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BADAN EKSEKUTIF MAHASISWA STIKES ADVAITA MEDIKA TABANAN Jl. Perkutut No. 25 Pasekan Belodan Tabanan Telp. : (0361)814242, Email : [email protected] FORMULIR PENDAFTARAN PESERTA LOMBA KARYA TULIS ILMIAH STIKES ADVAITA MEDIKA TABANAN Nama Peserta : 1. ........................................................ 2. ........................................................ 3. ........................................................ No. Telepon : ....................................................... ..... Sekolah : ....................................................... ..... Alamat Sekolah : ....................................................... .....

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Page 1: bemstikesadvaitamedika.files.wordpress.com  · Web viewBADAN EKSEKUTIF MAHASISWA. STIKES ADVAITA MEDIKA TABANAN. Jl. Perkutut No. 25 Pasekan Belodan Tabanan. Telp. : (0361)814242,

BADAN EKSEKUTIF MAHASISWA

STIKES ADVAITA MEDIKA TABANANJl. Perkutut No. 25 Pasekan Belodan Tabanan

Telp. : (0361)814242, Email : [email protected]

FORMULIR PENDAFTARAN PESERTA

LOMBA KARYA TULIS ILMIAH

STIKES ADVAITA MEDIKA TABANAN

Nama Peserta : 1. ........................................................

2. ........................................................

3. ........................................................

No. Telepon : ............................................................

Sekolah : ............................................................

Alamat Sekolah : ............................................................