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KEMENTERIAN RISET, TEKNOLOGI DAN PENDIDIKAN TINGGI

UNIVERSITAS TANJUNGPURA
FAKULTAS HUKUM
Jalan Prof. Dr. H. Hadari Nawawi Pontianak 78124 Telepon (0561) 740144

BIODATA SARJANA BARU


PROFIL PRIBADI
1. Periode Wisuda

: ............................................................................................................

2. Nama Lengkap

: ............................................................................................................

3. NIM

: ............................................................................................................

4. Tempat dan Taggal Lahir

: ............................................................................................................

5. Jenis Kelamin

: ............................................................................................................

6. Status Perkawinan

: ............................................................................................................

7. Agama

: ............................................................................................................

8. Pekerjaan

: ............................................................................................................

9. No. Handphone

10. Email

: ............................................................................................................

11. Alamat Rumah

: ............................................................................................................

INFORMASI ORANG TUA


1. Nama Bapak/Ibu

: ............................................................................................................

2. Pekerjaan Bapak/Ibu

: ............................................................................................................

3. Pendidikan Bapak/Ibu

: ............................................................................................................

ASAL SLTA / SMA


1. Propinsi

: ............................................................................................................

2. Kabupaten Kota

: ............................................................................................................

3. NPSN / Nama Sekolah

: ............................................................................................................

DATA DI UNIVERSITAS TANJUNGPURA


1. Fakultas

: ............................................................................................................

2. Jurusan/Prodi/BKK

: ............................................................................................................

3. Angkatan

: ............................................................................................................

4. IPK/Score TUTEP

: ............................................................................................................

5. Tanggal Lulus

: ............................................................................................................

6. Judul skripsi / Thesis

:............................................................................................................

Validasi Data Oleh:


Kasubbag. Pendidikan

Pontianak, ...............................

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

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

NIP.....................................

NIM............................................

PERHATIAN:
1.

Kesalahan pada biodata oleh Ybs. Bukan tanggung jawab penulisan ijazah dan transkrip nilai

2.

Pengisian biodata berdasarkan ijazah terakhir dibuktikan dengan FC ijazah terakhir yang telah di legalisir

3.

Pas foto menggunakan pakaian sipil bagi pria dan kebaya nasional /jas lengkap dengan latar belakang biru tua

4.

Pembuatan ijazah/transkrip akan dilayani jika sudah di validasi oleh subbag. Pendidiakn

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