HIMPUNANMAHASISWATEKNIKKIMIA

FAKULTASTEKNIKJURUSANTEKNIKKIMIAUNIVERSITASSYIAHKUALA

REGISTRYFORM

MEMBERSHIPOFHIMTEK2015/2016I.SelfInformationName :MREZAZUHRANIM :1304103010035BirthPlaceandDate :kruengseunong,19951007Religion :IslamAdress :LamgapangPhoneNumber :082367479939Email :zuhrareza@gmail.comMotto :BerjuanglebihkerasDivision :LingkunganHidupMotivationtoJoiningHIMTEK:Organizationthathavebeenjoined:RohisII.ParentsInformationFather:Name :syukriA.JalilAddress :Bulohblangara.acehutaraJob :wirausahaMother:Name :CutAzizahAddress :Bulohblangara.acehutaraJob :guruhonorer

BandaAceh,May2015

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