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BIODATA MAHASISWA

1. NAMA : ____________________________________
2. TEMPAT & TANGGAL LAHIR : _____________________________________
3. NIM : ____________________________________
4. PROGRAM STUDI : ____________________________________
5. JENIS KELAMIN : ____________________________________
6. AGAMA : ____________________________________
7. KEWARGANEGARAAN : ____________________________________
8. GOLONGAN DARAH : ____________________________________
9. ALAMAT : ____________________________________
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____________________________________
HP/WA:_____________________________
10. KEGEMARAN (HOBBY) : ____________________________________
11. IKRAR (MOTTO) : ____________________________________
____________________________________
____________________________________
12. CITA-CITA : ____________________________________
____________________________________
____________________________________
13. TUJUAN HIDUP : ____________________________________
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14. ASAL SMA/MA/SMK : ____________________________________
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Palembang, September 2023

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