FORMULIR PENDAFTARAN

PANITIA BEDAH KAMPUS UI 2009

Get Your Treasure
Nama Lengkap
Fak/Jur/Angk
TTL
Alamat Rumah

: ................................................................
: ................................................................
: ....................................................................
:.................................................................
.................................................................
Alamat Kost
:.................................................................
No. Tlp
:Rumah......................................................
GSM.............................CDMA..
E-mail
:.................................................................
Asal SMA
:..................................................................
Kegiatan / organisasi yang diikuti saat ini : ....................................................
Divisi yang dipilih : ( urutkan berdasarkan prioritas )
Acara
Relasi
( ) Talkshow
( ) Sponsorship
Usaha
( ) Bedah Fakultas
( ) Humas
( ) Stand Jurusan
( ) Bazar
( ) Entertainment
( ) Konsumsi
( ) Desain & Multimedia
( ) Bincang Bintang
( ) Dekorasi

Penunjang*
( ) Ticketing

FOTO

Treasurer
( ) Dana

( ) Perlengkapan
( ) Keamanan
( ) Dokumentasi

*)sebelum hari-H akan dilebur menjadi Divisi Publikasi & Roadshow

Fasilitas yang dimiliki (boleh lebih dari satu) :
( ) Komputer
( ) Laptop
( ) Handycam
( ) Kamera Digital

(
(
(
(

) Motor
) Mobil
) ...........
) ...........

( ) ...........
( ) ...........

Pengalaman Organisasi :
Organisasi

Tahun

Jabatan

Job Desc

Pengalaman Kepanitiaan
Acara

Tahun

Jabatan

Job Desc

Analisis SWOT
Strenght
:........................................................
Weakness
:.........................................................
Opportunity
:..........................................................
Threat
:..........................................................

Depok, ..........................