FORMULIR PENDAFTARAN ANGGOTA OSIS

PERIODE 2018/2019
SMK NEGERI 1 PERANAP

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

TTL : ......................................................................................................................

AGAMA : ......................................................................................................................

KELAS / JURUSAN : ......................................................................................................................

ALAMAT : ......................................................................................................................

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NAMA ORANG TUA : ......................................................................................................................

NO. HP ORANG TUA : ......................................................................................................................

NO. HP SISWA : ......................................................................................................................

JABATAN YANG DIINGINKAN : ......................................................................................................................

TUJUAN : ......................................................................................................................

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PENGALAMAN ORGANISASI : ......................................................................................................................

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PRESTASI : ......................................................................................................................

Peranap, 2018
PEMBINA OSIS

NURHIDAYANTI, S.Ag