{"id":6938,"date":"2026-02-26T03:31:11","date_gmt":"2026-02-26T03:31:11","guid":{"rendered":"https:\/\/jakarta.ciputra.ac.id\/?page_id=6938"},"modified":"2026-05-15T15:36:30","modified_gmt":"2026-05-15T15:36:30","slug":"register-form","status":"publish","type":"page","link":"https:\/\/jakarta.ciputra.ac.id\/en\/register-form\/","title":{"rendered":"Register Form"},"content":{"rendered":"<section class=\"l-section wpb_row us_custom_bde7216d has_text_color height_medium\" id=\"offer\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-separator hide_on_default hide_on_laptops hide_on_tablets size_medium\"><\/div><div class=\"g-cols wpb_row via_flex valign_middle type_default stacking_default\"><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column us_custom_7d53a2bd\"><div class=\"wpb_wrapper\"><p>Want to Get to Know Universitas Ciputra Jakarta Better?<\/p>\n<\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p><span data-metadata=\"&lt;!--(figmeta)eyJmaWxlS2V5IjoiYzJqeFlLNmNYYUhPSTQ0Tnc5Qk5pciIsInBhc3RlSUQiOjk0NzUwNDAyLCJkYXRhVHlwZSI6InNjZW5lIn0K(\/figmeta)--&gt;\"><\/span>We are ready to help you face any challenge.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner us_custom_23d71269\"><div class=\"vc_column-overlay\" style=\"background:rgba(74,74,74,0.75)\"><\/div><div class=\"wpb_wrapper\"><div class=\"wpb_text_column us_custom_a328aac1 has_text_color\"><div class=\"wpb_wrapper\"><p>Fill out the form to get more information.<\/p>\n<\/div><\/div><div class=\"w-separator size_small\"><\/div><section class=\"l-section wpb_row height_auto width_full\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-html\"><style>\n  #registration-form input,\n  #registration-form select,\n  #registration-form button {\n    display: block;\n    width: 100%;\n    margin-bottom: 1rem;\n  }\n\n  #registration-form .data-aman {\n    font-size: 0.8rem;\n    color: #fff;\n    margin-bottom: 1rem;\n  }\n\n  #registration-form button {\n    background-color: #f58220;\n    color: #fff;\n    border: none;\n    border-radius: 50px;\n    padding: 0.75rem 1rem;\n    font-weight: bold;\n    cursor: pointer;\n    transition: background-color 0.3s;\n  }\n\n  #registration-form button:hover {\n    background-color: #d46a13;\n  }\n\n  #registration-form button:disabled {\n    background-color: #ccc;\n    cursor: not-allowed;\n  }\n<\/style>\n\n<form id=\"registration-form\">\n  <input type=\"text\" id=\"name\" name=\"name\" placeholder=\"Nama Lengkap\" required \/>\n  <input type=\"tel\" id=\"contacts\" name=\"contacts\" placeholder=\"No. Whatsapp\" pattern=\"^(62|08)[0-9]{8,15}$\" required \/>\n  <input type=\"email\" id=\"email\" name=\"email\" placeholder=\"Email Aktif\" required \/>\n  <input type=\"text\" id=\"asal_sekolah\" name=\"asal_sekolah\" placeholder=\"Asal Sekolah\" required \/>\n\n  <select id=\"periode\" name=\"periode\" required>\n    <option value=\"\">Tahun Ingin Masuk Kuliah<\/option>\n    <option value=\"2026\">2026<\/option>\n    <option value=\"2027\">2027<\/option>\n  <\/select>\n\n  <select id=\"jurusan_yang_diminati\" name=\"jurusan_yang_diminati\" required>\n    <option value=\"\">Program yang Diminati<\/option>\n    <option value=\"International Business Management\">International Business Management<\/option>\n    <option value=\"International Business Management - International Class\">International Business Management - International Class<\/option>\n    <option value=\"Culinary Business Management\">Culinary Business Management<\/option>\n    <option value=\"Communication Business Management\">Communication Business Management<\/option>\n    <option value=\"Digital Business Management\">Digital Business Management<\/option>\n\t<option value=\"Informatics\">Informatics<\/option>\n\t<option value=\"Informatics - Artificial Intelligence\">Informatics - Artificial Intelligence<\/option>\n\t<option value=\"Informatics - Business Enterprise\">Informatics - Business Enterprise<\/option>\n\t<option value=\"Informatics - Data Science\">Informatics - Data Science<\/option>  \n    <option value=\"Visual Communication Design\">Visual Communication Design<\/option>\n    <option value=\"Visual Communication Design - Fashion Design\">Visual Communication Design - Fashion Design<\/option>\n    <option value=\"Visual Communication Design - UI\/UX\">Visual Communication Design - UI\/UX<\/option>\n    <option value=\"Visual Communication Design - Branding\">Visual Communication Design - Branding<\/option>\n    <option value=\"Accounting\">Accounting<\/option>\n\t<option value=\"Accounting - Tax\">Accounting - Tax<\/option>  \n    <option value=\"Accounting - Digital Information System\">Accounting - Digital Information System<\/option>\n  <\/select>\n\n  <div class=\"data-aman\">\n    *Saya menyetujui pengelolaan data pribadi saya dan bersedia dihubungi terkait informasi program akademik.\n  <\/div>\n\n  <input type=\"hidden\" name=\"edu_level\" value=\"S1\" \/>\n  <input type=\"hidden\" id=\"utm_source\" name=\"utm_source\" \/>\n  <input type=\"hidden\" id=\"utm_medium\" name=\"utm_medium\" \/>\n  <input type=\"hidden\" id=\"utm_campaign\" name=\"utm_campaign\" \/>\n  <input type=\"hidden\" id=\"utm_term\" name=\"utm_term\" \/>\n  <input type=\"hidden\" id=\"utm_content\" name=\"utm_content\" \/>\n  <input type=\"hidden\" id=\"lead_source\" name=\"lead_source\" \/>\n\t\n  <button type=\"submit\" id=\"submit-btn\">Klaim Penawaran<\/button>\n<\/form>\n\n<script>\n  document.addEventListener(\"DOMContentLoaded\", () => {\n    const form = document.getElementById(\"registration-form\");\n    const btn = document.getElementById(\"submit-btn\");\n\n    \/\/ Isi hidden UTM fields dari URL\n    const urlParams = new URLSearchParams(window.location.search);\n    document.getElementById(\"utm_source\").value   = urlParams.get(\"utm_source\")   || \"website_official\";\n    document.getElementById(\"utm_medium\").value   = urlParams.get(\"utm_medium\")   || \"form\";\n    document.getElementById(\"utm_campaign\").value = urlParams.get(\"utm_campaign\") || \"s1pmb2026ucj\";\n    document.getElementById(\"utm_term\").value     = urlParams.get(\"utm_term\")     || \"\";\n    document.getElementById(\"utm_content\").value  = urlParams.get(\"utm_content\")  || \"\";\n\tdocument.getElementById(\"lead_source\").value  = urlParams.get(\"lead_source\")  || \"website_official\";  \n\n    form.addEventListener(\"submit\", async (event) => {\n      event.preventDefault();\n      \n      \/\/ Loading state\n      btn.disabled = true;\n      btn.innerText = \"Mohon Tunggu...\";\n\n      const data = Object.fromEntries(new FormData(form));\n      \n      \/\/ Endpoint Webhook\n      const integrately_url = \"https:\/\/webhooks.integrately.com\/a\/webhooks\/772fcf05870e454b83f1cd28c762402b\";\n\t  const cekat_url = \"https:\/\/workflows.cekat.ai\/webhook\/input-data-crm-ucj\";\n      const n8n_url = \"https:\/\/n8n.srv1078677.hstgr.cloud\/webhook\/lpweb-form\";\n\n      try {\n        \/\/ Kirim ke ketiga tujuan secara paralel\n        await Promise.all([\n          fetch(integrately_url, {\n            method: \"POST\",\n            headers: { \"Content-Type\": \"application\/json\" },\n            body: JSON.stringify(data)\n          }),\n          fetch(cekat_url, {\n            method: \"POST\",\n            headers: { \"Content-Type\": \"application\/json\" },\n            body: JSON.stringify(data)\n          }),\n\t      fetch(n8n_url, {\n            method: \"POST\",\n            headers: { \"Content-Type\": \"application\/json\" },\n            body: JSON.stringify(data)\n          })\n        ]);\n\n        alert(\"Pendaftaran berhasil! Terima kasih \ud83d\ude0a\");\n        form.reset();\n      } catch (error) {\n        console.error(\"Error:\", error);\n        alert(\"Terjadi kesalahan saat mengirim data. Silakan coba lagi.\");\n      } finally {\n        btn.disabled = false;\n        btn.innerText = \"Klaim Penawaran\";\n      }\n    });\n  });\n<\/script><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n<\/div><\/div><\/div><\/div><div class=\"w-separator hide_on_default hide_on_laptops hide_on_tablets size_medium\"><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"Want to Get to Know Universitas Ciputra Jakarta Better? We are ready to help you face any challenge. Fill out the form to get more information. Tahun Ingin Masuk Kuliah 2026 2027 Program yang Diminati International Business Management International Business Management - International Class Culinary Business Management Communication Business Management Digital Business Management Informatics Informatics...","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6938","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Register Form - Universitas Ciputra Jakarta<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Register Form - Universitas Ciputra Jakarta\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jakarta.ciputra.ac.id\/en\/register-form\/\" \/>\n<meta property=\"og:site_name\" content=\"Universitas Ciputra Jakarta\" \/>\n<meta property=\"article:modified_time\" content=\"2026-05-15T15:36:30+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/jakarta.ciputra.ac.id\\\/en\\\/register-form\\\/\",\"url\":\"https:\\\/\\\/jakarta.ciputra.ac.id\\\/en\\\/register-form\\\/\",\"name\":\"Register Form - 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