{"id":453,"date":"2026-08-10T01:59:33","date_gmt":"2026-08-10T01:59:33","guid":{"rendered":"https:\/\/kemahasiswaan.politeknikaceh.ac.id\/?page_id=453"},"modified":"2026-08-31T01:36:38","modified_gmt":"2026-08-31T01:36:38","slug":"form-pendaftaran-ppi","status":"publish","type":"page","link":"https:\/\/kemahasiswaan.politeknikaceh.ac.id\/?page_id=453","title":{"rendered":"Form Pendaftaran PPI"},"content":{"rendered":"\n<h3 class=\"wp-block-heading has-text-align-center\">FORM PENDAFTARAN PRAKTIK INDUSTRI (PPI)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Silakan mengisi formulir berikut dengan lengkap dan benar. Pastikan data, nomor WhatsApp, serta alamat email yang dicantumkan masih aktif.<\/p>\n\n\n\n<div class=\"wp-block-group\" style=\"padding-top:0;padding-right:0;padding-bottom:0;padding-left:0\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-container-core-group-is-layout-d9293ec6 wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group html_class=&quot;form-ppi&quot; has-custom-css wp-custom-css-4d95786e\" style=\"border-style:none;border-width:0px;border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-left-radius:0px;border-bottom-right-radius:0px;padding-top:0;padding-right:0;padding-bottom:0;padding-left:0\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-container-core-group-is-layout-efdcd2e1 wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group html_class=&quot;form-ppi&quot; has-custom-css has-background wp-custom-css-7b86dd00\" style=\"border-style:none;border-width:0px;border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-left-radius:0px;border-bottom-right-radius:0px;background-color:#f5f4d3;padding-top:0;padding-right:var(--wp--preset--spacing--50);padding-bottom:0;padding-left:var(--wp--preset--spacing--50)\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-container-core-group-is-layout-e042f364 wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group has-background\" style=\"border-width:2px;border-top-left-radius:70px;border-top-right-radius:70px;border-bottom-left-radius:70px;border-bottom-right-radius:70px;background-color:#ece9c1;padding-top:var(--wp--preset--spacing--40);padding-right:var(--wp--preset--spacing--80);padding-bottom:var(--wp--preset--spacing--40);padding-left:var(--wp--preset--spacing--80)\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-container-core-group-is-layout-78d1bd8d wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group\" style=\"border-style:none;border-width:0px;padding-right:var(--wp--preset--spacing--50);padding-bottom:0;padding-left:var(--wp--preset--spacing--50)\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-container-core-group-is-layout-3ea95eee wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group\" style=\"padding-right:0;padding-left:0\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-container-core-group-is-layout-18d095fe wp-block-group-is-layout-constrained\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f452-o1\" lang=\"id-ID\" dir=\"ltr\" data-wpcf7-id=\"452\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F453#wpcf7-f452-o1\" method=\"post\" class=\"wpcf7-form init form-ppi\" aria-label=\"Formulir Kontak\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"452\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"id_ID\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f452-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"ppi-card\">\n\t<p><strong>Email *<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-mahasiswa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email aktif\" value=\"\" type=\"email\" name=\"email-mahasiswa\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>NIM *<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nim\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Masukkan NIM\" value=\"\" type=\"text\" name=\"nim\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Nama Lengkap *<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nama-lengkap\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Masukkan nama lengkap\" value=\"\" type=\"text\" name=\"nama-lengkap\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Program Studi *<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"program-studi\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"program-studi\" value=\"D3 Mekatronika\" \/><span class=\"wpcf7-list-item-label\">D3 Mekatronika<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"program-studi\" value=\"D3 Teknologi Elektronika\" \/><span class=\"wpcf7-list-item-label\">D3 Teknologi Elektronika<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"program-studi\" value=\"D3 Teknologi Informasi\" \/><span class=\"wpcf7-list-item-label\">D3 Teknologi Informasi<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"program-studi\" value=\"D3 Akuntansi\" \/><span class=\"wpcf7-list-item-label\">D3 Akuntansi<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"program-studi\" value=\"D4 Akuntansi Sektor Publik\" \/><span class=\"wpcf7-list-item-label\">D4 Akuntansi Sektor Publik<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Nomor WA Aktif *<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nomor-whatsapp\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Contoh: 081234567890\" value=\"\" type=\"tel\" name=\"nomor-whatsapp\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Tempat Magang? *<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tempat-magang\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"tempat-magang\" value=\"Cari Sendiri\" \/><span class=\"wpcf7-list-item-label\">Cari Sendiri<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"tempat-magang\" value=\"Dicarikan oleh Kampus\" \/><span class=\"wpcf7-list-item-label\">Dicarikan oleh Kampus<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Mau PPI di mana? *<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lokasi-ppi\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"lokasi-ppi\" value=\"Di Luar Aceh\" \/><span class=\"wpcf7-list-item-label\">Di Luar Aceh<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"lokasi-ppi\" value=\"Di Aceh\" \/><span class=\"wpcf7-list-item-label\">Di Aceh<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Nama Perusahaan\/Instansi<\/strong>\n\t<\/p>\n\t<p>Nama perusahaan\/instansi dan kontak person (WA atau Email).\n\t<\/p>\n\t<p><strong>Khusus untuk mahasiswa yang mencari tempat magang sendiri.<\/strong>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nama-perusahaan\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Nama perusahaan\/instansi dan kontak person\" value=\"\" type=\"text\" name=\"nama-perusahaan\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Upload Curriculum Vitae (CV) PDF *<\/strong>\n\t<\/p>\n\t<p><br \/>\nFormat Curriculum Vitae dapat di-download<br \/>\n<a href=\"https:\/\/docs.google.com\/document\/d\/1JI0V8qru0RvoX2Z0I8fVOVk5Y8t-yQr-\/edit?usp=drive_link&amp;ouid=109044745669659110458&amp;rtpof=true&amp;sd=true\" \ntarget=\"_blank\" rel=\"noopener\"><br \/>\n<strong>Disini<\/strong><br \/>\n<\/a><br \/>\natau buat sendiri yang lebih bagus.\n\t<\/p>\n\t<p>Format file PDF. Maksimal 2 MB.\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"curriculum-vitae\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"curriculum-vitae\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Upload Surat Izin Orang Tua PDF *<\/strong>\n\t<\/p>\n\t<p><br \/>\nBeri nama file: <strong>SIOT_Nama Anda<\/strong>.<br \/>\nFormat Surat Izin Orang Tua (SIOT) dapat di-download<br \/>\n<a href=\"https:\/\/docs.google.com\/document\/d\/1mBVLu54DScR5SoZOW_m9Hrr0962G5DQg\/edit?usp=drive_link&ouid=109044745669659110458&rtpof=true&sd=true\" target=\"_blank\" rel=\"noopener\"><br \/>\n<strong>Disini<\/strong><br \/>\n<\/a>.\n\t<\/p>\n\t<p>Format file PDF. Maksimal 2 MB.\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"surat-izin-orangtua\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"surat-izin-orangtua\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Upload KHS Semester 1 s.d. 3 PDF *<\/strong>\n\t<\/p>\n\t<p>Gabungkan menjadi satu PDF dan beri nama <strong>KHS_Nama Anda<\/strong>. KHS harus berupa hasil scan asli, bukan foto.\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"khs\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"khs\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Upload KTP PDF *<\/strong>\n\t<\/p>\n\t<p>Beri nama <strong>KTP_Nama Anda<\/strong>. KTP harus di-scan dari dokumen asli.\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ktp\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"ktp\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Upload KTM PDF *<\/strong>\n\t<\/p>\n\t<p>Beri nama <strong>KTM_Nama Anda<\/strong>. KTM harus di-scan dari dokumen asli.\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ktm\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"ktm\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Upload Kartu Asuransi \/ BPJS PDF *<\/strong>\n\t<\/p>\n\t<p>Beri nama <strong>KA_Nama Anda<\/strong>. Kartu harus di-scan dari dokumen asli.\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"asuransi-bpjs\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"asuransi-bpjs\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Upload Surat Keterangan Sehat PDF *<\/strong>\n\t<\/p>\n\t<p>Surat dari dokter\/Klinik\/RS\/Puskesmas. Beri nama <strong>SKS_Nama Anda<\/strong>.\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"surat-keterangan-sehat\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"surat-keterangan-sehat\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card\">\n\t<p><strong>Upload Pas Foto 3x4 Latar Merah *<\/strong>\n\t<\/p>\n\t<p>Format JPG\/JPEG. Beri nama <strong>Photo_Nama Anda<\/strong>.\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pasfoto\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".jpg,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"pasfoto\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-card ppi-persetujuan\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"persetujuan\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"persetujuan\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Saya menyatakan bahwa seluruh data dan dokumen yang saya kirimkan adalah benar dan dapat dipertanggungjawabkan.<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"ppi-submit\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Kirim Pendaftaran PPI\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong><a href=\"https:\/\/kemahasiswaan.politeknikaceh.ac.id\/\">HOME<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>FORM PENDAFTARAN PRAKTIK INDUSTRI (PPI) Silakan mengisi formulir berikut dengan lengkap dan benar. Pastikan data, nomor WhatsApp, serta alamat email yang dicantumkan masih aktif. HOME<\/p>\n","protected":false},"author":23,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"neve_meta_sidebar":"right","neve_meta_container":"","neve_meta_enable_content_width":"on","neve_meta_content_width":80,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"off","neve_meta_disable_footer":"","neve_meta_disable_title":"on","footnotes":""},"class_list":["post-453","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/kemahasiswaan.politeknikaceh.ac.id\/index.php?rest_route=\/wp\/v2\/pages\/453","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kemahasiswaan.politeknikaceh.ac.id\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kemahasiswaan.politeknikaceh.ac.id\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kemahasiswaan.politeknikaceh.ac.id\/index.php?rest_route=\/wp\/v2\/users\/23"}],"replies":[{"embeddable":true,"href":"https:\/\/kemahasiswaan.politeknikaceh.ac.id\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=453"}],"version-history":[{"count":77,"href":"https:\/\/kemahasiswaan.politeknikaceh.ac.id\/index.php?rest_route=\/wp\/v2\/pages\/453\/revisions"}],"predecessor-version":[{"id":644,"href":"https:\/\/kemahasiswaan.politeknikaceh.ac.id\/index.php?rest_route=\/wp\/v2\/pages\/453\/revisions\/644"}],"wp:attachment":[{"href":"https:\/\/kemahasiswaan.politeknikaceh.ac.id\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=453"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}