Format Pengisian Pendaftaran Try Out Dan Ukom Periode 1 Tahun 2019

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FORMAT PENGISIAN PENDAFTARAN TRY OUT DAN UKOM PERIODE 1 TAHUN 2019

RETAKER PRODI BIDAN STIKES BINA SEHAT PPNI

1. NAMA : …………………………………………………………………………………………………………
2. NIM : …………………………………………………………………………………………………………
3. TEMPAT LAHIR : …………………………………………………………………………………………………………
4. TANGGAL LAHIR: ………………………………………………………………………………………………………..
5. TAHUN MASUK KULIAH : …………………………………………………………………………………………………………
6. IPK TERAKHIR : ………………………………………………………………………………………………………..
7. SKS YANG TELAH DISELESAIKAN : …………………………………………………………………………………………….

…………………………….., DESEMBER 2018

ttd
(………………………………………………………….)

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