Regular S1 Program Registration Form
Gel. 3 - S1 Reguler TA 2026/2027


Jakarta Campus option is only for postgraduate programs!





 
 
 

 
 
 
 
 
Enter your ID number according to the selected identity type. NIK for Indonesian citizens (KTP & KK) and Passport for foreign citizens
Write your full name as it appears on your ID card/passport without any title

Enter your place of birth as it appears on your ID card or passport!
Enter your date of birth as it appears on your ID card or passport!
* Enter your active mobile number. Registration information will be sent to this number. Use the format: 081123456789
Use format: 081123456789
Enter your active email. Payment bills will be sent to this email.
Write your mother's full name without any title
Enter your active email. Your parent/guardian's email will be used during your studies at Ubhara Jaya University


 
 
Leave blank if you don't have an NPWP
 
 
 
 
 
 
Average score of Senior High School semester 4 report, use a decimal point (e.g., 80.50), for students from package C enter a hyphen ' - '
Average score of Senior High School semester 5 report, use a decimal point (e.g., 80.50), for students from package C enter a hyphen ' - '
Average SKL score, use a decimal point (e.g., 80.50), for students who do not have SKL enter a hyphen ' - '
Average score of diploma/transcript for Package C students, use a decimal point (e.g., 80.50), for students who do not have a transcript enter a hyphen ' - '