FORMULIR PENDAFTARAN
CALON PENGURUS OSIS/MPK
SMA NEGERI 2 SURABAYA MASA BAKTI 2023-2024
A. BIODATA PRIBADI
Nama lengkap : ................................................................................................
Tempat, tanggal lahir : ................................................................................................
Alamat : ................................................................................................ Foto
3x4
Kelas / absen : ................................................................................................
Nomor telepon : ................................................................................................
ID Line : ................................................................................................
B. BIODATA ORANG TUA / WALI
Nama lengkap : ................................................................................................
Nomor telepon : ................................................................................................
Pekerjaan : ................................................................................................
C. VISI & MISI
Visi : ................................................................................................
Misi : 1. ............................................................................................
2. ............................................................................................
3. ............................................................................................
Dengan ini menyatakan bahwa saya (bersedia/tidak bersedia) untuk mengikuti Pendaftaran
Calon Pengurus OSIS/MPK SMA Negeri 2 Surabaya Masa Bakti 2023-2024.
Surabaya, 2023
Siswa Orang Tua / Wali
Materai 10.000
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