FORMULIR PENDAFTARAN
CALON KETUA HIMPUNAN MAHASISWA TEKNIK SIPIL
PERIODE 2016/2017
NAMA
: __________________________________________________________
TTL
: __________________________________________________________
ALAMAT
: __________________________________________________________
JENIS KELAMIN
: __________________________________________________________
AGAMA
: __________________________________________________________
MOTTO HIDUP
: __________________________________________________________
PENGALAMAN BERORGANISASI :
1. __________________________________________________________
2. __________________________________________________________
3. __________________________________________________________
VISI
MISI :
NIM :