UNIVERSITAS SILIWANGI TASIKMALAYA

FAKULTAS KEGURUAN DAN ILMU PENDIDIKAN

HIMPUNAN MAHASISWA PENDIDIKAN MATEMATIKA
OPENING RECRUTMEN PENGURUS HIMAPTIKA
Gd. ORMAWA FKIP E-mail : Himaptika.us@gmail.com
Jl. Siliwangi No. 24 Kotak Pos 164 Tlp. (0265) 339139 Tasikmalaya 46115

FORMULIR PENDAFTARAN
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Motivasi masuk HIMAPTIKA : ................................................................................................................
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No. HP : ................................................................................................................
Alamat E-mail : ................................................................................................................
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Pengalaman Organisasi : ................................................................................................................
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Pengalaman Pelatihan : ................................................................................................................
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Tasikmalaya, Januari 2017

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NPM

*Catatan
Formulir paling lambat dikumpulkan tanggal 13 Januari 2017 di kesekretariatan HIMAPTIKA pada
pukul 15.00 WIB
Sewaktu-waktu tempat dan waktu dapat berubah