Form Data Mahasiswa/i Adab & Humaniora IAIN Imam Bonjol Padang
Harap Diisi dengan benar, karena data mahasiswa/i akan di kirim ke DIKTI. Sifatnya Wajib
NB: Isikan dengan huruf Kapital
NAMA
Your answer
NIM
Your answer
Tempat Lahir
Your answer
Tanggal Lahir
dd-mm-yyyy
Your answer
Jenis Kelamin
Agama
Your answer
Alamat Lengkap (Sesuai KTP)
Your answer
Nagari/Desa/Kelurahan
Your answer
Kecamatan
Your answer
Kabupaten/Kota
Your answer
Provinsi
Your answer
Nama Ibu
Your answer
Prodi/Jurusan
Your answer
Tahun Masuk
Your answer
Status Mahasiswa
Status Awal masuk
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