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Form E-Surat: Pernyataan Kehilangan Slip SPP/UKT
pertanyaan/keluhan:
psikologi@fisip.unmul.ac.id
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* Indicates required question
Alamat Email Anda
*
E-Surat akan dikirimkan ke alamat e-mail ini
Your answer
Nama
*
Your answer
Nomor Induk Mahasiswa
*
Your answer
Tempat, Tanggal Lahir
*
(contoh: Samarinda, 1 Januari 2016)
Your answer
Jenis Kelamin
*
Pria
Wanita
Semester
*
Choose
I (Satu)
II (Dua)
III (Tiga)
IV (Empat)
V (Lima)
VI (Enam)
VII (Tujuh)
VII (Delapan)
IX (Sembilan)
X (Sepuluh)
XI (Sebelas)
XII (Dua Belas)
XIII (Tiga Belas)
XIV (Empat Belas)
Alamat
*
Your answer
Nomor Hp
*
Your answer
Nominal SPP
*
Tanpa "Rp", (Contoh: 1.200.000)
Your answer
Slip SPP yang Hilang
*
Slip Semester Ke___
Choose
I (Satu)
II (Dua)
III (Tiga)
IV (Empat)
V (Lima)
VI (Enam)
VII (Tujuh)
VII (Delapan)
IX (Sembilan)
X (Sepuluh)
XI (Sebelas)
XII (Dua Belas)
XIII (Tiga Belas)
XIV (Empat Belas)
Tempat Kehilangan Slip SPP
*
Hilang di__________
Your answer
Tanggal Kehilangan
*
Hilang sejak_____ (Contoh: 1Januari 2020)
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Tanggal Surat
*
(Contoh: 1Januari 2020)
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