BIODATA

PENGELOLA PERPUSTAKAAN SMP

TAHUN 2019

HARAF DIISI DENGAN HURUF KAPITAL

1 . Nama Lengkap : ..................................................................................................

2 . Jenis Kelamin : ..................................................................................................

3 . Tempat, Tanggal Lahir : ..................................................................................................

4 . Jabatan Dinas : ..................................................................................................

5 . Unit Kerja : ...................................................................................................

6 . Alamat Unit Kerja : ...................................................................................................

...................................................................................................

Email Kantor ..............................................................................

7 . Alamat Tempat Tinggal : ...................................................................................................

No HP .......................................................................................

Email: ........................................................................................

8 . Agama : .....................................................................................................
9 . Pendidikan Terakhir : .....................................................................................................

Sukabumi, Februari 2019

3x4 Pengelola,
1 Lembar

(................................................................)
NIP.