CURICULUM VITAE NARASUMBER

Saya yang bertanda tangan dibawah ini :

Nama Lengkap : _______________________________________________________________

Tempat, tanggal lahir : ______________________________________________________________

NO. KTP : ____________________________________________________________

No Kontak/HP/WA : ____________________________________________________________

Jenis kelamin : ______________________________________________________________

Agama : ______________________________________________________________

Alamat : ______________________________________________________________

Status : ______________________________________________________________

Pendidikan terakhir : ______________________________________________________________

Pekerjaan : ______________________________________________________________

Nama SKPD/Bidang : ___________________________________________________________

Jabatan : ______________________________________________________________

NPWP : ____________________________________________________________

NIP : ______________________________________________________________

Golongan/Pangkat : ______________________________________________________________

Pengalaman kerja : ______________________________________________________________

_______________________________________________________________

_______________________________________________________________

NOTE : Lampirkan copy KTP dan NPWP (jika ada)

Yogyakarta, ................................ 2019

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