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Formulir Pendaftaran Anggota Perpustakaan
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Nama Mahasiswa
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Nomor Induk Mahasiswa
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Program Studi
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S1 Keperawatan A
S1 Keperawatan B
S1 Kebidanan
S1 Ilmu Gizi
S1 Profesi Ners
S2 Keperawatan
Other:
Alamat Lengkap
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Pas Foto tercetak 2x3 diserahkan ke perpustakaan (Koordinir ketua kelas)
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