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Pelacakan Alumni (Data Diri)
Mohon lengkapi seluruh data pelacakan alumni STAIN/IAIN Kendari di bawah ini
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* Indicates required question
Nama Lengkap
*
Your answer
Tempat Lahir
*
Your answer
Tanggal lahir
*
MM
/
DD
/
YYYY
Jenis Kelamin
*
Laki-Laki
Perempuan
Alamat
*
Your answer
Kabupaten/Kota
*
Choose
Kota Kendari
Kota Bau-Bau
Kab. Konawe
Kab. Konawe Selatan
Kab. Konawe Utara
Kab. Konawe Kepulauan
Kab. Kolaka
Kab. Kolaka Utara
Kab. Kolaka Timur
Kab. Bombana
Kab. Buton
Kab. Buton Utara
Kab. Buton Tengah
Kab. Buton Selatan
Kab. Muna
Kab. Muna Barat
Kab. Wakatobi
Lainnya
Kabupaten/Kota (Jika Lainnya)
Your answer
Nomor Hanphone
*
Your answer
Email (Pilihan)
Your answer
NIK/Nomor Identitas Kependudukan (Pilihan)
Your answer
Nama Ibu Kandung (Pilihan)
Your answer
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