KOMISI PEMILIHAN OSIS/MPK
SMA NEGERI 1 TIMANG GAJAH
KABUPATEN BENER MERIAH – ACEH
FORMULIR PENDAFTARAN CALON KETOS / WAKETOS
1. Nama Lengkap
2. Kelas
3. Asal Partai Siswa
4. Tempat Tanggal Lahir
5. No. HP/WA
6. Penyakit yang sering diderita
7. Prestasi yang pernah dimiliki
8. Mendaftar sebagai Calon
9. Visi
10. Misi
Catatan : *) Coret yang tidak perlu
: ........................................................................................
: ........................................................................................
: ........................................................................................
: ........................................................................................
: ........................................................................................
: ........................................................................................
........................................................................................
: ........................................................................................
........................................................................................
........................................................................................
........................................................................................
: Ketua / Wakil Ketua *)
: ........................................................................................
........................................................................................
........................................................................................
........................................................................................
: ........................................................................................
........................................................................................
........................................................................................
........................................................................................
........................................................................................
........................................................................................
........................................................................................
........................................................................................
Umah Besi, ...............................................
Calon KETOS/WAKETOS
( ................................................................... )