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Pendaftaran Mahasiswa Baru STMIK MPB
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* Indicates required question
Email
*
Your email
Pilihan Program Studi 1
*
Teknik Informatika
Sistem Informasi
Pilihan Program Studi 2
*
Teknik Informatika
Sistem Informasi
NIK
*
Your answer
Nama Lengkap
*
Your answer
Tempat Lahir
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
Jenis Kelamin
*
Laki-laki
Perempuan
Agama
*
Islam
Kristen
Hindu
Budha
Other:
Kewarganegaraan
*
WNI
WNA
Status Pegawai
*
Bekerja
Belum Bekerja
Alamat Lengkap
*
Your answer
No Telephon
*
Your answer
Asal Sekolah
*
Your answer
Status Mahasiswa
*
Baru
Pindahan
Waktu Kuliah
*
Pagi
Sore
Pekerjaan Orang Tua
*
PNS
TNI/POLRI
Pegawai Swasta
Pensiunan
Wirausaha
Other:
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