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Permohonan Surat Keterangan Jalan Mahasiswa STIPRAM Yogyakarta
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* Indicates required question
E-mail (aktif)
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Nama Lengkap
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Isikan nama dengan huruf besar kecil Aa (CONTOH: Mei Agustina Susanti)
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Nomor Induk Mahasiswa (NIM)
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*Untuk Mahasiswa Baru TA 2020, NIM diberi tanda strip (-)
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Program Studi
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D3 Perhotelan
S1 Pariwisata
S2 Pariwisata
Semester
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I (satu)
II (dua)
III (tiga)
IV (empat)
V (lima)
VI (enam)
VII (tujuh)
VIII (delapan)
Alamat Lengkap (Sesuai KTP)
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Contoh; Alamat:...., RT:../RW:..., Kelurahan/Desa:....., Kecamatan:...., Kabupaten:..., Provinsi:..., Indonesia Kode Pos
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No. Telp/HP
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Perjalanan dari Kota (Nama Kota/Kab)
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