JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Data Induk Mahasiswa
Isilah formulir ini dengan jujur agar data Anda tersimpan dalam Data Base Mahasiswa Ilmu Pemerintahan. Data ini selanjutnya akan diverifikasi berdasarkan data pada Forlap Dikti
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nama Lengkap
*
Your answer
Nomor Stambuk
*
Your answer
Tahun Masuk
*
2014
2015
2016
2017
Tempat Lahir
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
Nama Ibu Kandung
*
Your answer
Agama
*
Islam
Protestan
Katolik
Hindu
Budha
Konghucu
Alamat (Desa)
*
Your answer
Kecamatan
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
