Pendaftaran BIOS Kemahasiswaan 40kar

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Gustian Ri'pi

Education

FORM PENDAFTARAN
Nama :
NIM :
Jurusan / Prodi : /
Tempat/ TanggalLahir : /
Alamat :
No. Telepon / E-mail : /
MotivasidanTujuanMengikuti BIOS
BakatdanMinat
Olahraga
Futsal TenisMeja
Basket TenisLapangan
Voli Catur
BuluTangkis
PengalamandanPrestasiBidangOlahraga
Seni
Homeband / Akustik Modern Dance
PaduanSuara
TariTradisional
Komunitas :
Theater Cinematography
DOTA Drawing danSeniRupa
PengalamandanPrestasiBidangSeni
Manajemen
Event Organizer ManajemenAtlit/artist
PengalamanOrganisasi / Kepanitiaan
Malang,
( )
Foto 3x4

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