FORMULIR PENDAFTARAN PENERIMAAN MAHASISWA BARU TA. 2025/2026

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Email *

NAMA LENGKAP *

NOMER WHATSAPP *

JURUSAN *

KELAS *

TEMPAT LAHIR *

TANGGAL LAHIR *

YYYY

JENIS KELAMIN *

NIK *

AGAMA *

NISN (IJAZAH) *

JALUR PENDAFTARAN *

SELEKSI MANDIRI (12)

KIPK (16)

KEWARGANEGARAAN *

ID (INDONESIA)

Other:

JENIS PENDAFTARAN *

PESERTA DIDIK BARU (1)

PINDAHAN (2)

PEROLEHAN SKS (13)

TRANSFER SKS (KONVERSI D3 KE S1) (16)

TANGGAL MASUK KULIAH *

2025-09-21

MULAI SEMESTER *

2025 (1)

TERIMA KARTU PERLINDUNGAN SOSIAL (KPS) *

TIDAK

NAMA IBU *

NAMA BAPAK *

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