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Formulir Pendaftaran BIROHMAH UNILA 2017
Data base pengurus baru untuk Birohmah 2017 Kabinet SIAP (Sinergis, Interest, Aktif, Produktif) SIAGA
#MenebarDakwahMerajutUkhuwah
Mengirim Pas Foto 3x4 ke (birohmahuniversitaslampung@gmail.com)
Nama Lengkap
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Tempat, Tanggal Lahir
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Jenis Kelamin
Alamat Asal
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Alamat Sekarang
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Golongan Darah :
Anak ke :
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Dari (bersaudara) :
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Nomor HP :
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E-Mail :
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Alamat FB/ Line/ Instagram
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Karakter Kepribadian (pilih 2):
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Tipe kerja. Contoh: Konseptor 50% Teknis 50%
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