FORMULIR PENGAJUAN KEANGGOTAAN

Step 1 of 4

Nama Program Studi (Prodi) *

Strata *

Departemen/Jurusan

Fakultas *

Perguruan Tinggi *

Tanggal SK Pendirian Prodi dari Kemenristekdikti/Kemendikbud/Kemenkes *

Dokumen SK Pendirian Prodi dari Kemenristekdikti/Kemendikbud/Kemenkes *

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Status Akreditasi *

Dokumen Keputusan Akreditasi *

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Alamat Prodi *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Nomor Telepon/Fax/HP/WA *

Email *

Website / URL

Profil Prodi *

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