Registrasi Online Beasiswa BBP-PPA Universitas Islam Indonesia tahun 2016
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NIM *
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PRODI *
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FAKULTAS (ex: FH, FTSP, FTI, dll) *
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NAMA (huruf besar) *
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NAMA DI REKENING (huruf besar) *
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NAMA BANK (Mandiri, Bukopin, Muamalat, BSM, BRI) *
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NO REKENING *
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JENIS KELAMIN (L/P) *
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KODE PRODI (cek lampiran) *
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SEMESTER (minimal 2, maksimal 6) *
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IPK *
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PEKERJAAN *
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KODE PEKERJAAN (cek lampiran) *
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JUMLAH TANGGUNGAN *
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PENGHASILAN *
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PRESTASI
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ALAMAT *
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TELEPON *
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LAMA/BARU *
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