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DATA BASE ANGGOTA BEM FK UNTAD 2019
Tujuan Mengumpulkan database Anggota BEM FK UNTAD dan Memudahkan dalam pencarian Informasi Anggota BEM FK UNTAD
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Email
*
Your email
Nama Lengkap
*
Gunakan Huruf Kapital
Your answer
Nama Panggilan
*
Your answer
Stambuk
*
contoh : N 101 19 091
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Angkatan
*
Your answer
Tempat Lahir
*
Your answer
Tanggal Lahir
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pastikan tahun lahir benar ya, formatnya juga
MM
/
DD
/
YYYY
Jenis Kelamin
*
Laki-laki
Perempuan
Required
Golongan Darah
*
A
B
AB
O
Agama
*
perlu diperjelas, contoh : Kristen Protestan
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Alamat Sekarang
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contoh : Jl. Maluku Utara no. 53 kec. Palu Selatan, kel. Birobuli Utara
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No. Telp/HP
*
No. HP pribadi yang aktif dan dapat dihubungi
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Whatsapp
*
Your answer
Instagram
*
Your answer
lineID
*
Your answer
Facebook
*
Your answer
Hobby
*
Your answer
Riwayat Pendidikan
isi mulai dari jenjang pendidikan Taman Kanak-kanak (TK) sampai SMA
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kritik dan saran mengenai BEM FK UNTAD
*
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