YAYASAN SOSIAL DAN PENDIDIKAN ISLAM NU "AR-RIDLO"

Akte Notaris No. 13 tanggal 10 Desember 2001

Madrasah Tsanawiyah " RIYADLOTUL UQUL "
Alamat : Jl. Jabon No. 100 Telp (0321) 396913 Mojoanyar Mojokerto
STATUS TERAKREDITASI (B) / DIAKUI
Email : mtsjabon.mojoanyar@gmail.com

FORMULIR PENDAFTARAN CALON PENGURUS OSIS

MASA BHAKTI 2022 – 2023
MTs RIYADLOTUL UQUL

IDENTITAS DIRI:
Nama Lengkap : .....................................................................................................
Kelas : .....................................................................................................
TTL : .....................................................................................................
Alamat : .....................................................................................................
No. HP : .....................................................................................................
Hobi : .....................................................................................................
Kelebihan diri sendiri
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Kekurangan Diri Sendiri
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Motivasi Menjadi Pengurus
Osis : .......................................................................................................................................................
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Program terbaru yang ingin dilakukan jika terpilih menjadi pengurus osis ( minimal 3 )
1. .....................................................................................................
2. .....................................................................................................
3. .....................................................................................................
4. .....................................................................................................

Dengan mengisi formulir pendaftaran pengurus OSIS ini, maka saya secara sadar dan tanpa
paksaan dari pihak manapun, serta atas sepengetahuan dan izin dari orang tua / wali murid untuk
mengikuti Pendaftaran Pengurus Osis Masa Bhakti 2022 – 2023.

Mengetahui,
Orangtua/Wali Siswa Pendaftar
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