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FORMULIR KEANGGOTAN

Saya yang bertanda tangan dibawah ini, berminat, mohon dicatat dan diaftar sebagai
anggota Perhimpunan Manajemen Sumberdaya Manusia Indonesia – PMSM (The
Indonesian Society of Human Resource Management). Saya telah memahami Visi – Misi
PMSM, bersedia mematuhi AD/ART, Peraturan Pengurus, mendukung program, menjaga
nama baik PMSM dan profesi Pengembangan & Manajemen SDM Indonesia.

Nama : ..............................................................................................
Tempat/tgl. Lahir : ............................................................. 0 Pria 0 Wanita
Alamat : ..............................................................................................
Telp/Fax. : ....................................... Handphone : ....................................
E-mail : ..............................................................................................
Pendidikan terakhir : 0 SLTA 0 DIII 0 S1 0 S2 0 S3
Pengalaman kerja : ..............................................................................................
..............................................................................................
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Keanggotaan Organisasi : ..............................................................................................
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Jabatan Terakhir/sejak : ..............................................................................................
Nama Perusahaan : ..............................................................................................
Alamat : ..............................................................................................
Telp/fax : ..............................................................................................
Jenis/bidang kegiatan usaha : ..............................................................................................
Status perusahaan : 0 PMA 0 PMDN 0 BUMN 0 BUMD
Jumlah tenaga kerja : ..............................................................................................

Bandung,.....................................20...
Foto

3x4

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(Tanggal, Nama & Tanda tangan)
Nomor Anggota (diisi oleh PMSM)

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