Formulir Daftar Bem Unesa

Formulir Pendaftaran
Fungsionaris Badan Eksekutif Mahasiswa

Universitas Negeri Surabaya
2020
I. BIODATA
Nama : ..........................................................................................................
NIM : ..........................................................................................................
Jurusan : ..........................................................................................................
Fakultas : ..........................................................................................................
Angkatan : ..........................................................................................................
Alamat sekarang : ..........................................................................................................
Alamat asal : ..........................................................................................................
Tempat, tanggal lahir : ..........................................................................................................
No. Hp : ..........................................................................................................
II. Riwayat Pendidikan

Tingkat Tempat Tahun Lulus
SD
SMP
SMA
III. Riwayat Organisasi

1. .........................................................................................................................................
2. .........................................................................................................................................
3 .........................................................................................................................................
2020
IV. PILIHAN
Kementrian :
1. Sekretariat Kabinet 9. Sosial Politik
2. Keuangan 10. Ekonomi Kreatif
3. Dalam Negeri 11. Lingkungan
4. Luar Negeri 12. Pemuda dan Olahraga
5. Advokesma 13. Komunikasi dan Informasi
6. Kajian Strategis 14. Agama
7. Sosial Kemasyarakatan 15. Pendidikan
8. Seni dan Budaya 16. Pemberdayaan Karya dan Prestasi
Pilihan 1 : ....................................................................................................................
Alasan : ....................................................................................................................
....................................................................................................................
Pilihan 2 : ....................................................................................................................
Alasan : ....................................................................................................................
....................................................................................................................
Surabaya, 2020
Foto
4x6
…………………………………….
NIM.
2020
Esai (Ceritakan tentang diri anda) :
………………………………………
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................

Formulir Daftar Bem Unesa

Diunggah oleh

Informasi Dokumen

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Formulir Daftar Bem Unesa

Diunggah oleh

Hak Cipta:

Format Tersedia

Formulir Pendaftaran

Fungsionaris Badan Eksekutif Mahasiswa

II. Riwayat Pendidikan

III. Riwayat Organisasi

Esai (Ceritakan tentang diri anda) :

Anda mungkin juga menyukai