NAMA : ……………………………………………………………….
JURUSAN/NIM/ANGK : ……………………………………………………………….
TTL : ……………………………………………………………….
JENIS KELAMIN : ……………………………………………………………….
AGAMA : ……………………………………………………………….
ALAMAT ASAL : ……………………………………………………………….
NAMA&ALAMAT KOST : ……………………………………………………………….
E-MAIL : ……………………………………………………………….
GOL.DARAH : ……………………………………………………………….
HOBBY : ……………………………………………………………….
CITA-CITA : ……………………………………………………………….
MOTTO HIDUP : ……………………………………………………………….
TOKOH IDOLA : ……………………………………………………………….
RIWAYAT PENDIDIKAN :
NO | PENDIDIKAN | ALAMAT | TAHUN LULUS |
RIWAYAT ORGANISASI :
NO | NAMA ORGANISASI | JABATAN | PERIODE |
PRESTASI YANG DIRAIH : .....................................................................................
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KARAKTER : .....................................................................................
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KELEBIHAN : .....................................................................................
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KELEMAHAN : .....................................................................................
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KEGIATAN BEM
YANG PERNAH DIIKUTI : .....................................................................................
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MOTIVASI MASUK BEM : .....................................................................................
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HARAPAN UNTUK BEM : .....................................................................................
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DEPARTEMEN
YANG DIKEHENDAKI&ALASAN : .....................................................................................
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CP : ....................................................................................
SURAKARTA, FEBRUARI 2011
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