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Permohonan Penghentian Studi Sementara (Cuti Akademik)
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Email
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Nama Mahasiswa
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NIM
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Semester
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Choose
VI ( Enam )
VII ( Tujuh )
VIII ( Delapan )
IX ( Sembilan )
X ( Sepuluh )
Jumlah SKS
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Your answer
Jumlah IPK
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Your answer
Alamat
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Your answer
Nomor Telepon/HP
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Your answer
Alamat Orang Tua
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Riwayat Cuti
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Choose
Sudah
Belum Pernah Cuti
Lama Cuti yang lalu
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Semester Ambil Cuti
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Gasal
Genap
Tahun Akademik
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2021/2022
2022/2023
2023/2024
2024/2025
2025/2026
2026/2027
2027/2028
2028/2029
2029/2030
2030/2031
Alasan Cuti
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Tanggal Sekarang
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Contoh : 03 Agustus 2021
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