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BIODATA PESERTA

FOCUS GROUP DISCUSSION TAHUN 2014


MAN PULOMERAK KOTA CILEGON

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

Tempat /Tanggal Lahir : ...............................................................................

NIP : ...............................................................................

Jenis Kelamin : ...............................................................................

Pendidikan Terakhir : ...............................................................................

Pangkat / Golongan : ...............................................................................

Jabatan : ...............................................................................

Alamat Kantor : ...............................................................................

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Telp. Rumah / HP : ....................................../........................................

Alamat Rumah : ...............................................................................

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Cilegon, ....... Juni 2014

……………………………..
N I P.
CURICULUM VITAE NARASUMBER
FOCUS GROUP DISCUSSION TAHUN 2014
MAN PULOMERAK KOTA CILEGON

Nama : Drs. IWAN FALAHUDIN, M. Pd.


Tempat /Tanggal Lahir : .............................................................................................
Jenis Kelamin : Laki - laki
Status : Satu istri dan 4 anak
Alamat Kantor : Kementerian Agama Republik Indonesia
Balai Diklat Keagamaan Jakarta

Telp. Rumah / HP : 085218029940


Alamat Rumah : Cibadak, Lebak, Banten

Face Book : iwanfalahudin


E – mail : iwancoy212@gmail.com
Pengalaman Pekerjaan : 1. Guru MTs. MA, SMK Manahijus Sadat, Lebak, Banten
2. Dosen STAI Latansa, Lebak
3. Widyaiswara , balai diklat Keagamaan

Materi yang disampaiakan : Penyusunan RPP dan Perangkat Penilaian Kurikulum 2013
Waktu : Jam. 08.30 s.d. 12.00 WIB

Cilegon, ….. Juni 2014

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NIP.
CURICULUM VITAE MODERATOR
FOCUS GROUP DISCUSSION TAHUN 2014
MAN PULOMERAK KOTA CILEGON

Nama : .............................................................................................
Tempat /Tanggal Lahir : .............................................................................................
NIP : .............................................................................................
Jenis Kelamin : .............................................................................................
Pendidikan Terakhir : .............................................................................................
Pangkat / Golongan : .............................................................................................
Jabatan : .............................................................................................
Alamat Kantor : .............................................................................................
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Telp. Rumah / HP : ............................................./..............................................
Alamat Rumah : .............................................................................................
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Pengalaman Pendidikan : 1 ....................................................................................
2. ....................................................................................
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5. ....................................................................................
Pengalaman Pekerjaan : 1. .......................................................................................
2. .......................................................................................
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4. .......................................................................................
5. .......................................................................................
Cilegon, ….. Juni 2014

( ____________________________ )
NIP

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