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FORM PENDAFTARAN UKP MARET 2023
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* Indicates required question
Nama Lengkap
*
sesuai ijasah sebelumnya/ktp
Your answer
NIT
*
Isikan NIT Anda (perhatikan tanda titik juga)
Your answer
Tempat Lahir
*
Your answer
Tangga Lahir
*
MM
/
DD
/
YYYY
Seafarer Id
*
Sesuai dengan 10 digit pertama pada BST
Your answer
Email
*
Your answer
No HP
*
Your answer
Prodi
*
Choose
Nautika
Teknika
Jenjang
*
Choose
Pra Nautika
Pra Teknika
Pasca Nautika
Pasca Teknika
Status
*
Choose
Baru
Ulang
Jumlah CBA
*
Choose
0
1
2
3
4
5
6
7
8
9
10
Jumlah Fungs Komprehensif (Khusus Pasca Prala)
Choose
0
1
2
3
4
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