DAFTAR RIWAYAT HIDUP

(CURRICULUM VITAE)

Saya yang bertanda tangan di bawah ini :

I. Data Pribadi
Nama Lengkap : ..................................................................................................
Umur : ..................................................................................................
Tempat, Tanggal Lahir : ..................................................................................................
Jenis Kelamin : ..................................................................................................
Agama : ..................................................................................................
Kebangsaan : ..................................................................................................
Alamat : ..................................................................................................
..................................................................................................
No. Telp./ HP/ Email : ..................................................................................................

II. Riwayat Pendidikan

1. Tamatan .......................................................................................................................
......................................................................................................... (*berijazah/ tidak)
2. Tamatan .......................................................................................................................
......................................................................................................... (*berijazah/ tidak)
3. Tamatan .......................................................................................................................
......................................................................................................... (*berijazah/ tidak)
4. Pernah memasuki Fakultas/ Akademi ..........................................................................
sampai tingkat ..............................................................................................................
5. Pernah mengikuti kursus keahlian/ mendapat Ijazah/ Sertifikat:
a. .................................................................................................................................
b. .................................................................................................................................
c. .................................................................................................................................
III. Pengalaman Bekerja
1. Pernah bekerja di .........................................................................................................
pada tahun ...................................................................................................................
2. Pernah bekerja di .........................................................................................................
pada tahun ...................................................................................................................
3. Pernah bekerja di .........................................................................................................
pada tahun ...................................................................................................................
Demikian Daftar Riwayat Hidup ini saya buat dengan sebenarnya.

………………, ……...…………………… 2014

Hormat Saya,

*) coret yang tidak perlu ______________________________