Formulir_pendaftaran_workshop_ksmc_v_2019[1].docx

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KALIMANTAN STUDENTS MINING COMPETITION V HIMPUNAN MAHASISWA TEKNIK PERTAMBANGAN FAKULTAS TEKNIK UNIVERSITAS LAMBUNG MANGKURAT Jalan Ahmad Yani Km 36 - Banjarbaru 70714

(phone) 0822-5141-4636 / 0813-5228-9996 Email: [email protected]

FORMULIR PENDAFTARAN WORKSHOP KSMC-V 2019 PROGRAM STUDI TEKNIK PERTAMBANGAN FAKULTAS TEKNIK UNIVERSITAS LAMBUNG MANGKURAT

Nama Lengkap

: Rogate Josia Sijabat

Institusi/Pekerjaaan

: Universitas Palangka Raya/Mahasiswa

Alamat

: Jalan Bima 5

E-mail

: [email protected]

Telp/No.Hp (WA)

: 085361315614

Workshop

: MineScape

Kategori

: a. Mahasiswa b. Umum

Nominal

: Rp. 600.000,Dengan ini menyetujui mengikuti kegiatan Workshop dalam rangkaian kegiatan KSMC-V

2019 Program Studi Teknik Pertambanagan, Fakultas Teknik, Universitas Lambung Mangkurat.

Banjarbaru,

(Rogate Josia Sijabat)

2019

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