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FORMULIR PENDAFTARAN PENAWARAN TERBUKA

STAF MUDA
EKSEKUTIF MAHASISWA UNIVERSITAS BRAWIJAYA 2017

Nama Lengkap :....................................................................................


Nama Panggilan :................................................................................... PAS FOTO
Fakultas/Jurusan : .................................................................................... 3X4
Angkatan : ....................................................................................
NIM : ....................................................................................
Agama : ....................................................................................
Jenis Kelamin : ....................................................................................
TTL : ....................................................................................
Alamat Asal : ....................................................................................
Alamat di Malang : ....................................................................................
Alamat Email : ....................................................................................
No.HP (WA)/ Id Line : ....................................................................................
Username IG/Twitter : ....................................................................................

Pengalaman Organisasi dan Kepanitiaan


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Prestasi yang pernah diraih
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Pilihan kementerian pertama
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Alasan memilih kementerian

Pilihan kementerian kedua

Alasan memilih kementerian

Kenapa EM harus memilih kamu ?


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Malang, .........................

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