Registration Form of 2nd Integrated Practicum, Odd Semester - 2017 / 2018 Period
For the students which are taking the course of 2nd Integrated Practicum on 2017/2018 Periods Odd Semester, it is expected to fill the registration form below no later than 7th September 2017 at 4 P.M
Please check all the forms carefully before submitting the registration form, because the practicum candidate are not allowed to change the contents of the form after submitting the registration at the first place.
Full Name
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Gender
Student Number (NIM)
Your answer
GPA (IPK)
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Place and Date of Birth
Your answer
Telephone/ Mobile Number
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e-mail Address
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Current Address (In Malang)
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