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FORMULIR DATA PESERTA
PKM POLTEKBANG SURABAYA
(
BANDARA ABDUL RACHMAN SALEH – MALANG)
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Email
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ALAMAT EMAIL
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PKM
*(Silakan pilih sesuai kegiatan dan program studi yang diikuti)
*
(Prodi LLU) Sosialisasi tentang Human Factor untuk Personel Penerbangan di Bandar Udara Abdulrachman Saleh Malang
(Prodi KP) Sosialisasi KM 39 Tahun 2024 tentang Program Keamanan Penerbangan Nasional di Bandar Udara Abdulrachman Saleh Malang
NAMA
*(Tuliskan dengan huruf kapital)
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NOMOR HANDPHONE/WHATSAPP
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JABATAN
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ASAL INSTANSI
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