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Data Pribadi Mahasiswa
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* Indicates required question
Nama
*
Your answer
NIM
*
Your answer
Alamat E-mail
*
Your answer
Kelas
*
A01
A02
A03
Other:
Tanggal Lahir
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MM
/
DD
/
YYYY
Alamat Kos
*
Your answer
Longitude
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Your answer
Latitude
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