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BIODATA PESERTA

KEGIATAN SEMINAR PENDIDIKAN DALAM RANGKA HARI GURU NASIONAL (HGN)


TAHUN 2018 DAN HUT PGRI KE-73
PENGURUS PGRI KAB. BULUNGAN PROVINSI KALIMANTAN UTARA
TANJUNG SELOR 15 DESEMBER 2018

NAMA : ...........................................................................................

NIP : ...........................................................................................

TEMPAT TANGGAL LAHIR : ...........................................................................................

PANGKAT / GOL. RUANG : ...........................................................................................

JABATAN : ...........................................................................................

INSTANSI / UNTI KERJA : ...........................................................................................

PENDIDIKAN TERAKHIR : ...........................................................................................

PENGALAMAN KERJA : ...........................................................................................

ALAMAT KANTOR : ...........................................................................................

ALAMAT RUMAH : ...........................................................................................

NO HANDPHONE : ...........................................................................................

ALAMAT EMAIL : ...........................................................................................

Tanjung Selor, 15 Desember 2018

Foto 3 X 4

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NIP.

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