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PELATIHAN KADER DASAR

PERGERAKAN MAHASISWA ISLAM INDONESIA


(Rayon of Islamic Indonesian Student Movement)
“LIBERALIS” AVERROUS
KOMISARIAT AL-QOLAM
Sekretariat : Jl. RayaPutatLor 99 Gondanglegi Malang
Tlp. 0856-0758-5876 - Website: averroes2015.blogspot.co.id
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Nama : ....................................................................................................................

Alamat : ....................................................................................................................

Tempat Tanggal Lahir : ....................................................................................................................

No Telp (Aktif) : ....................................................................................................................

Riwayat Pendidikan : ....................................................................................................................

a. SD/MI : ..............................................................................................

b. SMP/MTS : ..............................................................................................

c. SMA/MA : ..............................................................................................

Pengalaman Organisasi : ....................................................................................................................

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Motto Hidup :

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