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Form Penerimaan Mahasiswa Baru Sekolah Tinggi Agama Islam Al-Hikmah 2 Tahun Akademik 2024/2025
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Data Calon Mahasiswa
Nama
*
Your answer
Jenis Kelamin
Laki-laki
Perempuan
Clear selection
Tempat Lahir
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
NIK
*
Your answer
NISN
*
Your answer
No. Telepon
*
Your answer
Email
*
Your answer
Alamat (sertakan Rt/Rw)
*
Your answer
Program Studi
*
S1 - Hukum Keluarga Islam (HKI)
S1 - Pendidikan Guru Madrasah Ibtidaiyyah (PGMI)
Asal Sekolah
*
Your answer
DATA WALI
Nama Ibu Kandung
*
Your answer
Nama Ayah
*
Your answer
No. Telepon Wali
*
Your answer
Alamat (sertakan Rt/Rw)
*
Your answer
Pendidikan Terakhir Ayah
*
Non Formal
SLTP
SLTA
S1
S2
S3
Pendidikan Terakhir Ibu
*
Non Formal
SLTP
SLTA
S1
S2
S3
Pekerjaan Ayah
*
Guru/Dosen
PNS
Wiraswasta
Wirausaha
ASN
Lain-lain
Pekerjaan Ibu
*
Guru/Dosen
PNS
Wiraswasta
Wirausaha
ASN
Ibu Rumah Tangga
Lain-lain
Rata-rata pendapatan per bulan
< Rp. 1.000.000
Rp. 1.000.000 - Rp. 2.000.000
Rp. 2.000.000 - Rp. 3.000.000
Rp. 3.000.000 - Rp. 4.000.000
> Rp. 4.000.000
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