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Atma Jaya Catholic University Of Indonesia
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<form action="https://mystudyworld.com/i/atmajayacatholicuniversityofindonesia" id="formdata15508826096751" enctype="multipart/form-data" method="post" accept-charset="utf-8"> <div class="row"> <div class="col-xs-12 col-sm-12"> <div class="form-group"> <div class="input-group"> <span class="input-group-addon">To</span> <select name="too" class="form-control" placeholder="Choose a Admin..." required> <option value="">Choose a Admin...</option> <option value="lisa.esti">lisa esti puji hartanti</option><option value="glenda-ginting">Glenda Ginting</option><option value="liaoktavia ">Lia Oktavia </option><option value="pr.atmajaya">PR Atmajaya</option><option value="christian.adi">Christian Pratama</option><option value="sony.afrianko">Sony Afrianko</option></select> </div> </div> <div class="form-group"> <div class="input-group"> <span class="input-group-addon">Subject</span><input name="subject" type="text" class="form-control" maxlength="150" required/> </div> </div> <div class="form-group"> <div class="input-group"> <span class="input-group-addon">Message</span><textarea name="message" class="form-control" rows="5" style="resize:none" required></textarea> </div> </div> </div> </div> </form>
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