Nama
: ................................................................
User name yang diminta................................................................:
(username akan diubah bila terdapat username yang sama, tanpa
pemberitahuan terlebih dahulu)
3. E-mail
4. Password
5. Nama Blog
: ..................................................................
: ................................................................
: http://......................................................
.
(ex: http://paijo.blog.unsoed.ac.id ,namablog akan diubah bila terdapat
nama blog yang sama, tanpa pemberitahuan terlebih dahulu)
6. NIP/NIM
7. Fakultas/Unit
8. Jurusan/Bagian
9. Jabatan
10. Status
:
:
:
:
:
................................................................
................................................................
................................................................
................................................................
................................................................Tetap/Tidak
Tetap *)
................................................................
11. Telp.
: ................................................................