Lampiran
CURRICULUM VITAE PESERTA
Nama Lengkap : ..............................................................................................
Tempat, Tanggal Lahir : ..............................................................................................
Alamat Lengkap : ..............................................................................................
Nomor Telp/Wa : ..............................................................................................
Asal Kampus PTN/PTS : ..............................................................................................
Fakultas : ..............................................................................................
Jurusan : ..............................................................................................
Tahun Masuk : ..............................................................................................
Riwayat Pendidikan : ..............................................................................................
a. SD/MI : .............................................................Lulus Tahun ............
b. SMP/Mts : .............................................................Lulus Tahun ............
c. SMA/Sederajat : .............................................................Lulus Tahun ............
d. Pondok Pesantren : .............................................................Lulus Tahun ............
Motto
:
...........................................................................................................................................
Wallohul Muwafieq ilaa aqwamith tharieq
Wassalamu’alaikum Warohmatullohi Wabarokatuh
Tangerang, ...............................
Hormat Saya,
(................................................)