31721519
Strada 3, Tugu Utara
Yapermas, Menteng
22, Gedong
SMK
SMK
SMKN
31721766
31756043
31715522
22, Utan Kayu
Strada KJ, Tanjung Priok
Yasda, Kuningan XV
SMKN
SMK
SMK
31751764
33320043
31726083
23, Pademangan Timur
Strada, Daan Mogot
Yasmu Sudirman, Cijantung
SMKN
SMK
SMK
31736093
31756075
31711822
Strada, Gunung Sahari
Yasmu, Sungai Bambu
23, Pondok Labu
SMK
SMK
SMKN
31725886
31715527
31741771
Sultan Agung, Balimester
Yaspen, Pasar Manggis
24, Cengkareng
SMK
SMK
SMKN
31721523
31746010
31756047
24, Cipayung
Sumpah Pemuda, Joglo
Yaspi Jaya, Sunter
SMKN
SMK
SMK
31725987
31756105
31711837
Swadaya, Pondok Kelapa
Yaspi, Semper Barat
25, Kebayoran Lama
SMK
SMK
SMKN
SMK
Swasta, Pusat
31739017
SMK
Yaspri, Matraman
31726091
SMK
Swasta, Manggarai
31715603
SMK
YMIK, Joglo
31746012
Nama SMA
SMK
SMK
Nama SMA
Nama SMA
Kode
SMA
TABLES
Kode
SMA
Jenis
43
Jenis
Jenis
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
26, Kemayoran
31731834
SMT
Penerbangan, Keb. Baru
31711516
SMA
Yadika 9, Bekasi
03520005
SMKN
27, Kb. Jeruk
31741813
SPG
Aisyiah, Bendungan Hilir
31717513
SMA
Dian Didaktika, Cinere-Depok
01420013
SMKN
27, Pasar Baru
31731746
SPG
Negeri 2, Guntur
31712535
SMAK
6 BPK Penabur, Jakarta Utara
00620030
SMKN
28 , Cilandak Barat
31711774
SPG
Negeri, Pondok Pinang
31713016
SMAK
00520032
SMKN
28, Cipinang
31721797
SPG
Negeri, Setiabudi
31712512
8 BPK Penabur International,

Tanjung Duren
SMKN
29, Pejaten
31711845
SPG
Negeri, Tanjung Barat
31712527
SMAK
Penabur Harapan Indah, Bekasi
01320024
SMKN
3, Gambir
31731741
SMA
Candle Tree School, Serpong
33320059
SMAK
00620031
SMKN
3, Gunung Sahari Selatan
31731748
SMA
00220020
SMKN
3, Kebayoran Baru
31711764
Delima International School,

Kemang
Penabur International, Kelapa

Gading
SMAN
1, Babelan Bekasi
03510003
SMKN
30, Gunung
31711771
SMA
00320016
1, Balaraja Tangerang
33310027
SMKN
30, Klender
31721801
Jakarta International Korean School,

Jak-Tim
SMAN
SMAN
1, Ciawi Bogor
00810005
SMKN
31, Johar Baru
31731759
SMA
Mentari International School,

Kebayoran Baru
00220025
SMAN
1, Cikampek
03210003
SMKN
33, Rawa Badak
31751757
SMA
Pena Home Schooling, Menteng
00420018
SMAN
1, Cileungsi
00810007
SMKN
34, Paseban
31731752
SMA
PKBM Bina Warga Mandiri, Bogor
00820018
SMAN
11, Tangerang
33310028
SMKN
35, Krukut
31741768
SMA
PKBM Perti, Jakarta Barat
00520029
SMAN
2(d/h SMAN 1 Cisauk), Tangerang

Selatan
33310009
SMKN
36, Kali Baru
31751760
SMA
SMAN
26, Tebet
31710076
37, Pasar Minggu
31711765
PKBM Ristek Nusantara, Cempaka

Putih
00420017
SMKN
31710084
38, Gambir
31731740
00220015
28, Ragunan
SMKN
PKBM Setia Mandiri, Kebayoran

Baru, Jak-Sel
SMAN
SMAN
4, Bojonegoro
10810001
SMAN
43, Setia Budi
00210004
SMAN
9, Bogor
00810006
SMK
Musik Perguruan Cikini, Jakarta

Pusat
00420020
SMK
Negeri 19, Bendungan Hilir
00410004
SMK
Santa Laurensia
33320053
SMK
Yuppentek 2, Curug, Tangerang
33320062
SMA
UPH College, Karawaci
33320066
SMA
Yayasan Pendidikan Putra Kusuma
00120008
SMKN
39, Cempaka Putih Timur
SMKN
SMKN
SMA
31731754
SMA
PKBM Technosa, Serpong
33320064
4, Pasar Minggu
31711772
SMA
31751759
PKBM Windsor Homeschooling,

Jakarta Pusat
00420017
4, Rorotan
SMKN
4, Tangerang
33310020
SMA
00520033
SMKN
40, Utan Kayu Utara
31721513
Raffles Design Institute, Citywalk

Sudirman
SMKN
42, Cengkareng
31741767
SMA
Singapore International School,

Lebak Bulus
00220026
SMKN
43, Cipulir
31711770
SMA
Bethel, Tangerang
0112004
SMKN
44, Cempaka Baru
31731749
SMA
Bina Nusantara, Serpong
33320057
SMKN
44, Rawamangun
31721514
SMA
Bonavita, Tangerang
33320067
SMKN
45, Suka Bumi Selatan
31741765
SMA
BPK Penabur, Bintaro Jaya
33320065
SMKN
46, Jatinegara
31721518
SMA
Candra Naya, Jembatan Besi
31743850
SMKN
47, Pejaten Barat
31711767
SMA
48, Jatinegara
31721516
Deutsche Internationale Schule,

BSD Serpong
33320063
SMKN
SMKN
49, Marunda
31751761
SMA
Dharma Mulya
07820019
31721512
SMA
Don Bosco 3, Cikarang Selatan,

Bekasi
01320023
SMA
Global Mandiri, Bogor
00320019
SMA
Hati Suci, Kampung Bali, Jakarta

Pusat
00420016
SMA
High Scope International, Jakarta

Selatan
00220021
Ignatius Slamet Riyadi, Karawang
5, Pisangan Baru
SMKN
5, Tambora
31741763
SMKN
50, Jatinegara
31721517
SMKN
51, Gedong
31721520
SMKN
52, Kelapa Dua Wetan
31721524
SMKN
53, Taman Sari
Advent, Bandung
00720008
Aloysius 2, Bandung
00720004
SMA
Bina Bakti 1, Bandung
00720003
SMA
Bina Bhakti, Bandung
00720013
SMA
BPI I, Bandung
00720014
SMA
Farmasi BPK Penabur, Bandung
00720019
03220002
SMA
Jendral Sudirman, Bandung
00710004
International Islamic High School,

Jak-Sel
00220022
SMA
Krida Nusantara, Bandung
00720015
SMA
Ketapang 3, Cibubur, Bogor
00820019
SMA
Kristen Bina Bakti 2, Bandung
31843008
SMA
Kharisma Bangsa, PamulangTangerang
33320054
SMA
Kristen Dago, Bandung
00720002
SMA
Kristen Kalam Kudus, Bandung
00720016
SMA
Nafiri Sion, Bandung
00720007
SMA
Pelita Bangsa, Bandung
00720005
SMA
Penoboth, Bandung
00720009
SMA
Pesantren Persatuan Islam, Bandung
00720012
SMA
Pribadi, Bandung
00720017
SMA
St. Aloysius, Bandung
31843004
SMA
St. Angela, Bandung
31843007
SMA
St. Maria 1, Bandung
31843005
SMA
St. Maria 2, Bandung
31843009
31741769
54, Serdang
31731747
SMKN
55, Pademangan Timur
31751762
SMA
SMKN
56, Pluit
31751756
SMKN
58, Gedong
31711768
31721521
SMKN
6 , Melawai
31711773
SMA
Malidar, Bekasi
01320021
SMKN
6, Mayjen Sutoyo
31721774
SMA
Mardi Waluya, Cibinong
01820004
SMKN
7, Jatinegara
31721515
SMA
Mardi Yuana, Serang
33420004
SMA
Marie Joseph, Kelapa Gading
00620021
SMKN
7, Pinangsia
31741786
BANDUNG
SMA
SMKN
57, Jati Padang
B. PULAU JAWA
Wilayah Luar Jabodetabek
SMA
SMA
SMKN
TABLES
Kode
SMA
SMKN
SMKN
SMKN
8, Kramat
31731784
SMA
Presiden, Cikarang
19520012
SMKN
8, Pejaten
31711766
SMA
Saint Peter School
00620017
SMKN
9, Pondok Pinang
31711787
SMA
School of Universe, Bogor
00820017
SMKN
Kebon Sereh
31721511
SMA
Stella Maris International, Gading

Serpong
33320055
31712261
SMA
Taruna Mandiri, Tangerang
33320068
SMA
St. Paulus
00720010
31715514
SMA
Yadika 4, Bekasi
01320020
SMA
Taruna Bakti, Bandung
31843010
SMP
SMPS
SMT
44
Nama SMA
Negeri, Kemanggisan
Negeri, Cilandak
Gutama, Kebayoran Baru
31740117
Jenis
Temasek International School,

Bandung
00720020
CIREBON
SMA
Terpadu Krida Nusantara, Bandung
00720018
SMA
Trimulia, Bandung
00720006
SMA
Trinitas, Bandung
31843006
SMA
Yahya, Bandung
00720001
SMA
SMA
Nama SMA
Yayasan Pendidikan Sejati, Bandung
00720011
SMAK
1 BPK Penabur, Bandung
31843001
SMAK
31843002
SMAK
31843003
SMAN
1, Bandung
00710002
SMAN
2, Bandung
00710013
SMAN
23, Bandung
00710008
SMAN
3, Bandung
00710006
Nama SMA
01020001
SMA
Sekar Kemuning
01020002
SMA
St. Maria 1, Cirebon
31844001
SMA
St. Maria 2, Cirebon
31844002
SMAK
1 BPK Penabur, Cirebon
31844003
SMAN
SMAK
2 BPK Penabur, Cirebon
31844004
SMAN
1, Cirebon
31844005
SMAN
2, Cirebon
31844006
SMAN
3, Cirebon
31844007
SMAN
6, Cirebon
01010001
Al-Azhar 5, Cirebon
01020003
SMA
CIANJUR
00710001
SMAN
5, Bandung
00710003
SMAN
6, Bandung
00710007
SMK
Sandhy Putra, Bandung
00720021
SMA
Talenta, Bandung
00720023
TASIKMALAYA
SMA
YAS, Bandung
00720025
SMAK
SMAN
8, Buah Batu, Bandung
00710012
SMAN
8, Pasundan, Bandung
00710014
SMAN
9, Bandung
00710015
SMA
Mutiara Nusantara, Parongpong
52220001
SMA
Kristen BPPK, Bandung
00720024
SMA
Cahaya Bangsa Classical School,

Bandung
00720027
AL Azhar 6, Serang
33420003
SMA
Islam Al Azhar 6, Serang
33420002
SMA
Negeri 3, Cilegon
33410006
SMA
Randawa School, Cilegon
33420001
SMAN
1 Bojonegara, Serang
33410002
SMAN
1, Ciponcok Jaya
33410004
SMAN
1, Kramatwatu, Serang
33410007
SMAN
1, Pandeglang
33410005
SMAN
1, Serang
33410003
SMAN
2, Cilegon
33410001
SMAN
2, Pandeglang
37810001
SMA
SMAK
SMAN
4, Bojonegoro
10810001
SUKABUMI
SMA
Mardiyuana, Sukabumi
31845001
SMAK
1 BPK Penabur, Sukabumi
31845002
SMAN
1 Parung Kuda, Sukabumi
31845003
SMAN
1, Cibadak, Sukabumi
00920001
SMAN
1, Cicurug, Sukabumi
00910002
02020002
1 BPK Penabur, Cianjur
02020001
01220001
SMA
Kasih, Depok
1720001
KARAWANG
SMA
Yos Sudarso, Kerawang
03220001
SMAN
1, Karawang
03210001
SMAN
5, Karawang
03210002
KUNINGAN
SMAN
1, Kadugede
02510001
SMAN
1, Kuningan, Jawa Barat
02510002
SMAN
2, Kuningan
02510003
SUBANG
SMAN
1, Ciasem - Subang
33810001
SMAN
1, Patokbeusi, Subang
33810002
02510004
2, Majalengka, Jawa Barat
02710001
TEGAL
1, Tegal
04110001
Pius, Tegal
04120001
BANJARNEGARA
SMAN
1, Banjarnegara
04710001
MAGELANG
SMA
Kristen 1
03620002
SMA
Pangudi Luhur, Magelang
03620001
SMA
Tarakanita, Magelang
31854004
SMAz
Taruna Nusantara, Magelang
31854001
SMAK
1 BPK Penabur, Magelang
31854002
SMAK
2 BPK Penabur, Magelang
31854003
SMAN
1, Magelang
31854005
Marsudirini, Muntilan
03620004
SALATIGA
SMA
Kristen Satyawacana, Salatiga
31855005
SMA
Kristen 1, Salatiga
03820001
SMA
Kristen 2, Salatiga
03820002
SMA
Theresia Sidorejo, Salatiga
31855002
SMAK
2 BPK Penabur, Salatiga
31855004
SMAK
1 BPK Penabur, Salatiga
31855003
SMAN
1, Salatiga
31855001
PONOROGO
SMAN
1, Ponorogo, Jawa Timur
08810001
SUMENEP
SMAN
1, Sumenep
11610002
SMAN
1, Temanggung
06610002
D.I. YOGYAKARTA
SURAKARTA
SMA
Ignatius, Slamet Riyadi
03720003
SMA
Kalam Kudus, Solo
31852006
SMA
Pangudi Luhur, Surakarta
03720002
SMA
St. Ursulin (SMU Regina Pacis),

Solo
31852003
SMA
St. Yoseph, Solo
31852004
SMAK
1 BPK Penabur, Surakarta
31852005
SMAK
2 BPK Penabur, Surakarta
03720001
SMAN
3, Sukabumi
00910001
SMAN
1, Solo
31852001
SMAN
5, Sukabumi
00910003
SMAN
3, Solo
31852002
SMAN
2, Surakarta
03710001
Regina Pacis, Surakarta, Jawa Tengah
03720004
SMA
Kode
SMA
TEMANGGUNG
KUNINGAN
1, Cilimus, Kuningan
SMAN
SMA
LEBAK
SMAN
BOJONEGORO
Mardiyuana, Cianjur
1 BPK Penabur, Tasikmalaya
Nama SMA
MAJALENGKA
Putra Nirmala, Cirebon
4, Bandung
SMA
Jenis
SMA
SMAN
SERANG
Kode
SMA
SMA
Bangun Tapan, Yogyakarta
31851005
SMA
Bopkri 1, Yogyakarta
31851002
SMA
31851003
SMA
31851004
SMA
Budi Luhur, Yogjakarta
7320004
SMA
Gajah Mada
07320006
SMA
Kolose De Brito, Yogyakarta
31851001
SMA
Marsudi Luhur, Yogyakarta
31851009
SMA
Muhammadiyah 1, Jogyakarta
07320003
SMA
Pangudi Luhur, Yogyakarta
31851006
SMA
PANTI RAPIH
07320007
TABLES
Kode
SMA
Jenis
45
Jenis
Nama SMA
Kode
SMA
Kode
SMA
Jenis
SMA
YPPI 2
07820030
04810001
SMAK
Cita Hati
07820023
Nama SMA
Kode
SMA
Santo Mikael, Sleman
07720001
KEBUMEN
SMA
St. Maria, Yogyakarta
7320002
SMAN
SMA
Stella Duce 1, Yogyakarta
31851007
SMAK
Intan Permata Hati
07820032
SMA
Stella Duce 2, Yogyakarta
31851008
SMAN
14
07810008
SMAN
1, Surabaya
07810001
SMAN
10, Wonocolo, Surabaya
07810003
SMAN
15, Surabaya
07810009
SMAN
16, Surabaya
07810002
SMAN
17, Surabaya
07810010
SMAN
2, Surabaya
07810005
SMAN
5, Surabaya
07810004
SMAN
6, Surabaya
07810007
SMK
Katolik Mater Amabilis
07820027
SMAN
SMA
Stella Duce Bantul, Yogyakarta
07320005
SMAN
1, Depok, Sleman, Yogyakarta
07710001
SMAN
1, Yogyakarta
7320001
SMAN
2, Yogyakarta
7310001
SMAN
3, Yogyakarta
31851010
SMAN
6, Yogyakarta
07310002
SMAN
8, Yogyakarta
31851011
SMKN
2 Kasihan, Bantul, Yogyakarta
07310003
SMA
Citischool (Satria Wacana),

Semarang
31853015
1, Kebumen
PEMALANG
SMAN
1, Pemalang
03910001
CILACAP
SMA
Muhammadiyah
04410001
SMAN
04310003
SMAN
3, Cilacap
04310002
SMAN
Majenang
04310001
Yos Sudarso, Cilacap
0432001
SMA
SURABAYA
SMA
Barunawati, Surabaya
07820003
Kolose St. Yusuf
31861002
9, Surabaya
07810011
SMA
Pelangi Kristus, Surabaya
07820038
SMA
Mardisiwi, Ploso Tambak Sari,

Surabaya
07820035
SMA
Don Bosco, Semarang
31853010
SMA
SMA
Karang Turi, Semarang
31853006
SMA
M3
07820024
SMA
Favorit Pugging
07820039
Advent Anjasmoro, Surabaya
07820020
SMA
17 Agustus 1945, Surabaya
07820036
SMA
Al-Falah, Surabaya
07820037
SMA
Kebon Dalem, Semarang
31853005
SMA
SMA
Kolose Loyola, Semarang
31853003
SMA
Caritas 3, Surabaya
07820004
SMA
Krista Mitra, Semarang
03920002
SMA
Ciputra, Surabaya
31861006
SMA
Kristen Tri Tunggal
03920005
SMA
Cita Hati, Surabaya
07820014
SIDOARJO
Depana 1
07820015
SMAN
SMA
Marsudirini, Semarang
31853011
SMA
SMA
Masehi 1, Semarang
03920001
SMA
Dharma Mulya, Surabaya
07820019
SMA
SMA
Sades Sapintie, Semarang
31853001
SMA
Frateran, Surabaya
31861005
SMAN
1, Krembung
10110003
SMA
Satria Wacana, Semarang
31853014
SMA
Gracia, Surabaya
07820013
SMA
10120003
SMA
Semesta
03920004
SMA
IMKA
07820026
Singapore National Academy,

Sidoarjo
31853004
SMA
Kemala Bhayangkara 2, Surabaya
07820005
SMA
Hang Tuah 2 - Sidoarjo
10120002
Kristen Gloria, Surabaya
07820006
SMA
Theresiana 1, Semarang
SMA
Theresiana 2, Semarang
31853009
SMA
SMA
Virgo Fidelis, Semarang
31853007
SMA
Kristen Kalam Kudus, Surabaya
07820012
31853002
SMA
Muhamadiyah 2
07820029
Petra 1, Surabaya
31861012
SMA
YSKI, Semarang
1, Sidoarjo
10110001
Petra 4
10120001
PROBOLINGGO
SMA
Marterdei, Probolinggo
08420001
SMAK
Kristen 1, Semarang
06520001
SMA
SMAN
1, Semarang
31853008
SMA
Petra 2, Surabaya
31861013
JEMBER
SMAN
16, Semarang
03910003
SMA
Petra 3, Surabaya
31861014
SMAK
Satya Cendika, Jember
08620001
SMAN
3, Semarang
31853013
SMA
Petra 4, Surabaya
07820011
SMAK
St. Paulus, Jember
09520001
Petra 5, Surabaya
07820001
SMAN
5, Semarang
31853012
SMA
SMK
PIKA
03920006
SMA
Pringadi, Surabaya
31861007
Terang Bangsa Christian High

School
03920008
SMA
Santo Hendriks, Surabaya
07820010
SMA
St. Agnes, Surabaya
07820007
SMA
Sedes Sapientiae, Jambu
03920003
SMA
St. Carolus, Surabaya
31861009
SMA
INSTITUT INDONESIA,
SEMARANG
03920009
SMA
St. Hendrikus
07820021
SMA
St. Louis 1, Surabaya
31861004
SMA
St. Louis 2, Surabaya
07820002
SMA
St. Maria, Surabaya
31861001
SMA
St. Paulus
07820028
SMA
Stanislaus 1, Surabaya
31861010
SMA
Stanislaus 2, Surabaya
31861011
SMA
Stella Maris, Surabaya
31861003
SMA
Tri Murti, Surabaya
31861008
SMA
Diponegoro, Tulung Agung
9020001
SMA
St. Agustinus, Tulung Agung
9020002
SMA
PEKALONGAN
SMA
TABLES
Nama SMA
SMA
SEMARANG
St. Bernadus, Pekalongan
04020001
SMAN
1, Batang, Pekalongan
04010004
SMAN
1, Pekalongan
04010003
SMAN
3, Pekalongan
04010001
KUDUS
SMA
Trikora, Surabaya
07820008
SMA
Keluarga, Kudus
06220001
SMA
Untung Surapati, Surabaya
07820009
SMA
Masehi, Kudus
06220002
SMA
YP Trisila, Surabaya
07820016
1, Kudus
06210001
SMA
YPP 1, Surabaya
07820018
SMA
YPPI 1, Surabaya
07820017
SMAN
46
Jenis
MOJOKERTO
SMA
SMAN
Taruna Nusa Harapan, Mojokerto
07920001
Puri, Mojokerto
07910001
MAGETAN
SMAN
1, Magetan
10610001
CIMAHI
SMA
St. Marra 3
01520001
TULUNG AGUNG
Nama SMA
Kode
SMA
SMA
Bruderan, Purwokerto
04220001
SMA
YPPPK, Purwokerto
04220002
SMAN
1, Purwokerto
04210001
SMAN
5, Purwokerto
04510002
BLITAR
1, Blitar
Kode
SMA
SMAN
1, Purbalingga
SRANGEN
SMA
Saverius Karangmalang
SMAN
2, Temanggung
05720001
06610001
INDRAMAYU
SMA
Petra, Kediri
08220002
SMA
Santo Agustinus, Kediri
08220001
2, Kediri
08210001
SMA
02920001
MALANG
SMA
MADIUN
Mahad Al-Zaytun, Indramayu
Bina Bangsa Christian School,

Malang
Nama SMA
Kode
SMA
SMA
Madrasah Aliyah (Paket C)
28020001
SMA
Dyatmika, Denpasar
27920002
SMA
Katolik St. Yoseph, Bali
31871005
SMA
Kristen Harapan
27920007
SMA
LAB. UNDIKSHA, Singaraja
28220001
SMA
Mahatma Gandhi, Bali
31871001
SMA
Negeri 1 Tabanan
28710001
SMA
PGRI 1, Denpasar, Bali
27920006
SMA
Sidia Putra, Bali
27920001
SMAK
Savardi, Denpasar
27920003
SMAN
1, Bali
31871002
SMAN
2, Bali
31871003
SMAN
3, Bali
31871004
SMAN
4, Denpasar
27910002
7, Denpasar
27910001
Jenis
BALI
04610001
TEMANGGUNG
08310001
KEDIRI
SMAN
Nama SMA
PURBALINGGA
PURWOKERTO
SMAN
Jenis
08020005
SMAK
Bonaventura, Madiun
08520001
SMA
Cor Jesu, Malang
31862004
SMAN
SMAN
2, Madiun
08510001
SMA
Katolik Flateran, Malang
09320001
SMAN
Samarapura
28610001
SMAN
3, Madiun
08510002
SMA
08020008
SMK
Pariwisata Harapan
27920004
SMA
Tri Dharma Kosgoro Dompu,

Singaraja
28220002
SMA
Tunas Daud, Bali
27920009
SMAN
1, Gianyar-Bali
28310001
SMAN
1, Singarajam Buleleng
28210002
SMAN
2, Singaraja
28210001
SMA
Nasional Plus Jembatan Budaya,

Bali
28020002
SMA
Cahaya Harapan Indonesia

Sejahtera, Denpasar
27920008
PASURUAN
SMAN
1, Pasuruan
08110001
BANYUMAS
SMAN
Banyumas
04510001
BLORA
SMA
SMA
Akademi Keperawatan Depkes,

Blora
05910001
Wijaya Kusuma, Blora
05920001
BOYOLALI
SMA
M3, Boyolali
05210001
BREBES
SMAN
1, Brebes
07210001
SMAN
1, Larangan Brebes
07210002
GROBONGAN
SMAN
1, Gubug
05820001
JEPARA
SMAN
1, Jepara
06310001
SMK
Kristen 2, Klaten
05320001
Kolose St. Yusuf, Malang
31862001
SMA
PGRI 1, Malang
08020007
SMA
St. Albertus, Malang
31862003
SMA
St. Maria, Malang
31862002
SMA
Taman Harapan
08020003
SMA
Taman Siswa, Malang
08020006
SMAK
1, Malang
08020001
SMAK
2, Malang
08020002
SMAK
Santa Maria, Malang
08020009
SMAN
1, Malang
31862006
SMAN
1, Panji, Situbondo
08010002
SMAN
2, Malang
08010001
SMAN
3, Malang
31862005
SMAN
PGRI 3, Pati
06120001
SMAK
Yos Soedarso, Pati
06120002
SMAN
1 Tayu, Pati
06110001
C. LUAR PULAU JAWA

PALANGKARAYA
4, Malang
31862007
SMA
Katolik, Palangkaraya
31874001
SMA
Charis National Academy, Malang
08020013
SMA
Kristen, Palangkaraya
31874002
SMA
Advent Dwi Abdi, Malang
08020012
SMAN
1, Palangkaraya
31874003
SMAN
3, Jekan Raya, Palangkaraya
20310001
SMAN
2, Palangkaraya
20310002
SMAN
4, Palangkaraya, Kalteng
20310003
SMAN
5, Palangkaraya
20310004
SMA
Katolik St. Andreas, Palu
23920004
SMA
Katolik St. Petrus Kanisius,

Palangkaraya
20320001
BANGKALAN
SMAN
1, Kwanyar, Bangkalan
11210001
GRESIK
SMAN
1, Manyar, Gresik
11110002
SMAN
Driyorejo, Gresik
11110001
BALIKPAPAN
JOMBANG
2, Jombang
10310001
BANYUWANGI
SMAN
PATI
SMA
SMA
SMAN
KLATEN
Katolik Yos Sudarso, Batu Malang
SMA
SMA
Patra Dharma, Balikpapan
22620001
SMA
Advent, Balikpapan
22620002
SMA
Katolik A. Adi Sutjipto, Balikpapan
22620003
SMAN
1, Balikpapan
22610001
1, Banyuwangi
09610001
SMAN
1, Panajam, Balikpapan
22610003
Katolik Hikmah Mandala,

Banyuwangi
09620001
SMAN
2, Balikpapan
22610004
SMAN
4, Balikpapan
22610006
SMAN
5, Balikpapan
22610002
SMK
Negeri 3, Balikpapan
22610005
SMA
SKB, Balikpapan Utara, Kalimantan

Timur
22620004
PURWOREJO
SMA
Bruderan, Purworejo
4920001
SMA
Negeri 1, Purworejo
4910001
TABLES
Jenis
47
Jenis
Nama SMA
Kode
SMA
SAMARINDA
Kode
SMA
MEDAN
Jenis
Nama SMA
Kode
SMA
UJUNG PADANG
1 Panajam, Kalimanatan Timur
22510002
SMA
Diponegoro, Kisaran
12820007
SMA
Katolik W.R. Soepratman
31875001
SMA
Budi Murni 1, Medan
31412004
SMA
Katolik.W.Poerwadarminta, Tarakan
22720001
SMA
Chandra Kusuma, Medan
12820013
DAIRI
SMA
KP Vidya Dahana, Bontang
22520001
SMA
Dr. Setiabudi, Medan
12820019
SMAN
SMA
Kristen Sunodia
22520003
SMA
Hangkesturi, Medan
31412012
SMA
YP Vidya Dharma Putra, Samarinda
31875005
SMA
Harapan, Medan
31412006
SMAN
SMA
SMA
1, Ujung Padang
14210004
1, Silima Pungga-pungga, Dairi,

Sumatera Utara
14310001
Bukit Cahaya, Dairi
14320001
YPK, Samarinda
31875006
SMA
Imanuel, Medan
31412007
SMAN
10
22510001
SMA
Josua, Medan
12820012
SMAN
1, Samarinda
31875002
SMA
Katolik Balige, Medan
31412011
SMAN
2, Samarinda
31875003
SMA
Kesuma Indah, Padangsidempuan
12820009
SMAN
3, Samarinda
31875004
SMA
Khalsa, Medan
31412010
SMK
Niagara, Samarinda
22520002
SMA
Medan Music Education, Medan
12820015
SMAK
St. Fransiskus Asisi, Samarinda
22520004
SMA
Methodist 1, Medan
12820004
SMA
1 Bangka, Sungailiat
18810004
Bakti, Jebus
18820003
SUMATERA SELATAN
SMA
Xaverius Lubuk Linggau, Sumatera

Selatan
17920001
BANGKA
SMA
Methodist 2, Medan
12820001
SMA
SMA
Methodist 4, Medan
12820014
SMA
Bakti, Pangkal Pinang
17820002
12820017
SMA
Harapan Sungailiat, Bangka
18810001
12820010
SMA
Maria Goretti, Sungailiat
18820002
SMA
Setiabudi
18810003
SMA
Katolik, Banjarmasin
31873002
SMA
SMA
Kristen, Banjarmasin
31873003
SMA
SMAN
1, Banjarmasin
31873001
SMA
St. Thomas 3, Medan
12820020
SMAN
7, Banjarmasin
21410001
SMA
St.Thomas 1, Medan
31412001
SMA
St. Yoseph Antonius, Bangka
31414001
SMAK
Kanaan, Banjarmasin
21420001
SMA
12820002
SMAN
17810001
SMAN
1, Tanjung, Tabalong-Kalsel
22410001
SMA
31412002
SMAN
1 Belinyu, Bangka
18810001
Muhammadiyah 1, Banjarmasin,
Kal-Sel
21420002
SMA
12820016
SMK
Tunas Karya, Pangkal Pinang
17820003
Yadika 3
12820018
SMK
Yapensu, Sungailiat
18820004
1, Brastagi
12810007
SMK
Yapento Toboali
18810002
12810006
SMA
St. Yosef, Lahat
18520001
12810004
SMAN
1, Lahat
18510002
Perdagangan
12810005
SMK
Negeri 1, Pangkal Pinang
38910001
SMA
SMA
SMAN
PONTIANAK
SMA
Abdi Wacana, Pontianak
SMA
Amkur, Pemangkat, Pontianak
SMA
SMA
SMAN
19510004
SMAN
Sekolah Pengaturan Gigi

St. Maria, Medan
St.Thomas 2, Medan
Sutomo 1, Medan
The Mission MYC, Medan
1, Panyambungan
K1, Medan
19520009
SMAN
Bina Mulia, Pontianak
19520011
SMA
Sutomo 2, Medan
31412008
Gembala Baik, Pontianak
31872005
SMA
Taman Siswa Polonia, Medan
12820005
BELITUNG
SMA
Imanuel, Pontianak
19520002
SMA
Widyasana Utama, Medan
12820011
SMAN
1, Belitung
18910001
SMA
Makedonia, Ngabang Pontianak
19520004
SMA
Wiyata Darma, Medan
31412009
SMK
Negeri 1, Tanjung Pandan
18910002
SMA
Pangudi Luhur St. Yohanes,

Ketapang, Pontianak
20020001
SMAN
1, Dolok Masihul
12810010
SMUN
1, Tanjung Pandan
18910003
SMA
Presiden, Cikarang
19520012
SMAN
1, Medan
31412003
SMA
Santo Ignasius
19620003
SMAN
2, Medan
12810002
SMA
St. Paulus, Pontianak
31872001
SMAN
5, Medan
12810009
SMA
St. Petrus, Pontianak
31872003
SMA
Methodist 3, Medan
12820023
SMA
Taruna Khatulistiwa, Pontianak
19520005
SMA
Methodist 5, Medan
12820023
SMA
YPK, Pontianak
19520006
SMA
Singapore Piaget Academy, Medan
12820022
SMAK
Negeri 8, Pontianak
19510001
SMAN
1 Toho, Pontianak
19520008
SMAN
1, Pontianak
31872002
SMAN
1, Singkawang
19620001
SMAN
1, Singkawang
19620001
SMAN
TABLES
Nama SMA
SMA
BANJARMASIN
SMAN
48
Jenis
2, Ngabang
3, Pontianak
19510005
31872004
SMAN
5, Pontianak
19510003
SMK
Imanuel, Pontianak
19520003
SMK
Negeri 1 Sekura, Pontianak
19510002
SMK
Pratiwi, Singkawang, Pontianak
19620002
SMK
Santa Maria, Pontianak
19520007
KAB. DELI
SMA
Chandra Kusuma, Deli Serdang
14520002
LUBUK PAKAM
SMA
SMA
Karya Pendidik, Lubuk Pakam,

Sumatera Utara
12820024
Dharma Bhakti, Lubuk Pakam
14520003
SIMALUNGUN
SMAN
1, Silimakuta, Simalungun, Sum-Ut
14210003
KARO
SMKN
1, Kaban Jahe, Karo
14410001
SIBOLGA
SMA
Triratna, Sibolga
12920001
BINJAI
SMA
Ahmad Yani, Binjai
13320001
SMA
Methodist, Binjai
12820008
SMA
GKLB Banggal, Sulawesi Tenggara
23920002
SMA
Karunia Dipa, Palu
23920001
SMA
Yayasan Pendidikan Imanuel, Palu
23920003
2, Palu
23910001
Katolik st. Andreas, Palu
23920004
PALU
SMAN
SMA
Nama SMA
Kode
SMA
KENDARI
Jenis
Nama SMA
Kode
SMA
GORONTALO
SMA
Kartika 72, Kendari
26720001
SMAN
SMA
Kartika 72, Kendari
26720001
SMA
Negeri 1 Raha
27210001
KAB LUWUK/BANGGAI
SMAN
1, Bau-Bau
26810001
SMAN
SMAN
1, Kendari
26710001
SMAN
1, Kendari
26710001
Negeri 1
Kode
SMA
SMAN
1, Pangkajene Sulawesi Selatan
25510001
TANA TORAJA
24210001
SMA
26320002
SMA
Katolik Makale
26320003
SMA
Lippo Scholars, Tanah Toraja
26320001
31919007
SMA
Matanallo, Ratepao
26320004
1, Palopo
26310002
SMA
St. Carolus, Bengkulu
31417001
SMAN
Xaverius, Curup
31417003
SMAN
1, Rantepao
24410008
1, Bengkulu
31417002
SMAN
2, Rantepao
26310003
SMKN
1, Rantepao
26310004
SMAN
2, Mataram
28810001
SMA
SMAK
Kesuma Cakranegara, Mataram
28820001
SMAN
BATAM
1, Luwuk
Nama SMA
PANGKAJENE
23310001
BENGKULU
SMA
MATARAM
1, Gorontalo
Jenis
SMAN
4,Curup Bengkulu
31610002
SMAN
5, Bengkulu
31610001
UJUNG PANDANG
SMA
Djuwita, Batam
16220002
SMA
Global Indo Asia
16220003
SMA
Mondial, Batam
16220005
SMA
Cendana, Caltex, Riau
SMA
RIAU
SMA
Cendrawasih, Makasar
31877004
31413003
SMA
Dian Harapan, Makasar
24420003
Yos Sudarso, Batam
16220001
SMA
Kalam Kudus, Riau
31413004
SMA
Frateran, Makasar
31877003
SMAN
16210001
SMA
St. Maria, Riau
31413001
SMA
Gamaliel, Makasar
31877001
SMAN
2, Singkep
16210003
16110005
SMA
Kristen Barana, Makasar
24420001
SMK
Kartini, Batam
16220004
31413002
SMA
Kristen Diakui, Makassar
24420004
SMKN
16210002
SMAN
10, Pekan Baru
16110002
SMA
Rajawali, Makasar
31877002
SMAN
8, Batam
50910001
SMAN
3, Bengkalis
16110004
SMA
Semen Tonasa, Makasar
24420006
SMK
Negeri 3, Batam
50910002
SMAN
5, Pekan baru
16110007
SMAN
5, Makasar
24410005
16110001
SMAN
1 Watampone, Sulawesi Selatan
24410002
1, Makale
24410007
SMAN
SMAN
SMAN
MANADO
2
1, Riau
8, Pekan Baru
SMAN
9, Pekan Baru
16110003
SMAN
SMA
Eben Haezer, Manado
31876003
SMAN
Plus Bina Bangsa
16120002
SMAN
1, Makasar
24410001
SMA
Advent (Kawangkoan), Manado
31876008
SMAN
Plus, Pekan Baru
16120001
SMAN
17, Makassar
24410004
SMA
Binaan Khusus, Manado
23220001
SMAN
Simpangtiga, Pekan Baru
16110006
SMAN
2, Makasar
24410003
16120003
SMAN
2, Palopo, Sel-sel
24410006
16820001
SMAN
3, Makasar
41710001
SMA
Don Bosco, Manado
31876002
SMK
Indra Sakti, Tanjung Pinang
SMA
International School
23220010
SMA
Wahidin Bangko, Riau
SMA
Katolik Karitas, Tomohon
23220005
SMAN
1, Bengkalis
16110008
SMAN
6, Makasar
24410010
SMA
Klabat, Manado
23220004
SMAN
1, Karimun, Riau
33910001
SMA
Mulia Bhakti, Makasar
41720001
SMA
Kristen 1, Tomohon
23220006
SMAN
1, Pekanbaru
16110009
SMA
Makasar Raya, Makasar
41720002
SMA
Islam Athirah, Makasar, Sul-Sel
24420007
SMA
Kristen 2 Binaan Khusus, Tomohon
23220008
SMA
Handayani, Pekanbaru
16120004
SMA
Kristen 2, Tomohon
23220009
SMA
Cendana Duri/Mandau
16820002
SMA
Lokon Tomohon, Manado
23220003
SMA
Methodist 2, Manado
31876007
SMA
MIS, Manado
23220002
SMA
Katolik Giovanni, Kupang
29420001
SMA
PGRI, Manado
23220007
SMA
Kristen Mercusuar, Kupang
29420003
PADANG
SMA
Rex Mundi, Manado
31876001
SMA
SKK, Kupang
29420002
SMAN
1, Padang
31411003
SMAN
1, Airmadidi
23210005
SMA
St. Yoseph, Kalabahi
29420004
SMAN
1, Panti Padang
14710001
SMAN
1, Manado
31876005
SMAN
1, Kupang
29410001
SMAN
Ahmad Yani, Padang
14720001
SMAN
2, Manado
31876006
SMAN
1, Rote Ndao, Lobalain
29410003
SMAN
Don Bosco, Padang
31411002
SMAN
3, Manado
23210003
SMAN
4, Kupang
29410002
SMAN
Xaverius 1, Padang
31411001
SMAN
5, Manado
23210001
SMAK
1, Kupang
29420008
SMAN
3, Padang
14710003
SMAN
6, Manado
23210004
SMAN
2, Kupang
29410006
SMA
SMAN
7, Manado
23210002
SMAN
3, Kupang
29410004
SMAN
9, Manado
31876004
SMAN
6, Kupang
29410007
SMAN
1, Motoling, Manado
23210006
SMA
Reformasi Plus Lse Trinity, Kupang
29420007
SMAN
1, Rantahan, manado
23210007
SMA
Kalam Kudus, Pematang Siantar
31412005
SMA
Kristen Tunas Bangsa, Kupang
29420009
SMK
Kristen 1, Tomohon
53920001
SMA
Methodist, Pematang Siantar
12820006
SMA
Nusa Cendana International Plus

School, Kupang
29420005
SMA
Sultan Agung, Pematang Siantar
13120001
SMA
Swasta Mars, Pemantang Siantar
13120003
4 Pematang Siantar
13110002
LUMAJANG
KUPANG
SMAN
Jatiroto, Lumajang
09410001
TABLES
Jenis
ADABIAH, Padang
PEMATANG SIANTAR
SMAN
49
Jenis
Nama SMA
Kode
SMA
Jenis
Jenis
Nama SMA
Kode
SMA
SMK
PGRI 14, Pematang Siantar
13110004
SMA
Negeri 3, Ambon
27310006
SMA
PGRI 2, Palembang
17720007
1, Pematang Siantar
13110003
SMA
Negeri 6, Ambon
27310007
SMA
Xaverius 1, Palembang
31416001
SMA
Ouikemene, Ambon
27320004
SMA
17720001
SMA
Xaverius, Ambon
27320001
SMA
31416002
SMAN
1, Ambon
27310001
SMA
31416003
SMAN
11, Maluku
27310002
SMA
YPI Tunas Bangsa, Palembang
17720005
SMAN
12, Ambon
27310004
SMAN
1 Pramburaulih, Palembang
17710006
SMAN
2, Ambon
27310005
SMAN
1, Palembang
31416004
SMAN
4, Ambon
27310003
SMAN
2, Palembang
17710002
SMAN
Siwalima, Ambon
27310008
SMAN
3, Palembang
17710003
Persiapan Passo, Ambon
27320007
SMAN
5, Palembang
17710004
SMAN
17, Palembang
17710005
SMAN
18, Palembang
17710005
LTI IGM
17720009
SMAN
1, Bukit Tinggi
15110001
TAPANULI
SMAN
1, Sayur Matinggi, Tapanuli Selatan
13710001
SIMALUNGUN
SMAN
1, Girsang Sipangan Bolon
14210002
SMA
Swasta Pemda 1, Nias
13620004
SMAN
1, Bofomuzoi, Nias
13610005
SMAN
1, Gido, Nias
13610004
SMAN
1, Gunung Sitoli, Nias
13610006
SMAN
1, Idanogawo
13610009
SMAN
1, Lolofitu MOI, Nias
13610008
SMAN
Unggulan Sukma, Nias
13610007
SMK
Swasta Kristen BNKP, Gunung

Sitoli, Nias
13620005
SMAN
3, Gunung Sitoli, Nias
13610003
SMA
Lentera Harapan, Nias
13620002
SMA
Katolik Bintang Laut, Nias Selatan,

Sumut
SMA
IRIAN JAYA / PAPUA
KAB. NIAS
12820024
JAMBI
Kalam Kudus, Jayapura
30820002
SMA
Kristen Wawena, Jayawijaya
31520001
SMA
MAF Jayapura
30820001
SMA
Swasta, Jayapura
30820004
SMA
Fransiskus, Lampung
31418008
SMA
YPK 1, Biak ( Papua)
30820003
SMA
Immanuel, Lampung
31418006
SMA
YPPK Agustinus, Sorong
31220001
SMA
Pangudi Luhur, Lampung
31418007
SMA
YPPK Gabungan, Jayapura
30810007
SMA
Utama 2, Lampung
19120001
SMA
YPPK Taruna Darma, Papua
30810001
SMA
Xaverius, Tanjung Karang
31418001
SMA
YPPK Teruna Bakti, Wamena
30620001
SMA
Xaverius, Pringsewu
19220001
SMA
YPPK Teruna Bakti, Wamena,

Papua
30620001
SMAK
1 BPK Penabur, Lampung
31418002
SMAN
1, Jayapura
30810003
SMAN
1, Terbanggi Besar
19320001
SMAN
1, Manokwari
30910001
SMAN
2, Lampung
31418003
SMAN
1, Sentani
30610001
SMAN
3, Lampung
31418004
SMAN
3, Jayapura
30810006
SMAN
9, Lampung
31418005
SMAN
10, Lampung
19110001
SMAN
1 Pringsewu, Tenggamus-Lampung
36910001
SMA
Lentara Harapan, Lampung Selatan
19220002
SMA
Lentara Harapan, Lampung Timur
19320002
SMA
Kristen 1, Metro, Bandar Lampung
19120002
SMA
Dharma Bangsa, Bandar Lampung
19120004
SMA
Al Kautsar, Bandar Lampung
19120006
1, Jambi
31415001
SMAN
45, Jayapura
30810005
SMAN
3, Jambi
31415003
SMAN
5, Jayapura
30610002
SMAN
5, Jambi
31415004
SMK
Negeri 5, Jayapura
30810008
SMAN
Kristen Nomensen, Jambi
31415005
SMK
3, Jayapura
30810002
SMAN
Taufik, Jambi
16920002
SMK
Negeri 1, Jayapura
30810004
SMAN
Titian Teras, Jambi
16920001
SMKN
N5, Jayapura
30710001
SMAN
Xaverius 1, Jambi
31415002
SMA
YPK Tabernakel, Nabire
31120002
SMAN
Xaverius 2, Jambi
31415006
SMA
YPPK Yoanes, Merauke
31020001
16910001
SMAN
1, Sarmi
30810010
SMAN
2, Jayapura
30610004
Kristen Anak Panah, Nabire
31120001
1, Sungai Penuh, Jambi
SMA
SAMBAS
SMA
Amkur, Sambas
19820001
PARE-PARE
SMAN
1, Pare-Pare
24510001
SANGGAU
SMA
Don Bosco, Sanggau
19920001
AMBON
SMA
Kartika XIII 1, Ambon
27320002
SMA
Kristen Mania, Ambon
27320006
SMA
Kristen Rehobot, Ambon
27320005
SMA
Kristen YPKPM, Ambon
27320003
SMA
Negeri 1, Tanimbar Selatan, Maluku
27510001
SMA
SMA
SMAN
SMAN
TABLES
Kode
SMA
SMKN
BUKIT TINGGI
50
Nama SMA
LAMPUNG
SINGKAWANG
SMAN
SMA
Malem Putra 1, Banda Aceh
11720001
SMA
Methodist, Banda Aceh
11720002
SMAN
1, Lhokseumawe, Aceh
35310001
SMAN
3, Banda Aceh
11710001
PALEMBANG
SMA
Bina Marga 1, Palembang
17720003
SMA
Dharma Bakti, Palembang
17720004
SMA
Diponegoro, Palembang
17710007
SMA
Kusuma Bangsa, Palembang
31416009
SMA
Methodist 1, Palembang
31416005
SMA
31416006
SMA
17720006
19620001
LUAR NEGERI
SMA
NAD / ACEH
1, Singkawang
LUAR NEGERI
33530001
LAIN-LAIN
D3
Alumni UPH STTPH
33310006
D3
D3 Keperawatan
33320030
Universitas Pelita Harapan,

Surabaya
07820025
Peserta Olimpiade Fisika - TOFI
33320041
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
TABLES
Jenis
51
TABLES
Jenis
52
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA
Jenis
Nama SMA
Kode
SMA

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ADMISSION MANUAL

PROSPECTIVE UNDERGRADUATE STUDENTS

ACADEMIC YEAR 2012/2013

BUKU PETUNJUK PENDAFTARAN

Welcome to UPH Global Campus.

Selamat datang di UPH Global Kampus.

Buku Manual Admission ini dipersiapkan secara

Kami ingin Anda dapat bergabung dengan kami dan

UPH are committed to serve you in the best possible

UPH berkomitmen melayani Anda dengan cara yang

I welcome you to UPH, the Global Campus in Indonesia

Selamat datang di UPH, Global Campus di Indonesia

Lippo Village, May 17, 2011

Dr. (Hon) Jonathan L.Parapak, M.Eng.Sc.

Check Admission Result

Health Declaration Form

Admission Statement SPECIMEN

A book contains all information about the enrollment of

This book consists of four sections:

Before you apply

Sebelum anda mendaftar

Saturday, September 24, 2011

Friday, October 07, 2011

Saturday, November 12, 2011

Friday, November 25, 2011

Saturday, January 21, 2012

Friday, February 03, 2012

Saturday, March 24, 2012

Friday, April 06, 2012

Saturday, May 05, 2012

Friday, May 18, 2012

Saturday, June 02, 2012

Thursday, June 21, 2012

Saturday, July 14, 2012

Thursday, July 26, 2012

Saturday, October 08, 2011

Saturday, November 26, 2011

Saturday, February 04, 2012

Saturday, April 07, 2012

Saturday, May 19, 2012

Friday, June 22, 2012

Friday, July 27, 2012

Submission Form Deadline

Saturday, October 22, 2011

Admission Test (Medicine)

Saturday, October 29, 2011

Interview Session (Medicine)

Saturday, November 05, 2011

Interview Session (Non Medicine)

November 09-15, 2011

Monday, November 28, 2011

Payment Deadline (1st installment or Cash)

Friday, December 16, 2011

Payment Deadline (2nd installment)

Friday, January 20, 2012

BEFORE YOU APPLY

ACADEMIC YEAR 2012/2013

Applicable to prospective student who are not accepted in Direct

Applicable to Faculty of Medicine applicants.

FACULTY & MAJOR

BEFORE YOU APPLY

ACADEMIC YEAR 2012/2013

English Test & Mathematics