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Surat Izin PKL/PKM dan Mini Riset
Fakultas Syariah Institut Pesantren KH. Abdul Chalim Mojokerto
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Nama Nama Mahasiswa
1. Nama Mahasiswa
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2. Nama Mahasiswa
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3. Nama Mahasiswa
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4. Nama Mahasiswa
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5. Nama Mahasiswa
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6. Nama Mahasiswa
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NIM Mahasiswa
1. NIM
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2. NIM
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3. NIM
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4. NIM
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5. NIM
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6. NIM
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Program Studi
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Ekonomi Syariah
Hukum Keluarga Islam
Perbankan Syariah
Semester Saat ini
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Lembaga/Instansi yang dituju
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Contoh: PT. BPR Syariah Lantabur Kantor Cabang Mojokerto
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Alamat Lengkap Instansi/lembaga
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Contoh: Jl. Empunala No.102, Mergelo, Balongsari, Kec. Magersari, Kota Mojokerto, Jawa Timur 61314
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