KEMENTERIAN RISET TEKNOLOGI DAN PENDIDIKAN TINGGI

UNIVERSITAS SEBELAS MARET

FAKULTAS KEDOKTERAN
PANITIA SOLO MEDICAL CUP 2018
Sekretariat: Jl. Ir. Sutami 36A Surakarta 57126

FORMULIR PENDAFTARAN
PANITIA SOLO MEDICAL CUP 2018
FOTO
3X4 PILIHAN 1
PILIHAN 2

Data Pribadi
Nama Lengkap :

Nama Panggilan :
NIM / Prodi :
Jenis Kelamin :
Tempat, Tanggal Lahir :
Agama :

Alamat :

Alamat sekarang :

Nama Ayah :
Pekerjaan Ayah :
Alamat Instansi :

Nama Ibu :
Pekerjaan Ibu :
Alamat Instansi :

No HP :
Id line :
E-mail :
Motto Hidup :
 KEMENTERIAN RISET TEKNOLOGI DAN PENDIDIKAN TINGGI
UNIVERSITAS SEBELAS MARET
FAKULTAS KEDOKTERAN
PANITIA SOLO MEDICAL CUP 2018
Sekretariat: Jl. Ir. Sutami 36A Surakarta 57126

RIWAYAT PENDIDIKAN
PENDIDIKAN TAHUN AJARAN

ORGANISASI / AMANAH YANG SEDANG DIEMBAN (Sejak masuk FK)

ORGANISASI/ AMANAH JABATAN

PENGALAMAN KEPANITIAAN (Sejak masuk FK)

KEPANITIAAN JABATAN

SKILL YANG DIMILIKI

(ex : desain, fotografi, dll)
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FASILITAS YANG DIMILIKI

(ex: motor, mobil, kamera,dll)


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

 KEMENTERIAN RISET TEKNOLOGI DAN PENDIDIKAN TINGGI
UNIVERSITAS SEBELAS MARET
FAKULTAS KEDOKTERAN
PANITIA SOLO MEDICAL CUP 2018
Sekretariat: Jl. Ir. Sutami 36A Surakarta 57126

ANALISIS DIRI

1. STRENGTH (S)
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2. WEAKNESS (W)
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3. OPPORTUNITY (O)
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4. THREATNESS (T)
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 KEMENTERIAN RISET TEKNOLOGI DAN PENDIDIKAN TINGGI
UNIVERSITAS SEBELAS MARET
FAKULTAS KEDOKTERAN
PANITIA SOLO MEDICAL CUP 2018
Sekretariat: Jl. Ir. Sutami 36A Surakarta 57126

1. Apa yang kamu ketahui tentang SMC ?

Jawaban :
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2. Harapan untuk SMC 2018?

Jawaban :
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3. Bagaimana suatu kepanitiaan bisa dikatakan sukses?

Jawaban :
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4. Alasan memilih sie terkait ?

Pilihan 1 :
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Pilihan 2 :
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Pilihan Sie :
1. Acara 4. Akotrans
 Sie Acara Pre Event 5. Publikasi
Post Event 6. Perkap
 Sie Acara Main Event 7. Humjin
Basket 8. Kestari
 Sie Acara Main Event 9. LO
Futsal 10. Dekdok
2. Konsumsi 11. Sponsorship
3. Danus

Surakarta, 2018

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