Post on 20-Dec-2015
description
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 : ...........................................................................................
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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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Pas PhotoUkuran 3 x 4