FORMULIR PESERTA MAKESTA JILID IIl

IPNU IPPNU RANTING BULUPAYUNG

Nama : ..................................................................................................

TTL. : ...................................................................................................

Alamat : ...................................................................................................

Contact person. : ....................................................................................................

Nama IG/FB. : .....................................................................................................

Status. : .....................................................................................................

Pendidikan terakhir : 1. .................................................................................................

2. .................................................................................................

3. .................................................................................................

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

2. .................................................................................................

3. .................................................................................................

Bulupayung,..............2021

Calon Peserta

_______________

Nama