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PMB IKBIS 2024
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Institut Kesehatan dan Bisnis Surabaya Tahun Akademik 2024 - 2025
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Data Diri
Lengkapi Data Diri anda sesuai form berikut
Nama
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Nama Lengkap Sesuai Kartu Identitas Tanpa Singkatan
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Alamat
*
Alamat Lengkap Sesuai KTP
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Kota
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Email
*
Your answer
Nomor Whatsapp/Telegram/Telepon Seluler
*
Your answer
Tempat Lahir
*
Your answer
Tanggal Lahir
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MM
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DD
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YYYY
Program Kuliah
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Reguler (Lulusan SMA Sederajat / S1 Keperawatan)
RPL (Rekognisi Pembelajaran Lampau)
Transfer (Pindahan dari Perguruan Tinggi Lain)
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