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BIODATA PESERTA KERJA PRAKTIK

NAMA

: _________________________________

NIM/ NIS

: _________________________________

ALAMAT

: _________________________________
_________________________________

NAMA BANK

: _________________________________

NO.REKENING

: _________________________________
a.n.______________________________
( Lampirkan fotocopy buku rekening pribadi )

UNIV/ SMK

: _________________________________

TGL. KERJA PRAKTEK

: _________________________________

E MAIL

: _________________________________

NO. HP

: _________________________________

PALEMBANG,
YANG BERSANGKUTAN,

20

fotocopy buku rekening


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Agt/April16

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