Blanko Biodata Alumni
2
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS LAMBUNG MANGKURAT FAKULTAS TEKNIK Alamat : 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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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 : ...........................................................................................
..........................................................................................
..........................................................................................
Telp. / HP : ...........................................................................................
Banjarbaru, ....................................Mahasiswa ybs,
(...............................................)
Pas PhotoUkuran 3 x 4
