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FORMULIR DATABASE MAHASISWA PENDIDIKAN BAHASA INGGRIS FKIP UNSRI
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Email
*
Your email
1. Nama
*
Your answer
2. NIM
*
Your answer
3. Kampus
*
Indralaya
Palembang
4. Agama
*
Islam
Protestan
Katolik
Hindu
Budha
Kong Hu Cu
5. Tempat Lahir
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Your answer
6. Tanggal lahir
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MM
/
DD
/
YYYY
7. Alamat
*
Your answer
8. Telepon
*
Your answer
9. Jalur Masuk
*
SNMPTN
SBMPTN
USM
10. UKT (tulis hanya nominal, mis. 5000000)
*
Your answer
11. Beasiswa (jika ada)
Your answer
12. Nama Ayah
*
Your answer
13. Telepon Ayah
*
Your answer
14. Pekerjaan Ayah
*
Your answer
15. Penghasilan Ayah (Mis. 2000000)
*
Your answer
16. Nama Ibu
*
Your answer
17. Telepon Ibu
*
Your answer
18. Pekerjaan Ibu
*
Your answer
19. Penghasilan Ibu (mis. 2000000)
*
Your answer
20. Alamat Orang Tua
*
Your answer
21. Pembimbing akademik
*
Your answer
22. Cita cita Pekerjaan
*
Your answer
23. Hobi/kegemaran
*
Your answer
24. Jumlah SKS yang Telah Ditempuh
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Your answer
25. IP semester saat mengisi formulir ini
*
Your answer
26. IPK
*
Your answer
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