JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
BIODATA
Biodata Mahasiswa
Sign in to Google
to save your progress.
Learn more
* Indicates required question
DATA PRIBADI
Nama
*
Nama Lengkap
Your answer
NIM
*
Nomor Induk Mahasiswa
Your answer
Tahun Diterima di Perguruan Tinggi/Fakultas
Mis: 2011
Your answer
Jurusan
Choose
Manajemen Reguler
Akuntansi Reguler
Ilmu Ekonomi Reguler
IBA (International Business Administration)
Manajemen Regso
Akuntansi Regso
MM
MAKSI
PPAk
PDM
Kelas
Mis: Manajemen 1 (B1), Akuntansi 3 (C3), dst
Your answer
Gender
Pria
Wanita
Clear selection
Agama
Your answer
Asal Daerah
Your answer
Etnis
Your answer
Tempat Lahir
Your answer
Tanggal Lahir
MM
/
DD
/
YYYY
No HP Utama
Your answer
No HP Tambahan
Your answer
Pos-el (Email)
Your answer
Facebook
Your answer
Tweeter
Your answer
PIN BB
Your answer
Alamat Saat Ini
(Kos, Kontrak, Rmh Pribadi, Apartemen, dsb)
Your answer
Hobi
Your answer
AKADEMIK
Asal Sekolah SMA & Kota Sekolah
(Mis: SMAN 1 Manado)
Your answer
Prestasi saat SMA/SMP/SD
(Akademis)
Your answer
Prestasi saat SMA/SMP/SD (Seni & Olah Raga)
Your answer
Diterima di PT Melalui Jalur
Choose
Undangan
SNMPTN
Bidik Misi
T2
Lainnya
Prestasi Saat Ini (Di Perguruan Tinggi)
Your answer
Mengikuti Kegiatan Kemahasiswaan
(Organisasi kemahasiswaan, BKK, Himaju)
Your answer
IP Semester Sebelumnya
Your answer
IPK Terakhir
Your answer
Beasiswa
Choose
Bidik Misi
Mapalus
PPA
BBM
Lainnya (Pegadaian, BRI, BI, dsb)
Tidak Menerima
ORANG TUA/WALI
Nama Ayah
Your answer
Pekerjaan Ayah
Your answer
Alamat Ayah
Your answer
Nama Ibu
Your answer
Pekerjaan Ibu
Your answer
Alamat Ibu
Your answer
Nama Wali
Your answer
Pekerjaan Wali
Your answer
Alamat Wali
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
