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Biodata Alumni Fikes UM Palangkaraya
Formulir ini digunakan sebagai sarana untuk mengumpulkan data dan informasi alumni guna kepentingan serta peningkatan kualitas Fakultas Ilmu Kesehatan UM Palangkaraya
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Nama Lengkap
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Your answer
Tempat, Tanggal Lahir
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Your answer
Jenis Kelamin
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Laki-Laki
Perempuan
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Agama
*
Your answer
Program Studi
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Farmasi
Analis Kesehatan
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Tahun Lulus
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Your answer
Alamat (Sesuai KTP)
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Your answer
Email
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Your answer
No. Telepon
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Your answer
Pekerjaan
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PNS
TNI
POLRI
Swasta
Other:
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Institusi Pekerjaan
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Your answer
Saran dan Masukan
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