REGISTRASI

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1 Step 1

Data Pribadi

Namaname

Tempat Lahirplace of birth

Agamareligion

Gol. Darahblood group

Hobihobby

Emaila valid email

Alamat Lengkapcomplete address

0 /

No. HPphone number

Tempat Kerjaworkplace

Data Orang Tua

Nama Bapakfather name

No. KTPid number

Pekerjaanwork

Alamataddress

0 /

No. HPphone number

Nama Ibufather name

No. KTPid number

Pekerjaanwork

Alamataddress

0 /

No. HPphone number

Suami / Istrihusban / wife name

Pekerjaanwork

Alamataddress

0 /

A. Pilihan Program Studi ( Selection Program Study )

A. Pilihan Extra Kulikuler ( Extra curricular option )

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