Blanko Biodata Alumni

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Transcript of Blanko Biodata Alumni

K E M E N T E R I A N P E N D I D I K A N D A N K E B U D A Y A A NUNIVERSITAS LAMBUNG MANGKURAT

FAKULTAS TEKNIKAlamat : JalanA. Yani Km.36 Banjarbaru Kalimantan Selatan 70714

Telepon (0511)4781730

BIO DATA ALUMNI

N a m a : ...........................................................................................

Tempat & Tanggal Lahir : ...........................................................................................

A g a m a : ...........................................................................................

Jenis Kelamin : ...........................................................................................

N I M : ...........................................................................................

Jurusan : ...........................................................................................

Program Studi : ...........................................................................................

Alamat Lengkap : ...........................................................................................

..........................................................................................

..........................................................................................

Telp. / HP : ...........................................................................................

Email / Facebook : ...........................................................................................

Ujian Skripsi Tanggal : ...........................................................................................

Ujian Skripsi : ...........................................................................................

Tanggal Lulus Yudisium : ...........................................................................................

I P K : ...........................................................................................

Hobby : ...........................................................................................

Nama Orang Tua/Wali : ...........................................................................................

Pekerjaan Orang Tua/Wali : ...........................................................................................

Alamat Orang Tua/Wali : ...........................................................................................

..........................................................................................

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Telp. / HP : ...........................................................................................

Banjarbaru, ....................................Mahasiswa ybs,

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