Scribd Logo
Unggah

Selamat datang di Scribd!

  • Formulir Peserta LDKS 2020

    Diunggah oleh

    abu bakar
    15 tayangan1 halaman

    Judul Asli

    FORMULIR PESERTA LDKS 2020.docx

    Hak Cipta

    © © All Rights Reserved

    Format Tersedia

    DOCX, PDF, TXT atau baca online dari Scribd

    Apakah menurut Anda dokumen ini bermanfaat?

    Apakah konten ini tidak pantas?

    Laporkan Dokumen Ini

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    15 tayangan1 halaman

    Formulir Peserta LDKS 2020

    Diunggah oleh

    abu bakar

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 1

    FORMULIR

    PESERTA LATIHAN DASAR KEPEMIMPINAN SISWA (LDKS)


    SMK MUHAMMADIYAH KAWALI
    TAHUN 2020

    1. Nama Peserta : ...................................................................................................


    2. NIS/NISN : ...................................................................................................
    3. Jenis Kelamin : ...................................................................................................
    4. Tempat/Tgl. Lahir : ...................................................................................................
    5. Agama : ...................................................................................................
    6. Alamat Peserta Didik : RT/RW..............................Dusun : ..........................................
    Desa : ........................................................................................
    Kec : .........................................................................................
    Nomor Tlp./HP : .......................................................................
    7. Jabatan dalam Organisasi : ...................................................................................................
    8. Nama Orang Tua
    a. Ayah : ...................................................................................................
    b. Ibu : ...................................................................................................
    9. Alamat Orang Tua : RT/RW..............................Dusun : ..........................................
    Desa : ........................................................................................
    Kec : .........................................................................................
    Nomor Tlp./HP : .......................................................................
    10. Riwayat Penyakit Berat : ...................................................................................................
    yang diderita/ pernah : ...................................................................................................
    diderita : ...................................................................................................
    : ...................................................................................................
    : ...................................................................................................
    11. Riwayat Alergi : ...................................................................................................
    : ...................................................................................................
    12. Riyawat Organisasi : ...................................................................................................
    : ...................................................................................................
    : ...................................................................................................
    : ...................................................................................................
    13. Prestasi terbaik yang : ...................................................................................................
    Pernah diraih : ...................................................................................................

    Kawali, __Februari 2020


    Mengetahui, Peserta
    PHOTO Orang Tua

    3X4

    ……………………………… ............................................

    Anda mungkin juga menyukai