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    Bagus Al Amin
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    This document is a form submission for a KKN (Community Service Program) focusing on Covid-19 at the Al Fattah University in Lamongan, Indonesia. It includes the submission date and a unique ID. It also includes the student's personal details like name, place of birth, address, study program, parents' details, and contact information. It lists the documents attached, which include KTM (student card), transcripts, ID card, family card, high school diploma, photo, proof of payment, and a statement letter.

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    This document is a form submission for a KKN (Community Service Program) focusing on Covid-19 at the Al Fattah University in Lamongan, Indonesia. It includes the submission date and a unique ID. It also includes the student's personal details like name, place of birth, address, study program, parents' details, and contact information. It lists the documents attached, which include KTM (student card), transcripts, ID card, family card, high school diploma, photo, proof of payment, and a statement letter.

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    12 views3 pages

    Content/uploads/erf - uploads/2020/06/KTM-9.pdf Content/uploads/erf - Uploads/2020/06/khs-1 PDF

    Uploaded by

    Bagus Al Amin
    This document is a form submission for a KKN (Community Service Program) focusing on Covid-19 at the Al Fattah University in Lamongan, Indonesia. It includes the submission date and a unique ID. It also includes the student's personal details like name, place of birth, address, study program, parents' details, and contact information. It lists the documents attached, which include KTM (student card), transcripts, ID card, family card, high school diploma, photo, proof of payment, and a statement letter.

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    Download as DOC, PDF, TXT or read online from Scribd
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    6/27/2020 Form Submission ‹ KKN Tematik Covid 19 STIT Al Fattah Lamongan — WordPress

    Submission Date : June 27, 2020 5:34 am

    Unique Submission ID KKN0720118

    NPM 20170102867

    NIRM 2017406300011002743

    Nama Lengkap BAGUS AL AMIN

    Tempat Lahir BOJOBEGORO

    Tanggal Lahir August 12, 1998

    Email Bagusamin98@gmail.com

    Jalan

    No 0

    RT 17

    RW 3

    Dusun KERJO

    Desa BRANGKAL

    Kecamatan KEPOHBARU

    Kabupaten/Kota BOJONEGORO

    Semester VI

    PRODI PAI

    Program Kelas Non Reg. Jumat

    NAMA ORANG TUA / WALI MUNDHOHIR

    NO. HP YANG AKTIF 085816894149

    Dusun KERJO

    Desa BRANGKAL

    Kecamatan KEPOHBARU

    Kabupaten BOJONEGORO

    https://p3m.stitaf.ac.id/kkn/wp-
    1. KTM
    content/uploads/erf_uploads/2020/06/KTM-9.pdf

    https://p3m.stitaf.ac.id/kkn/wp-
    2. CETAK KHS SEMESTER I-V
    content/uploads/erf_uploads/2020/06/khs-1.pdf

    3. KTP https://p3m.stitaf.ac.id/kkn/wp-

    https://p3m.stitaf.ac.id/kkn/wp-admin/admin.php?page=erforms-submission&view=submission&submission_id=1177#
    1/2
    6/27/2020 Form Submission ‹ KKN Tematik Covid 19 STIT Al Fattah Lamongan — WordPress

    content/uploads/erf_uploads/2020/06/KTP-16.pdf
    4. KK. KSK https://p3m.stitaf.ac.id/kkn/wp-

    content/uploads/erf_uploads/2020/06/KK-26.pdf
    5. IJAZAH SMA/MA/SMK https://p3m.stitaf.ac.id/kkn/wp-

    content/uploads/erf_uploads/2020/06/Ijazah-7.pdf
    6. FOTO TERBARU BERWARNA BACKGROUND MERAH https://p3m.stitaf.ac.id/kkn/wp-

    content/uploads/erf_uploads/2020/06/CamScanner-06-
    27-2020-12.08.07.pdf
    7. KWITANSI/SLIP/RESI PEMBAYARAN KKN https://p3m.stitaf.ac.id/kkn/wp-

    content/uploads/erf_uploads/2020/06/Resi.pdf
    8. SURAT PERNYATAAN KKN https://p3m.stitaf.ac.id/kkn/wp-

    content/uploads/erf_uploads/2020/06/SURAT-
    PERNYATAAN.pdf
    Modified Date June 27, 2020 5:34 am

    https://p3m.stitaf.ac.id/kkn/wp-admin/admin.php?page=erforms-submission&view=submission&submission_id=1177# 2/2

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