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FORM PENDAFTARAN WISUDA
Fakulktas Ekonomi dan Bisnis Islam Tahun Akademik 2016/2017
NAMA LENGKAP SESUAI IJAZAH
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TEMPAT, TANGGAL LAHIR SESUAI IJAZAH
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NIM
Contoh: 2824133001
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JURUSAN
Contoh: Perbankan Syariah
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SEMESTER
Contoh: VII
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JENIS KELAMIN
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NO KONTAK/HP
Contoh: 08563497882
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JUDUL AKHIR / REVISI SKRIPSI
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TANGGAL LULUS / UJIAN SKRIPSI
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ALAMAT LENGKAP / UNTUK KORESPONDENSI ALUMNI
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