Form LOMA Enrollment(NEW 2011)

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  • 7/26/2019 Form LOMA Enrollment(NEW 2011)

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    LOMA ENROLLMENT

    Example

    Student ID no. Given name Last name Department Job title

    new student Agung Priambodo Agency Supervisor

    Student ID no. Given name Last name Department Job title

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    Email address Sex Year of service

    Bacheor Mae !"#$an#%& '

    Email address Sex Year of service

    Last

    education

    Birth

    date(mmdd!!"

    agung(priambodo)avrist(co

    Lasteducation

    Birthdate(mmdd!!"

    mailto:[email protected]:[email protected]:[email protected]
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    L#$% &ro'ram

    LOMA *+! ,es

    L#$% &ro'ram

    L#$% order boo

    L#$% order boo

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    L#$% $a! )*++

    Name ID No. Department LOMA Fee

    Program

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    Book

    Postponed to November 2011

    ,eteran'an,elulusan

    (Price+fee@