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LPK ASAHI

ASAHI JAPANESE KOREAN LANGUAGE CENTER


私達の笑顔で世界を変えよう
Kp. Kasomalang Kulon No.53 RT 02 RW 03 Ds. Kasomalang Kulon Kec. Kasomalang Subang 41287

FORMULIR PENDAFTARAN

DIKLAT PRA SELEKSI KERJA KE KOREA (GTG BNP2TKI)

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

TTL / USIA : ....................................................................................................................

TB & BB : ............. CM & .............KG

Agama : ………………………………………………………………………………………………………………..

Alamat : ....................................................................................................................

....................................................................................................................

No Tlp/ Hp : ....................................................................................................................

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

Jurusan : .......................................................................Tahun Lulus..........................

Nama Orangtua : - Ayah : ............................................................................................

-Ibu : ............................................................................................

Alamat Orangtua : ....................................................................................................................

....................................................................................................................

Mendapatkan Informasi Program dari : ..........................................................................................

Tujuan Mengikuti Program : ............................................................................................................

..........................................................................................................................................................

*Coret yang tidak perlu

LAMPIRAN PENDAFTARAN (CEK) Subang, ……………………………………


1. Mengisi Formulir Pendaftaran
2. Mengisi Surat Pernyataan
3. FC KTP 1 lembar
4. Pas Photo 3x4 3Lembar (latar merah)
5. SK sehat dari dokter*
(......................................................................)

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