KEMENTERIAN RISET, TEKNOLOGI, DAN PENDIDIKAN TINGGI

UNIVERSITAS SEBELAS MARET

FAKULTAS KEDOKTERAN
DEWAN MAHASISWA
Jalan Ir. Sutami 36A Kentingan, Surakarta 57126
email: dema.fk.uns@gmail.com

FORMULIR PENDAFTARAN
ANGGOTA KOMISI PEMILIHAN UMUM FK UNS 2015

Data Pribadi
Nama Lengkap

Nama Panggilan

NM

Prodi

Jenis kelamin

Tempat, tanggal lahir :

Agama

Alamat

Alamat sekarang

No. HP

Id line

E-mail

Motto Hidup

Riwayat Pendidikan

KEMENTERIAN RISET, TEKNOLOGI, DAN PENDIDIKAN TINGGI

UNIVERSITAS SEBELAS MARET
FAKULTAS KEDOKTERAN
DEWAN MAHASISWA
Jalan Ir. Sutami 36A Kentingan, Surakarta 57126
email: dema.fk.uns@gmail.com

Organisasi dan amanah/kesibukan yang sedang diemban (sejak masuk FK)

Pengalaman kepanitiaan (sejak masuk FK )

Apa yang kamu tau tentang pemilu?

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Apa yang kamu ketahui tentang pemilu FK UNS?

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KEMENTERIAN RISET, TEKNOLOGI, DAN PENDIDIKAN TINGGI

UNIVERSITAS SEBELAS MARET
FAKULTAS KEDOKTERAN
DEWAN MAHASISWA
Jalan Ir. Sutami 36A Kentingan, Surakarta 57126
email: dema.fk.uns@gmail.com

Apa yang kamu ketahui tentang undang-undang pemilu?

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Apa motivasi menjadi aggota KPU FK UNS 2016?

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Pemikiran pertama tentang KPU FK UNS

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Harapan dan mimpi untuk KPU FK UNS

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Surakarta,

juni 2016

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