SELAMAT DATANG DI PENDAFTARAN ANGGOTA BARU PMII KOMISARIAT SUNAN MURIA UMK
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Nama Lengkap *
Tempat lahir *
Tanggal lahir
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DD
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YYYY
Alamat rumah *
Alamat kos
Fakultas *
Progam Study *
Semester *
1
9
Asal sekolah *
Pengalaman organisasi *
ex: Osis, Pramuka, PMR (pisah dengan [,] Koma)
Hobby *
Nomor HP *
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