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FORUM KOMUNIKASI

KEPALA LABORATORIUM KOMPUTER SE-KOTA SEMARANG


: Jl. Sukarno Hatta No. 65 Semarang Telp (024) 40176915

Sekretariat

BEKERJASAMA DENGAN UDINUS SEMARANG

BIODATA PESERTA
NAMA (Nama sesuai ijazah)

: .........................................................................................

Tempat,Tanggal Lahir

: .........................................................................................

ALAMAT RUMAH

: .........................................................................................
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GURU MAPEL

: .........................................................................................

ASAL INSTANSI/SEKOLAH

: .........................................................................................

ALAMAT SEKOLAH

: .........................................................................................

NO. TELP SEKOLAH

: .........................................................................................

NO. HP PESERTA

: .........................................................................................

MOTIVASI IKUT PELATIHAN : .........................................................................................


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Semarang, .................................... 2012


PESERTA
Foto warna
2 lembar
ukuran 3X4

Foto warna
2 lembar
ukuran 3X4

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* Biodata dapat di kirim ke email ( mas_acan@yahoo.com) atau dibawa saat pelatihan


** Biodata dapat di perbanyak sendiri

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