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PELATIHAN KADER DASAR

PERGERAKAN MAHASISWA ISLAM INDONESIA


(Rayon of Islamic Indonesian Student Movement)
“LIBERALIS” AVERROUS
KOMISARIAT AL-QOLAM
Sekretariat: Jl. Raya Putat Lor 99 Gondanglegi Malang
Contak Person 0858-0713-9598 Website: averroes2015.blogspot.co.id

Formulir Pendaftaran

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

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

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

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

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

c. SMA/MA/SM : ..............................................................................................
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Pengalaman Organisasi : ....................................................................................................................

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Motto Hidup :

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