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FORMULIR PENDAFTARAN
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Nama Lengkap (contoh: Zaenal Abidin Az Zain)
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Your answer
Kelurahan/Desa
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Your answer
Kecamatan
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Your answer
Nomor Induk Kependudukan (NIK)
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Your answer
Nomor Kartu Keluarga (KK)
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Your answer
Tempat, Tanggal Lahir (contoh: Tangerang, 01-12-2004)
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Your answer
Jenis Kelamin
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Laki-Laki
Perempuan
Alamat Lengkap
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Your answer
Nama Ayah
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Your answer
Nama Ibu
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Your answer
No HP Aktif (Telpon & Whatsapp)
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Your answer
Alamat Email
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Your answer
Program Studi
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Hukum Keluarga Islam
Hukum Ekonomi Syariah
Kelas
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Reguler A
Reguler B
Sekolah Asal (SMA/SMK/MA/Paket C/Sederajat)
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SMA
SMK
MA
Paket C
Other:
Nama Sekolah
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Your answer
Alamat Sekolah
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Your answer
Nomor NISN (Nomor Induk Siswa Nasional)
Your answer
Nomor Ijazah (jika sudah ada)
Your answer
Rekomendir (tulis nama orang merekomendasikan anda kuliah di STISNU jika ada)
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