CURICULUM VITAE

Nama lengkap :.........................................................................................................

Tempat, tgl lahir :.........................................................................................................

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Riwayat Pendidikan

SD :............................................................................Tahun..................

SMP :............................................................................Tahun..................

SMA :............................................................................Tahun..................

PT :............................................................................Tahun..................

Pengalaman Organisasi

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Riwayat Pekerjaan

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Motto Hidup :...........................................................................................................

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Hobi :...........................................................................................................
 BERITA ACARA

Saya yang bertanda tangan di bawah ini:

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

Pekerjaan :..................................................................................................................

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

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

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Telepon :..................................................................................................................

Menyatakan telah memberikan materi Peran KSR dalam yang dilaksanakan pada:

Hari, tanggal :

Waktu :

Tempat :

Demikianlah surat pernyataan ini saya buat dengan sebenar-benarnya agar dipergunakan
sebagaimana mestinya.

Bandarlampung, 18 Maret 20023

Yang membuat pernyataan

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