JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Pendaftaran Program MBKM Semester Ganjil T.A. 2022-2023
* Indicates required question
Email
*
Your email
NIM
*
Your answer
Nama Lengkap
*
Your answer
Nomor Induk Kependudukan
*
Your answer
Nomor Handphone
*
Your answer
Program
*
Program Pertukaran Mahasiswa Merdeka
Magang Bersertifikat
Indonesian International Student Mobility (IISMA)
Studi Independen Bersertifikat
Proyek Kemanusiaan
Riset atau Penelitian
Membangun Desa (KKN Tematik)
Program Kampus Mengajar (Khusus Semester VII)
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Universitas Maritim Raja Ali Haji.
Report Abuse
Forms
