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FORM ANGGOTA BEM POLNEP
Wajib di isi untuk semua anggota BEM POLNEP dan Kader BEM Seluruh angkatan
hidup mahasiswa..........................
hidup politeknik............................
hidup rakyat indonesia.................
TTD.
JOKO MULYONO
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Judul Tanpa Judul
Nama
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NIM
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Jurusan
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Program Studi
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Tempat Lahir
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Tanggal Lahir
MM
/
DD
/
YYYY
Alamat
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Agama
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No HP
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PIN BBM
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EMAIL/Facebook
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Jabatan di BEM
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Angkatan
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Priode Jabatan
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Saran Untuk Kemajuan BEM POLNEP
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Cita - Cita
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Opsi 1
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Opsi 1
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