FORMULIR PENDAFTARAN

PENGURUS OSIS 2022/2023

Nama : _______________________________________

Tempat, Tanggal Lahir : _______________________________________

Alamat Rumah : _______________________________________

Kelas : _______________________________________

Nama Orang Tua : _______________________________________

Nomor Telp. / HP : _______________________________________

Cita - cita : _______________________________________

Motto Hidup : _______________________________________

Alamat
* E MAIL : _______________________________________
* FACEBOOK : _______________________________________

* TWITTER : _______________________________________

PENGALAMAN BERORGANISASI : ________________ Jabatan ________________

________________ Jabatan ________________

________________ Jabatan ________________

PRESTASI

** AKADEMIK : _______________________________________

** NON AKADEMIK : _______________________________________

VISI :

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MISI :

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JABATAN YANG DI INGINKAN :

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Bilungala ,…………., Juli 2022

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NIS. ……………