PENDAFTARAN BEASISWA
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Nama Mahasiswa
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NIM
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KELAS
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Tempat Lahir
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Tanggal Lahir
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IPK
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Alamat
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No. Telpon
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No. Rekening Mahasiswa
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Nama Orang Tua
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Pekerjaan Orang Tua
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Alamat Orang Tua
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No. Telp Orang Tua
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Penghasilan Orang Tua Perbulan
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