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Formulir Pendaftaran GENTA
Isilah Pertanyaan Berikut Dengan Benar dan Tepat
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Nama Lengkap
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NIM
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Jenis Kelamin
Laki-Laki
Perempuan
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Agama
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Islam
Kristen
Katolik
Hindu
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Program Studi
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Keuangan dan Perbankan Syari'ah
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Akuntansi
Administrasi Bisnis
Tanggal Lahir
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Contoh : Lhokseumawe, 01 Januari 1996
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Motivasi Anda Masuk HIMATA
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Hobby
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Devisi
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Infokom
Humas
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Litbang
Kesma
Kerohanian
Nomor HP
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PIN BBM
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Alamat Lengkap
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