SENAT MAHASISWA INSTITUT (SEMA-I)

REPUBLIK MAHASISWA (RM)

INSTITUT AGAMA ISLAM NEGRI (IAIN) MADURA
PERIODE 2020-2021
Sekretariat: Jln. Raya Panglegur KM 4 Kantor SEMA Lantai II IAIN Madura; Hp: 085130367311

CURIKULUM VITAE PEMATERI

Data Pribadi
Nama : ...............................................
Tempat, Tanggal lahir : ...............................................
Agama : ...............................................
Status : ...............................................
Alamat rumah : ...............................................
Nomer telepon : ...............................................
Email : ...............................................
Jabatan : ...............................................
Motto : ...............................................

Riwayat Pendidikan
 Pendidikan Formal:
 SD/MI : ................................................
 SMP/MTs : ................................................
 SMA/MA : ................................................
 PERGURUAN TINGGI : S1: ..........................................
S2: ..........................................
S3: ..........................................
Pendidikan Non Formal:
 ...................................................................................................
 ...................................................................................................
 ...................................................................................................

Pengalaman Organisasi
 INTRA
 ...................................................................................................
 ...................................................................................................
 ...................................................................................................
 ...................................................................................................
 EKSTRA
 ...................................................................................................
 ...................................................................................................
 ...................................................................................................
 ...................................................................................................
 SENAT MAHASISWA INSTITUT (SEMA-I)
REPUBLIK MAHASISWA (RM)
INSTITUT AGAMA ISLAM NEGRI (IAIN) MADURA
PERIODE 2020-2021
Sekretariat: Jln. Raya Panglegur KM 4 Kantor SEMA Lantai II IAIN Madura; Hp: 085130367311

CURIKULUM VITAE PEMATERI

Data Pribadi
Nama : ...............................................
Tempat, Tanggal lahir : ...............................................
Agama : ...............................................
Status : ...............................................
Alamat rumah : ...............................................
Nomer telepon : ...............................................
Email : ...............................................
Jabatan : ...............................................
Motto : ...............................................

Riwayat Pendidikan
 Pendidikan Formal:
 SD/MI : ................................................
 SMP/MTs : ................................................
 SMA/MA : ................................................
 PERGURUAN TINGGI : S1: ..........................................
S2: ..........................................
S3: ..........................................
Pendidikan Non Formal:
 ...................................................................................................
 ...................................................................................................
 ...................................................................................................

Pengalaman Organisasi
 INTRA
 ...................................................................................................
 ...................................................................................................
 ...................................................................................................
 ...................................................................................................
 EKSTRA
 ...................................................................................................
 ...................................................................................................
 ...................................................................................................
 ...................................................................................................