Form Pendaftaran PKL
PROGRAM STUDI TEKNIK INFORMATIKA
Semester
Tahun Akademik
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NIM *
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Nama Mahasiswa
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No. HP
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Model PKL
Bila memilih mandiri (minimal 2 bulan), mohon lengkapi isian berikut :
Nama Instansi
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Alamat Instansi
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Kota Instansi
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No. Telp Instansi
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E-mail Instansi
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Waktu Rencana Pelaksanaan PKL (Pelaksanaan Minimal 2 bulan)
MM
/
DD
/
YYYY
Bidang Kerja Kantor
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Tipe Pekerjaan
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