BIODATA PELATIH/FASILITATOR/WIDYAISWARA/NARASUMBER

NAMA KEGIATAN : PELATIHAN LITERASI DAN EDUKASI KEUANGAN UNTUK KETUA KELOMPOK TANI
IPDMIP T.A. 2021
TGL KEGIATAN : 09 s.d. 11 SEPTEMBER 2021
PENYELENGGARA :
LOKASI KEGIATAN : HOTEL SAGA MURNI PESISIR SELATAN
PROVINSI : SUMBAR

1. Nama & Gelar : .................................................................................................

2. NIP : .................................................................................................
3. NIK : .................................................................................................
4. Tempat Tgl. Lahir : .................................................................................................
5. Agama : .................................................................................................
6. Jenis Kelamin : .................................................................................................
7. Status Perkawinan : .................................................................................................
8. Pangkat / Gol : .................................................................................................
9. Jabatan : .................................................................................................
10. Nama Jabatan : .................................................................................................
11. Pendidikan Terakhir : .................................................................................................
12. Unit Kerja : .................................................................................................
13. Unit Eselon I : .................................................................................................
14. Alamat Unit Kerja : .................................................................................................
15. Telp/Fax : .................................................................................................
16. E-mail : .................................................................................................
17. Kabupaten : .................................................................................................
18. Propinsi : .................................................................................................
19. Alamat Rumah : .................................................................................................
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20. Telp/HP : .................................................................................................
21. Materi :
Lama JP
No Materi Pelatihan Tgl, bln
(@ 45 Menit)

................................ 2021

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No.Dok.Bapeltan.JBI-FM-PP-02