DAFTAR RIWAYAT HIDUP

I. DATA PRIBADI
Nama :
Tampat dan Tanggal Lahir :
Jenis Kelamin :
Alamat :
Nomor Telepon/Ponsel :
Alamat Email :
Status Kepegawaian : ASN / Non ASN*
Jenjang Jabatan :
Terampil / Mahir / Penyelia*
Kategori Keterampilan :
Kategori Keahlian : Pertama / Muda / Madya / Utama*

II. RIWAYAT PENDIDIKAN

1. .......................................................................................................
2. .......................................................................................................
3. .......................................................................................................
4. .......................................................................................................

III. PENGALAMAN KERJA

1. .......................................................................................................
2. .......................................................................................................
3. .......................................................................................................
4. .......................................................................................................
IV. PENGEMBANGAN KOMPETENSI DALAM 5 (LIMA) TAHUN TERAKHIR
1. .......................................................................................................
2. .......................................................................................................
3. .......................................................................................................
4. .......................................................................................................

Demikian daftar riwayat hidup ini saya buat dengan sebenar-benarnya.

Wonogiri,
Hormat saya,

(nama lengkap dan gelar)