Formulir SPTJM Mahasiswa MSIB 2023

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Formulir SPTJM Mahasiswa MSIB 2023

SURAT PERNYATAAN TANGGUNG JAWAB MUTLAK (SPTJM) MAHASISWA PESERTA PROGRAM MAGANG DAN STUDI INDEPENDEN BERSERTIFIKAT KAMPUS MERDEKA ANGKATAN 4 TAHUN 2023.

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Nama Lengkap *

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NIM *

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NIK *

*) Nomor Induk Kependudukan KTP

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No HP / WhatsApp *

*) Mohon cantumkan nomor HP yang terhubung dengan WhatsApp

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Email *

*) Mohon cantumkan alamat email aktif

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Program Studi *

Teknologi Pangan

Teknologi Industri Pertanian

Teknik Pertanian dan Biosistem

Magister Teknologi Pangan

Nama Orang Tua *

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