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Surat Keterangan Aktif Kuliah
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Email
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Nama Mahasiswa (Lengkap)
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Tempat, tanggal lahir
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Alamat Asal
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Alamat Email
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NIM
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Jurusan/ Program Studi
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Teknik Sipil
Arsitektur
Teknik Lingkungan
Program Studi Pendidikan Profesi Arsitek (PPArs)
Program Studi Magister Arsitektur (MArs)
Program Studi Magister Teknik Sipil (MTSP)
Program Studi Magister Teknik Lingkungan (MTL)
Program Studi Doktor Teknik Sipil (PDTS)
Nama Orang Tua (Lengkap beserta Gelar)
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NIP/ NRP
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Pangkat dan Golongan
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Jabatan
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Pekerjaan dan Instansi Kerja
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