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FORMULIR PENDAFTARAN TEAM ROBOT EURO UNSRAT
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NAMA LENGKAP
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JURUSAN
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ELECTRO
INFORMATIKA
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NOMOR INDUK MAHASISWA/ I
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NIM
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ALAMAT
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AGAMA
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KRISTEN PROTESTAN
KATOLIK
ISLAM
BUDHA
HINDU
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Bln/Tgl/Thn lahir
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DD
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NOMOR HANDPHONE
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e-mail
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URL FACEBOOK
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http://www.facebook.com/profile.php?id=xxxxx
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