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    The document contains a student registration list with details including name, place of birth, date of birth, gender, religion, address, parent and guardian information. It lists 16 students with their personal details and academic information like enrollment type, semester started, faculty and contact information.

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    The document contains a student registration list with details including name, place of birth, date of birth, gender, religion, address, parent and guardian information. It lists 16 students with their personal details and academic information like enrollment type, semester started, faculty and contact information.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    54 views32 pages

    Form Koass

    Uploaded by

    Re-zha 'Putra'
    The document contains a student registration list with details including name, place of birth, date of birth, gender, religion, address, parent and guardian information. It lists 16 students with their personal details and academic information like enrollment type, semester started, faculty and contact information.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 32

    NIM Nama Tempat Lahir

    1208017026 SELVY ANRIANI KUPANG


    1208017043 EDWARD JENERD CORNELIS MUNDE WAIKABUBAK
    1208017046 STEVANNY KEO KUPANG
    1108011005 SOVIAN ANUGRAH BEKASI
    1208017053 HILDA YANUARIA MOI Bajawa
    1208017047 HIDAYAT BAZEHER Rote - Ba'a
    1208017040 APRIS TESRYANTO LIUFETO BUSADAELAIN
    1208011008 PETRUS PRASETIO BOLENG KUPANG
    1208017045 WILLY OEMATAN SOE
    1208012009 ANITA TAKALAPETA KALABAHI
    Tanggal Lahir Jenis Kelamin Agama ID KK

    1994-08-05 P 1 5371032412070596
    1994-02-26 L 2 5171031007070380......
    1994-08-06 P 2 0
    1993-06-21 L 2
    1995-01-12 P 3
    29/03/1993 L 1 0
    1994-04-02 L 2 0
    7-Apr-93 L 3 5371020704930001
    4 JANUARI 1995 L 3 5302030401950001
    1994-08-01 P 2
    Jenis Pendaftaran Tgl Masuk Kuliah Mulai semester Jalan

    1 2016-03-14 20152 Perumnas


    1 2016-03-14 20152 Oesapa
    1 2016-03-14 20152 SALAK
    1 2016-03-14 20152 DIPONEGORO
    Belakang
    1 2016-03-14 20152
    STIM
    1 2016-03-14 20152 PEMUDA
    1 2016-03-14 20152 SUKUN 1
    1 2016-03-14 20152 HTI
    1 2016-03-14 20152 AMABI
    SAM RATU
    1 2016-03-14 20152
    LANGI IV/III
    RT RW Nama Dusun Kelurahan Kecamatan Kode Pos

    02 01 Nefonaek Kelapa Lima


    01 01 Oesapa Kelapa Lima
    25 10 OEPURA MAULAFA
    KUANINO KOTA RAJA 85111
    16 06 Oesapa Kelapa Lima
    OEBOBO
    35 14 OEPURA MAULAFA 85146
    18 7 MAULAFA MAULAFA
    MAULAFA MAULAFA
    21 07 OESAPA BARAT KELAPA LIMA
    Jenis Tinggal Telp Rumah No HP

    1 82340155259
    3 81237140352
    1 81337991581
    3 82342812363
    82145867690
    3 82341023045
    1 82144084090
    1 85253472225
    3 81231642106
    1 85253554336
    Email Terima KPS No KPS Status

    selvy_anriani@yaho.com 0 A
    mjenerd@gmail.com 0 A
    vannykeo.vk@gmail.com 0 A
    sovian.anugrah@gmail.com 0 A
    hyanuaria@gmail.com
    Hidayat_bazeher@ymail.com 0 A
    apris_liufeto@yahoo.com 0 A
    prasetioboleng@yahoo.com 0 A
    willyoematan@yahoo.com 0 A
    anita.takalapeta@gmail.com 0 A
    Nama Ayah Tgl Lahir Ayah Pendidikan Ayah Pekerjaan Ayah Penghasilan Ayah

    SUFIRMAN 1963-08-01 6 9 14
    JIBRAEL MUND 6/4/1968 D4 9 13
    MUSA KEO
    JABONNER 1960-02-24 S1 5 14
    LUMBAN 1957-02-06 3 1 14
    Gabriel Frans
    GAOL 1970-02-27 6 9 14
    Banda
    ABDULLAH
    6 9
    BAZEHER
    OTNIAL
    1960-04-24 S1 5 14
    LIUFETO
    LUKAS M. BOL 30 JULI 1959 S2 PNS 14
    HENDRIKUS OE 22-Nov-64 S1 PENDETA 13
    Ir. ANS
    1954-12-13 S1 PENSIUNAN PNS 15
    TAKALAPETA
    Nama Ibu Tanggal Lahir Ibu Pendidikan Ibu Pekerjaan Ibu

    SOLVIANA GASPERSZ 1967-09-30 6 6


    AGUSTINA POETING 12/23/1973 6 9
    LODIA FINA 03/071962 S1 5
    RULIANA SITOHANG 1959-05-09 5 1
    Maria J.M.C Ngai Luna 1976-10-16 S1 5
    SOFIAH BAZEHER 4
    ERMY SOLUDALE 1956-07-29 S1 5
    BERNADETH SARINTEN 19-Apr-64 SMA PNS
    ERNA CH. LIE 20-Apr-68 SMA IRT
    DINA M. MELER,S.TH 1963-05-10 S1 SWASTA
    Penghasilan Ibu Nama Wali Tanggal Lahir wali

    14
    14
    14
    11
    14

    14
    14
    11
    14
    Pendidikan Wali Pekerjaan Wali Penghasilan Wali
    NIM Nama Tempat Lahir

    1208011001
    1208011002 ALIA RAHMA BLITAR
    1208011003
    1208011004 MARIA HELENTIKA AVIANA ASFAL DILI
    1208011005
    1208011006
    1208011007
    1208011008 PETRUS PRASETIO BOLENG KUPANG
    1208011009
    1208011010 REZA EKA PUTRA KUPANG

    1208011016 EUNIKE VIDYA PANDIE KUPANG

    1208017026 SELVY ANRIANI KUPANG


    Tanggal Lahir Jenis Kelamin Agama ID KK

    1991-07-21 P 1 3572015107910000

    1995-02-18 P 3 5310125802950000

    1993-04-07 L 3 5371020704930001

    1996-02-05 L 1 5371030501150000

    7/12/1994 P 2 5371032212074110

    1994-08-05 P 1 5371032412070596
    Jenis Pendaftaran Tgl Masuk Kuliah Mulai semester Jalan

    1 2016-03-14 20152 Ciliwung No. 287

    1 2016-03-14 20152 Gadja Mada

    1 2016-03-14 20152 HTI

    1 2016-03-14 20152 Bunga Jati

    1 3/14/2016 20152 Elim

    1 2016-03-14 20152 Perumnas


    RT RW Nama Dusun Kelurahan Kecamatan Kode Pos

    2 5 Ngadirejo Kepanjenkidul 66116

    Fontein Kota Raja

    18 7 MAULAFA MAULAFA

    Oesapa Barat Kelapa Lima

    18 4 Lasiana Kelapa Lima

    02 01 Nefonaek Kelapa Lima


    Jenis Tinggal Telp Rumah No HP

    3 852349665555

    3 81339138818

    1 85253472225

    1 82247685570

    1 82237618587

    1 82340155259
    Email Terima KPS No KPS Status

    alliyyu.liyupus@gmail.com 0 A

    helentikaasfal@ymail.com 0 A

    prasetioboleng@yahoo.com 0 A

    rezhaputra02@yahoo.co.id 0 A

    vidya.eunike@yahoo.com 0 A

    selvy_anriani@yaho.com 0 A
    Nama Ayah Tgl Lahir Ayah Pendidikan Ayah Pekerjaan Ayah

    Alm. MUHTADIN 1947-05-15 6 5

    Anselmus Asfal 9/3/1961 6 5

    LUKAS M. BOLENG 1959-07-30 5

    MUSTAFA ARSYAD 1969-06-21 6 9

    DAVID B.W PANDIE 12/12/1962 5

    SUFIRMAN 1963-08-01 6 9
    Penghasilan Ayah Nama Ibu Tanggal Lahir Ibu Pendidikan Ibu

    14 NASROKAH 1963-07-06 5

    14 Kornelia Evi 2/18/1971 6

    14 BERNADETH SARINTEN 1964-04-19 6

    14 SITTI RAHMAN 1973-10-20 5

    15 YATTY.Y.G MALADA 12/19/1963

    14 SOLVIANA GASPERSZ 1967-09-30 6


    Pekerjaan Ibu Penghasilan Ibu Nama Wali

    8 14

    5 14

    5 14

    1 11

    5 14

    6 14
    Tanggal Lahir wali Pendidikan Wali Pekerjaan Wali
    Penghasilan Wali

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