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Pendaftaran Online Sekolah Tinggi Agama Islam Al-Hikmah 2
Data Calon Mahasiswa
Nama Lengkap *
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Jenis Kelamin
Tempat Lahir
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Tanggal Lahir
MM
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DD
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YYYY
Golongan Darah
NO. HP
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Email
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Alamat Lengkap
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NIK KTP *
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NISN *
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Pilihan Program Studi
Program Studi *
Informasi Dari
Orang Tua/ Wali yang dapat dihubungi
Nama Ayah *
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Nama Ibu *
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Alamat Lengkap
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No. Telepon Wali
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Pekerjaan
Pendidikan Terakhir
Asal Sekolah
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Jenis Sekolah
Jurusan
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