ORGANISASI DAERAH IKATAN PELAJAR MAHASISWA POMALAA

SULAWESI TENGGARA
(IPMAP-SULTRA)
Sekretariat: Perumahan Bung Permai blok b.13, tamalanrea , Makassar .Sulawesi Selatan,
Email :ipmap_sultra@yahoo.co.id

BIODATA ANGGOTA IPMAP-SULTRA

Data Pribadi
Nama Lengkap

: ...........................................................................

Tempat/Tanggal Lahir

: ...........................................................................

Jenis Kelamin

: ...........................................................................

Asal Sekolah

: ...........................................................................

Universitas

: ...........................................................................

Jurusan

: ...........................................................................

Agama

: ...........................................................................

Alamat
Makassar

: ..........................................................................

Daerah

: ..........................................................................

Pengalaman Organisasi
Organisasi Di Sekolah

: ...........................................................................
...........................................................................
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Organisasi Di Kampus

: ...........................................................................
...........................................................................
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Hobby

: ...........................................................................

Nomor Hp

: ...........................................................................

Email

: ...........................................................................

Harapan Untuk IPMAP-SULTRA : .............................................................................

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Foto
3x4
Berwarna

Makassar,
Mahasiswa

* Nama Jelas

2013