Formulir Pendaftaran YudisiumPlease enable JavaScript in your browser to complete this form. 1. Setelah Pengisian formulir dibawah ini, silahkan menghubungi admin program studi masing-masing. 2. Membawa Pas Photo Ijazah dan Transkrip Nilai ukuran 4x6 = 4 lbr (Hitam Putih) , 3x4 = 4 lbr (Hitam Putih), Berita Acara Sidang, Transkrip Nilai Sementara. 3. Map Batik 1 buah. 4. Semua berkas diatas harap di serahkan ke Biro Akademik dan Kemahasiswaan Rektorat. 5. Khusus Pas Photo ukuran 3 x 4 diserahkan ke bagian Akademik Fakultas Kedokteran. 6. Batas Akhir Pengisian dan Penyerahan Formulir beserta berkas tanggal 15 setiap bulannya.Email *Wajib menggunakan email UNIMALProgram Studi *S1 - KedokteranS1 - KedokteranPendidikan Profesi DokterS1 - PsikologiD III - KeperawatanNIM *Nama *Jenis Kelamin *Laki - LakiPerempuanNIK *Nomor HP/WA Mahasiswa (Aktif) *Tempat Lahir *Tanggal Lahir *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Alamat Mahasiswa *Judul Skripsi *Tanggal Masuk *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Tanggal Keluar *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Lama Studi *ex : 3 tahun 2 bulanIPK *Upload Transkrip Nilai * Click or drag a file to this area to upload. Predikat *Sangat MemuaskanMemuaskanDengan PujianUpload Checklist Pengambilan Ijazah * Click or drag a file to this area to upload. Upload Surat Bebas Keuangan * Click or drag a file to this area to upload. Upload Berita Acara Sidang Akhir * Click or drag a file to this area to upload. Upload Bukti Hasil Publikasi Jurnal (LoA) * Click or drag a file to this area to upload. Submit
