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BIODATA NARASUMBER

DIKLAT/SEMINAR/LOKAKARYA

JENIS KEGIATAN : ...............................................................................


WAKTU PELAKSANAAN : ...............................................................................

Nama Lengkap dan Gelar : ....................................................................


N I P : ....................................................................
Pangkat/Golongan : ....................................................................
Jenis Kelamin : ....................................................................
Tempat dan Tanggal Lahir : ....................................................................
Jabatan : ....................................................................
Unit Kerja/Instansi/Lembaga : ....................................................................
Pendidikan Terakhir : ....................................................................
Alamat Tempat Tinggal : ....................................................................
....................................................................
No. Telp/Fax ................................................
................................................
No. Telepon yang mudah dihubungi : .........................................................
Latar Belakang Pendidikan : ....................................................................
Pengalaman : ....................................................................
Bidang yang Ditekuni : ....................................................................
Kompetensi : ....................................................................
Nomor KTP : ....................................................................
Nomor NPWP : ....................................................................

Blanko/biodata/penyelenggara

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