Professional Documents
Culture Documents
FORMULIR BIODATA
DATA IDENTITAS
Nama Lengkap
: _______________________________________________________
Jenis Kelamin
: L /P
Tempat/Tgl Lahir
: __________________ / ____________________________________
Alamat Asal
: ________________________________________________________
________________________________________________________
: ________________________________________________________
________________________________________________________
Nomor Telp./HP
: ________________________________________________________
DATA AKADEMIS
NIM
: _______________________________________________________
Fakultas/Jurusan
: _______________________ / _______________________________
Semester/IP Terakhir
: _______________________ / _______________________________
Riwayat Pendidikan:
1. SD
2. SLTP
3. SLTA
4. Pontren
: _______________________________ Selama
______________ Tahun
: ____________________________
Ibu
: ____________________________
: _____________________________ Pekerjaan
3x4
3x4
_____
_
___ )
Nama dan Tanda Tangan