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Form Registrasi Anggota Baru LDK IMAM UNPAM
Silakan diisi dengan data yang sesuai. Apabila ada kesusahan, tanyakan langsung ke bagian IT Support IMAM.
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Nama
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NIM
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Prodi
*
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Semester
*
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Shift
*
Reguler Pagi
Reguler Malam
Kelas Sabtu (Eksekutif)
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No. Telp
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Email / Facebook / Twitter
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Pengalaman Organisasi
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Silahkan tulis nama organisasi, tahun dan beserta jabatan yang pernah diemban.
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Alasan Mengikuti IMAM
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