Pre Departure Briefing
Student Exchange Odd Semester 2014/2015
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Name *
NIM *
Host University *
Pre Departure Briefing *
Mandatory for all students who are going to study abroad. If you cant come, please requet for additional date to IO.
Propose another date
Only filled, If you can not come on the proposed date
MM
/
DD
/
YYYY
Time
:
Reason
Please explain your situation why you can not come on the proposed date.
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