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  • Biodata Pendamping 2019

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    puguh setiyo kuncoro PHU
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    This document is a biodata form for chaperones of the SMK Student Competition held in East Kalimantan from April 29 to May 3, 2019. It requests information such as name, NIP number, date of birth, job title, education level, work unit, address, phone number, shirt size, and includes a receipt form for shirts and other materials provided to the chaperones.

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    This document is a biodata form for chaperones of the SMK Student Competition held in East Kalimantan from April 29 to May 3, 2019. It requests information such as name, NIP number, date of birth, job title, education level, work unit, address, phone number, shirt size, and includes a receipt form for shirts and other materials provided to the chaperones.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views2 pages

    Biodata Pendamping 2019

    Uploaded by

    puguh setiyo kuncoro PHU
    This document is a biodata form for chaperones of the SMK Student Competition held in East Kalimantan from April 29 to May 3, 2019. It requests information such as name, NIP number, date of birth, job title, education level, work unit, address, phone number, shirt size, and includes a receipt form for shirts and other materials provided to the chaperones.

    Copyright:

    © All Rights Reserved
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    of 2

    BIODATA PENDAMPING

    LOMBA KOMPETENSI SISWA SMK (LKS-SMK)


    TINGKAT PROVINSI KALIMANTAN TIMUR TAHUN 2019
    Tanggal 29 April s.d 3 Mei 2019

    HARAP DIISI DENGAN HURUF KAPITAL

    1. Nama Lengkap : …………………………………………………………………………………………………

    2. NIP : …………………………………………………………………………………………………

    3. Tempat/Tgl. Lahir : …………………………………………………………………………………………………

    4. Jabatan : …………………………………………………………………………………………………

    5. Pangkat / Gol : …………………………………………………………………………………………………

    6. Pendidikan Terakhir : SLTA D3 S1 S2 S3

    7. Unit Kerja : …………………………………………………………………………………………………

    8. Alamat Unit Kerja : …………………………………………………………………………………………………

    …………………………………………………………………………………………………

    9. Kab/Kota : …………………………………………………………………………………………………

    10. Telp. Kantor : …………………………………………………………………………………………………

    11. E-Mail Pribadi : …………………………………………………………………………………………………

    12. No HP (WA) : …………………………………………………………………………………………………

    13. NPWP Pribadi : …………………………………………………………………………………………………

    14. Ukuran Baju/Kaos : S / M / L / XL / XXL / XXXL (coret yang tidak perlu)

    Samarinda, 29 April 2019

    ……………………………………………
    NIP.
    TANDA TERIMA KELENGKAPAN
    LOMBA KOMPETENSI SISWA SMK (LKS-SMK)
    TINGKAT PROVINSI KALIMANTAN TIMUR TAHUN 2019
    Tanggal 29 April s.d 3 Mei 2019

    NO URAIAN VOLUME KETERANGAN

    1. Baju Kaos 1 buah

    2. ID Card 1 buah

    3. Panduan Kegiatan 1 buah

    Samarinda, 29 April 2019


    Yang Menerima,

    ……………………………………………
    NIP.

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