Formulir Kepesertaan KKN Tematik Merajut Nusantara 2017
Nama
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NIM
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Program Studi
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Perguruan Tinggi
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Tempat/tanggal Lahir
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No. Telp/HP (yang bisa dihubungi)
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Alamat
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Alamat email
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Program yang dipilih
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Informasi penting : Biaya pendaftaran per peserta Rp 2.600.000,-
Biaya pendaftaran ditransfer ke rekening Universitas Paramadina - Bank Mandiri No. Rek 0700005454280
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