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PIMPINAN DAERAH

IKATAN PELAJAR MUHAMMADIYAH


KABUPATEN PEMALANG

Biodata Calon Personalia PD IPM Pemalang 2019-2021

Nama Lengkap :.........................................................................................


Tempat, tanggal lahir : ........................................................................................
Alamat : ........................................................................................
No Hp/WA : ........................................................................................
Riwayat Pendidikan : SD/MI ...........................................................................
SMP/MTs.......................................................................
SMA/SMK.....................................................................
Perguruan Tinggi............................................................
: 1. ...................................................................................
Bidang Yang Diminati 2. ....................................................................................
3......................................................................................
Alasan Gabung PD IPM Pemalang :.........................................................................................
..........................................................................................
..........................................................................................
.........................................................................................
Motto Hidup : .......................................................................................
.........................................................................................
Pengalaman Organisasi :
1. ......................................... amanah .................................... tahun ..................................
2. ......................................... amanah .................................... tahun ..................................
3. ......................................... amanah .................................... tahun ..................................

Perkaderan/ Pelatihan yang pernah diikuti di IPM :


1. ............................................................... tahun ...............................................................
2. ............................................................... tahun ...............................................................
3. ............................................................... tahun ...............................................................

Pemalang, .............................

(..............................................)
Sekretariat : Gedung Dakwah Muhammadiyah Kabupaten Pemalang Lantai 2
Jl. Merbabu No.75 Kelurahan Mulyoharjo Pemalang 52312
Email : pdipmkabp@gmail.com
Contac Person : 085225036672 (Diki Arif Hidayatullah)

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