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YAYASAN HAFSHAWATY PESANTREN ZAINUL HASAN GENGGONG

STIKES HAFSHAWATY PESANTREN ZAINUL HASAN


Prodi : DIII Keperawatan, DIII Kebidanan, Sarjana Keperawatan, DIV Kebidanan, Profesi Ners,
Sarjana Kebidanan Dan Pendidikan Profesi Bidan
Jl. Raya Genggong Area Pendidikan “Haf-Sa” PP. Zainul Hasan Genggong Probolinggo
Kode Pos 67281. Telp/Fax. 0335-844838

BIODATA MAHASISWA

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NIM : .......................................................................................................................

Jenis Kelamin : .......................................................................................................................

Tempat, Tanggal lahir : .......................................................................................................................

Nomor Telp. / HP : .......................................................................................................................

Alamat : .......................................................................................................................

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Hobby : .......................................................................................................................

Tahun Lulus : .......................................................................................................................

IPK : .......................................................................................................................

Tahun Masuk Profesi : .......................................................................................................................

Mahasiswa
Program Profesi Ners

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

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