BIODATA

Nama Lengkap

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NIP / NIRP

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Tempat, Tanggal Lahir

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Agama

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Jabatan

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Status Mengajar

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Masa Jabatan

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Pangkat

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Gol. Ruang Gaji

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Pendidikan Terakhir

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Riwayat Pendidikan

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Pelatihan yang pernah diikuti ( 5 tahun terakhir ) :
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Akta yang dimiliki

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Mata ajar yang diajarkan

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Pengalaman mengajar / bekerja

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Jumlah jam mengajar per minggu

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Jumlah jam pembimbing di lapangan perminggu : ...............................................................................

Pendidikan lanjut yang sedang diikuti

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Status pendidikan terakhir

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Tanggal mulai pendidikan lanjut

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Tanggal selesai pendidikan lanjut

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Palembang,

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