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DEWAN PERWAKILAN MAHASISWA

FAKULTAS PERTANIAN
UNIVERSITAS TIDAR
Alamat : Jalan Kapten Suparman 39 Magelang 56116
Telp. (0293) 364113 Fax. (0293) 362438
Surel: dpmfp.untidar@yahoo.com

FORMULIR PENDAFTARAN FUNGSIONARIS DPM FP 2020

Nama : …………………………………………………………………..

Nama panggilan : …………………………………………………………………..

Tempat, tanggal lahir : …………………………………………………………………..

Alamat rumah :
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Alamat sekarang : …………………………………………………………………..

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Program studi/ semester : …………………………………………………………………..

NPM : …………………………………………………………………..

Pengalaman organisasi : 1. ………………………………………………………………..

2. ..………………………………………………………………

3. ..………………………………………………………………

Motivasi menjadi Fungsionaris DPM FP 2020 : . ……………………………………………….

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Ide/ gagasan untuk DPM FP 2020 : ...……………………………………………………………

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Social media (WA, IG, dll) : ...…………………………………………………………………...

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