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    34 views1 page

    LEMBAR BIODATA KADER New

    Uploaded by

    irma

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    LEMBAR BIODATA PESERTA MENTORING

    Bismillaahirrohmaanirrohiim…

    FOTO
    Nama Lengkap : ………………………………………………………………………………….
    Nama Panggilan : ………………………………………………………………………………….
    TTL : ………………………………………………………………………………….
    Alamat Rumah : ………………………………………………………………………………….

    Alamat Sekarang : ………………………………………………………………………………….

    Fakultas / Jurusan / kelas : ………………………………………………………………………………….


    NPM : ………………………………………………………………………………….

    No Kontak : ………………………………………………………………………………….
    E-Mail : ………………………………………………………………………………….
    FB : ………………………………………………………………………………….
    IG : ………………………………………………………………………………….

    Nama Ayah dan Ibu : ………………………………………………………………………………….


    Alamat : ………………………………………………………………………………….
    Pekerjaan Ortu : ………………………………………………………………………………….
    No Kontak Ortu : ………………………………………………………………………………….

    Hobbi / Keahlian : ………………………………………………………………………………….


    Moto Hidup : ………………………………………………………………………………….
    Aktivitas : ………………………………………………………………………………….
    Amanah Sekarang : ………………………………………………………………………………….

    Gol. Darah : ………………………………………………………………………………….


    Tinggi / Berat : ………………………………………………………………………………….

    Pengalaman Organisasi : ………………………………………………………………………………….


    ………………………………………………………………………………….
    ………………………………………………………………………………….

    Riwayat Pendidikan : ………………………………………………………………………………….


    ………………………………………………………………………………….
    ………………………………………………………………………………….
    ………………………………………………………………………………….

    Ikut mentoring mulai thn : ………………………………………………………………………………….


    Pementor pertama : ………………………………………………………………………………….
    Pementor sekarang : ………………………………………………………………………………….

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