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Form Keterangan Masih Kuliah PNS
Surat Keterangan Masih Kuliah PNS
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* Indicates required question
Nama
*
Nama Lengkap, Contoh : Mustofa Kamal
Your answer
NIM (Nomor Induk Mahasiswa)
*
NIM, contoh : B75213218
Your answer
Angkatan
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misal : 2011
Your answer
Program Studi
*
Misal : Komunikasi
Bimbingan dan Konseling Islam
Pengembangan Masyarakat Islam
Komunikasi dan Penyiaran Islam
Manajemen Dakwah
Ilmu Komunikasi
Semester
*
Misal : 2
Your answer
Tahun Ajaran
*
Misal 2014/2015
Your answer
Nama Orang Tua Wali
*
Nama Orang Tua Wali
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NIP / NRP
*
No Identitas Pegawai
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Instansi / Perusahaan
*
No yang bisa dihubungi
Your answer
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