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FORMULIR REGISTRASI MAHASISWA BARU PENDIDIKAN BIOLOGI 2016
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Nama
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NIM
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Jenis Kelamin
Laki-Laki
Perempuan
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Tempat/Tanggal Lahir (Contoh: 02-12-1995)
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Alamat Sekarang
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Agama
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No.Telp/HP (Pribadi)
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No.Telp/HP (keluarga, teman, pemilik kos, atau wali di tempat yang ditinggali sekarang)
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Kelas Reguler
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Reg A
Reg B
Asal Sekolah (SMA/SMK/MA/dll)
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Riwayat Pendidikan
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Prestasi Yang Pernah Diraih
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Pengalaman Organisasi Sekolah
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Pengalaman Organisasi Umum (Diluar Sekolah)
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Nama Ayah
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Nama Ibu
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No.Telp/HP Ayah
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No. Telp/HP Ibu
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Alamat Orang Tua/Wali Orang Tua Sekarang
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Hobi
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Cita-Cita
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Motto Hidup
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Penyakit Yang Diderita
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Alergi Makanan
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Minat Dalam Bidang Olahraga
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Minat Dlam Bidang Seni
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Bakat Dalam Bidang Olahraga
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Bakat Dalam Bidang Seni
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