LOKAKARYA ORIENTASI
PENDIDIKAN GURU PENGGERAK ANGKATAN 8
Nama : .........................................................................................
NIP : .........................................................................................
Jabatan : .........................................................................................
........................................................................................
Kabupaten/Kota : .........................................................................................
Telepon/ HP : ........................................................................................
NPWP/NIK : ........................................................................................
......................,.......Mei 2023
(.................................................)
NIP