PIMPINAN KOMISARIAT

IKATAN MAHASISWA MUHAMMADIYAH

(Muhammadiyah Student Association)
FAKULTAS TEKNIK
UNIVERSITAS MUHAMMADIYAH MAKASSAR
Sekretariat : Jl. Sultan Alauddin No 259 Makassar, Telp 082347254006

BIODATA PEMATERI

Nama : ...............................................................................................................
Tempat, tgllahir : ...............................................................................................................
Alamat : ...............................................................................................................
No. Telp / Hp : ...............................................................................................................
Pekerjaan : ...............................................................................................................
Lata belakang pendidikan :
1. SD : ....................................................................... tamat tahun ..................
2. SMP : ....................................................................... tamat tahun ..................
3. SMU/SMK : ....................................................................... tamat tahun ..................
4. S-1 : ....................................................................... masuk tahun .................
FAK / JUR : ..............................................................................................................
5. S-2 : ....................................................................... masuk tahun .................
KONSENTRASI :
..............................................................................................................
Latar belakang organisasi :
1. .............................................................. Jabatan ................................. tahun ................
2. .............................................................. Jabatan ................................. tahun ................
3. .............................................................. Jabatan ................................. tahun ................
4. .............................................................. Jabatan ................................. tahun ................
5. .............................................................. Jabatan ................................. tahun ................
Jabatan sekarang di IMM / Muhammadiyah:
...................................................................................................................................................
...................................................................................................................................................
Materi yang dibawakan:
...................................................................................................................................................
Pesan untuk peserta:
...................................................................................................................................................
...................................................................................................................................................

Makassar, ..../ ........................... / 2017

Pemateri/Narasumber, Pendamping,

( ______________________ ) ( ______________________ )
NBM. NBM.