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Form Data Mahasiswa/i Fakultas Dakwah & Ilmu Komunikasi IAIN Imam Bonjol Padang
Harap Diisi dengan benar, karena data mahasiswa akan di kirim ke DIKTI. Sifatnya Wajib
NB: Isikan dengan menggunakan huruf Kapital
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NAMA
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NIM
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Tempat Lahir
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Tanggal Lahir
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dd-mm-yyyy
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Jenis Kelamin
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Laki-Laki
Perempuan
Agama
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Your answer
Alamat Lengkap (Sesuai KTP)
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Nagari/Desa/Kelurahan
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Kecamatan
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Kabupaten/Kota
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Provinsi
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Nama Ibu
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Prodi/Jurusan
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Your answer
Tahun Masuk
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Status Mahasiswa
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Aktif
Cuti
Lulus
Status Awal Masuk
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Peserta Didik Baru
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