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BIODATA MAHASISWA S1 ARS 2019
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NAMA LENGKAP (sesuai ijazah SMA)
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Your answer
NIM (nomer induk mahasiswa)
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Your answer
Tempat Lahir
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Tanggal lahir (Tahun-bulan-tanggal. Contoh: 1999-08-30)
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Your answer
Jenis kelamin (L/P)
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NIK (No KTP/ Atau NIK di Kartu keluarga)
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Agama
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NISN (no induk siswa Nasional)
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Jalan (Nama jalan rumah, kalau tidak ada kosongkan)
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No RT
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No RW
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Nama Dusun (kalau ada)
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Kelurahan / Desa
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Kecamatan
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Kode pos
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Nomor HP
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Alamat Email
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No KTP ayah
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Nama Ayah
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Tanggal lahir ayah (tahun-bulan-tanggal, contoh: 1965-12-31)
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Pendidikan ayah
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Pekerjaan ayah
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Penghasilan Ayah
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NO ktp ibu
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Nama ibu
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Tanggal lahir ibu (Tahun-bulan-tanggal. Contoh : 1960-12-31)
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Pendidikan ibu
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Pekerjaan ibu
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Penghasilan ibu (Rp.)
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Alamat Tinggal Selama Kuliah
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Status Anak
Anak Kandung
Anak Angkat
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Anak Ke
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Jumlah Saudara
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Nama Sekolah Dasar
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Tahun Masuk Sekolah Dasar
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Nama Sekolah SMP
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Tahun Masuk SMP
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Nama SMA
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Tahun Masuk SMA
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Riwayat Prestasi ( Tulis Tahun Perolehan, Nama Kegiatan, Capaian, Nama Penyelenggara )
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Pengalaman Kegiatan Selain Lomba ( Narasumber, Wirausahawan, Pelatih, wasit, kegiatan masyarakat )
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Pengalaman Pelatihan/ Seminar/ Workshop, dll
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Pengalaman Capaian di Organisasi ( Tahun, Nama organisasi, Jabatan )
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Hobi, Minat Bakat
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