Form Pendaftaran Wisuda
Nama Lengkap *
contoh : Akbar Faisal
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Tempat Lahir *
conroh : Surabaya
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Tanggal Lahir *
MM
/
DD
/
YYYY
NIM *
conroh : B12345678
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Jurusan *
Pilih Salah Satu
Program Studi *
Pilih Salah Satu :
Tahun Masuk IAIN *
contoh : 2010
Tanggal Lulus Uijan *
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/
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Alamat Rumah *
contoh JL A. Yani No. 117 Surabaya
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Telepon *
contoh : +62 31 452854
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No Handphone *
contoh : +628132548547
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Email *
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Judul Skripsi *
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