Anda di halaman 1dari 2

DEPARTEMEN HUKUM DAN HAK ASASI MANUSIA RI

KANTOR WILAYAH KEPULAUAN BANGKA BELITUNG


Komplek Perkantoran Propinsi Kepulauan Bangka Belitung
Telepon 0717- 439439 Fax. 0717-439439
PANGKALPINANG

SOSIALISASI PEMENUHAN DAN PERLINDUNGAN


HAK ASASI MANUSIA BAGI PEREMPUAN

BIODATA NARASUMBER
1. Nama Lengkap :.......................................................................................

2. NIP :.......................................................................................

3. Pangkat / Golongan :.......................................................................................

4. Jabatan / Pekerjaan :.......................................................................................

5. Tempat dan Tanggal Lahir :.......................................................................................

6. Status Perkawinan :.......................................................................................

7. Riwayat Pendidikan :........................................................................................

.........................................................................................

.........................................................................................

8. Diklat yang pernah diikuti :.......................................................................................

.........................................................................................

.........................................................................................

.........................................................................................

9. Riwayat Pekerjaan :.......................................................................................

.........................................................................................

.........................................................................................

.........................................................................................

10. Alamat Kantor :.......................................................................................

.........................................................................................

11. Alamat Rumah :.......................................................................................

.........................................................................................

……………………………
(…………………………)
NIP.

Anda mungkin juga menyukai