KETERANGAN MASIH KULIAH (ORANG TUA PNS)
NAMA MAHASISWA *
MAX 21 KARAKTER HURUF KAPITAL
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SEMESTER / PRODI *
contoh : V / PGSD (HURUF KAPITAL)
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NIM *
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NAMA ORANG TUA *
HURUF KAPITAL
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NIP/NRP/NPP *
contoh: 19560612 197011 1 001
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PANGKAT/ GOLONGAN / RUANG *
contoh: Pembina / IV / a
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Instansi (Tempat Kerja) *
contoh: SD Negeri 1 Sleman
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