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Form Permohonan Surat Dispensasi Izin Kerja
Permohonan Surat Dispensasi Izin Kerja
Fakultas Ekonomi dan Bisnis (FEB)
Mohon agar form diisi sesuai contoh, surat akan dikirimkan ke WA, Email, atau bisa diambil langsung ke TU FEB.
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* Indicates required question
Email
*
Your email
Instansi tempat bekerja
*
Contoh: PT Pijar Sukma
Your answer
Alamat Instansi
*
Contoh: Jl. Pemuda, RT 01 RW 01, Kel. Panggang, Kec. Jepara, Kab. Jepara.
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Nama Mahasiswa
*
Contoh SOFI NILA FADHILA
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NIM
*
Contoh: 171110002105
Your answer
Tempat Lahir
*
Contoh: Kudus
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
Alamat
*
Contoh: Jl. Pemuda, RT 01 RW 01, Kel. Panggang, Kec. Jepara, Kab. Jepara.
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Program Studi
*
Choose
Manajemen
Akuntansi
Ekonomi Islam
Alasan
*
Mengikuti ujian komprehensif Computer Based Test (CBT)
Mengikuti ujian komprehensif wawancara
Mengikuti seminar proposal
Mengikuti ujian skripsi
Other:
Tanggal kegiatan
*
MM
/
DD
/
YYYY
No. WA
*
Contoh: 082230302020
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Saya ingin surat ini
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dikirim via E-mail.
dikirim via WA.
dicetak dan saya ambil di TU.
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