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Formulir Pendaftaran Forum Komunikasi Mahasiswa Islam Periode 2014-2015
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Nama Lengkap
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Nama Panggilan
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Tempat Tanggal Lahir
MM
/
DD
/
YYYY
Jurusan
Kimia
Perkapalan
Mesin
Sipil
Elektro
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Angkatan
2012
2013
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Alamat Asal
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Alamat Kost
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Nomor Handphone
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Alamat Email
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Facebook
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Pengalaman Organisasi
OSIS
PRAMUKA
ROHIS
KIR
Other:
Motto Hidup
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Bakat yang Saudara miliki?
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Nama Pementor
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Checklist jika Saudara memiliki barang-barang dibawah ini
Laptop
Sound System
Modem
Camera Digital
Printer
Handycam
Pilih salah satu departemen yang saudara inginkan sertakan alasan
Kaderisasi
BPMAI
Syiar
Annisa
Ketakmiran
Ekonomi
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Saran untuk lembaga rohis ke depannya?
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