NO REGISTRASI :
DATA BASE
ALUMNI TEKNIK MESIN UNJANI BANDUNG
NAMA :.............................................................................................
ANGKATAN :.............................................................................................
TEMPAT TGL LAHIR :.............................................................................................
ALAMAT :.............................................................................................
: ...............................................................TLP......................
ALAMAT SEKARANG :.............................................................................................
:................................................................TLP......................
PEKERJAAN/INSTANSI :.............................................................................................
JABATAN :.............................................................................................
ALAMAT KANTOR :.............................................................................................
WIRAUSAHA :.............................................................................................
BIDANG WIRAUSAH: :.............................................................................................
NAMA PERUSAHAAN :.............................................................................................
ALAMAT USAHA : ...............................................................TLPN...................
NO TLPN/PONSEL : ..............................................................PIN.BB.................
EMAIL :.............................................................................................