TUGAS KOMPUTER

Diwajibkan bagi teman-teman untuk mengisi data ini dengan benar dan disertai foto fullbody keadaan berdiri, file nya di beri no absen, nama anda sendiri kemudian dokumen di kirim lewat email ami (amilulk03@yahoo.co.id), pengumpulan data paling lambat tanggal 24 april 2012.

GENERAL INFORMATIAON
First name: Last name Web page E-mail address Company Phone Numbers Bussiness Phone Home Phone Mobile Phone Fax Number Address Street City State/ Province ZIP/Postal Code Country/Region Let jen suprapto GG:3 PONOROGO Jawa timur 63471 Indonesia 087758964733 (0352) 489143 087758964733 Notes aaimmaul@yahoo.co.id AIMMAUL ALLIFAH Student ID Level Room Date of Birth 110721435118 2 L/BB 08 november 1992

GUARDIAN INFORMATION

Relationship : First Name : Last Name : Bussiness Phone :

E-mail :

Home Phone : Mobile Phone :

Emergency information
Emergency Contact Emergency Contact Name : Phone Number 1 : Phone Number 2 : Relationship :

Medical Information Physician Name : Phone Number : Allergies : Medications :