PERMOHONAN EMAIL PRIBADI UB
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NAMA LENGKAP
NAMA AKUN EMAIL YANG DIMINTA (someone@ub.ac.id) username (tanpa@ub.ac.id) tidak boleh melebih 15 karakter
EMAIL ALTERNATIF (EMAIL ANDA YANG AKTIF SELAIN EMAIL UB)
NIP/ NIK
STATUS
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NO HP
FAKULTAS/ BIRO/ UNIT KERJA
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