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BIODATA

DIKLAT PENGEMBANGAN KEPROFESIAN PEMBELAJARAN (PKP)

Nama Pusat belajar : ...................................................................................................................

1. Nama (lengkap dengan titel) : ..................................................................................


2. Tempat dan Tanggal Lahir : ..................................................................................
3. NIP : ..................................................................................
4. NPWP : ....................................................................................
5. NIK (Nomor Induk Kependudukan) : ....................................................................................
6. Pangkat, Golongan : ....................................................................................
7. Jabatan : ....................................................................................
8. Agama : ....................................................................................
9. Jenis Kelamin : Laki-laki / Perempuan
10. Unit Kerja : ....................................................................................
11. Alamat Unit Kerja : ....................................................................................
........................................................
12. Alamat Rumah : ....................................................................................
.....................................wa ...............................
13. Alamat Email : ...................................................................................

..............., …...................

.......................................... NIP.

*) Biodata Untuk Pusat Belajar


- Kepala Sekolah
- Operator Sekolah
Kirim ke wa : 085258846686 (terakhir tgl 18 September 2019)

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