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BIODATA PENGUJI UJI KOMPETENSI

SMK YAPSIPA TASIKMALAYA


TAHUN PELAJARAN 2018/2019

Name Lengkap : ..........................................................................


NIP : ..........................................................................
Pangkat/Gol. Ruang : ..........................................................................
Tempat Tanggal Lahir : ..........................................................................
Jenis Kelamin : ..........................................................................
Agama : ..........................................................................
Jabatan : ..........................................................................
Unit Kerja : ..........................................................................
Pendidikan Terakhir : ..........................................................................
Pelatihan/Kursus yang pernah diikuti : ..........................................................................
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Pengalaman Kerja : ..........................................................................
Alamat Kantor : ..........................................................................
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Alamat Rumah : ..........................................................................
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No. Telepon / HP : ……………………………………………….
……………………………………………….

Mengetahui : Tasikmalaya, …………………..


Kepala SMK YAPSIPA, Tim Penguji Internal / Eksternal*)

H. MAMAN, S.Pd. M.Si _______________________


NIP : 196507201986101003

*) Coret yang tidak perlu

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