Formulir Pendaftaran Calon Pengurus BEM FT UNSIKA

Periode 2020

➢ Data Diri (* Wajib Diisi )

1. Nama lengkap :
2. NPM :
3. Program Studi :
4. Tempat, Tanggal Lahir :
5. No Hp/ WhatsApp :
6. Alamat :

➢ Bidang Yang diinginkan (* Wajib Diisi )

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2. .................................................................................................................................
➢ Pengalaman Organisasi / Kepanitiaan (* Wajib Diisi )
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➢ Tujuan menjadi Pengurus BEM FT UNSIKA (* Wajib Diisi )
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Demikian data diri ini dibuat dengan sebenar – benarnya dan dapat dipergunakan
sebagimana mestinya.

Karawang, Januari 2020

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