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APPLICATION FORM

PERSONAL INFORMATION (Data Pribadi)

Name : Dimas Widiantoro (Laki-Laki) Age : 24 years old

Religion : Islam

Date of birth : 23 December 1995 Place Of birth : Jakarta

Weight & Height : 68 kg & 176 cm

Status : Belum Menikah

Address : Jl. Mandiri 6 no. 75 RT 002 RW 002, Aren Jaya Perumnas 3 – Bekasi Timur 17111

Telephone : 081280931093 (preferred)

Email : dimaswidiantorosh23@gmail.com

Identity Number : 3275012312950013 (KTP)

In Case of Emergency
Nama : Wediasih Telephone : 081299338303 Relation: Parents

FORMAL EDUCATION (Pendidikan Formal)

Attendance Period Major


Name Of School Degree GPA
From To Subject

Kindergarten TK RA Al-Huda, Bekasi 1999 2000 - - -

Elementary SDN Aren Jaya II, Bekasi 2006 2007 - - -


School (SD)

Junior High SMPN 11, Bekasi 2009 2010 - - -


School (SMP)

Senior High SMAN 9, Bekasi 2013 2014 - Ilmu -


School (SMA) Pengetahuan
Sosial

University Bhayangkara Jakarta Raya 2018 2019 Ilmu Hukum 3, 21

INFORMAL EDUCATION / TRAINING (Pendidikan Informal/ Pelatihan)


1.
2.
3.
4.
WORK EXPERIENCES (Pengalaman Kerja)

No. Name of Company Period Position Responsibility


1. - - - -

2. - - - -

QUALIFICATIONS (Kualifikasi)
1. Good in English.

Sincerely yours,

Dimas Widiantoro

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